Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 120
Filtrar
1.
Public Health Res Pract ; 30(2)2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-32601655

RESUMO

BACKGROUND/OBJECTIVE: The understanding and practice of public health crisis communication are improved through the study of responses to past crises, but require retooling for present challenges. The 'Addressing Ebola and other outbreaks' checklist contains guiding principles built upon maxims developed from a World Health Organization consultation in response to the mad cow (bovine spongiform encephalopathy) crisis that were later adopted for Ebola. The purpose of this article is to adapt the checklist for the health communication challenges and public health practices that have emerged during the coronavirus disease 2019 (COVID-19) pandemic. The communication challenges of promoting vaccine acceptance are used to illustrate a key area that requires strengthened communication. Type of program or service: Effective communication principles for application during the COVID-19 pandemic. RESULTS: The COVID-19 pandemic has introduced unique challenges for public health practitioners and health communicators that warrant an expansion of existing health communication principles to take into consideration: the new infodemic (or mis/disinfodemic) challenge - particularly as treatments and vaccines are being developed; communication of risk and uncertainty; health-information behaviours and the instantaneous nature of social media, and the relationship between media literacy and health literacy; the effects of the pandemic on other health issues; and the need for a flexible communication strategy that adapts to the different stages of the pandemic. LESSONS LEARNT: Principles discussed in this article will help build preparedness capacity and offer communication strategies for moving from the acute phase to the 'next normal' with likely prevention (e.g. herd immunity achieved through vaccination) and societal COVID-19 resilience.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Saúde Global/tendências , Comunicação em Saúde/tendências , Disseminação de Informação , Pneumonia Viral/epidemiologia , Letramento em Saúde/tendências , Promoção da Saúde/tendências , Humanos , Pandemias , Mídias Sociais/tendências
2.
Genebra; Organización Mundial de la Salud; maio 1, 2020. 4 p.
Não convencional em Espanhol, Português | Coleciona SUS | ID: biblio-1095982

RESUMO

Conforme declarado pela OMS, o surto de COVID-19 e a resposta a ele têm sido acompanhados por uma enorme infodemia: um excesso de informações, algumas precisas e outras não, que tornam difícil encontrar fontes idôneas e orientações confiáveis quando se precisa. A palavra infodemia se refere a um grande aumento no volume de informações associadas a um assunto específico, que podem se multiplicar exponencialmente em pouco tempo devido a um evento específico, como a pandemia atual. Nessa situação, surgem rumores e desinformação, além da manipulação de informações com intenção duvidosa. Na era da informação, esse fenômeno é amplificado pelas redes sociais e se alastra mais rapidamente, como um vírus


Según ha declarado la OMS, el brote de COVID-19 y la respuesta correspondiente han estado acompañados de una infodemia masiva, es decir, de una cantidad excesiva de información ‒en algunos casos correcta, en otros no‒ que dificulta que las personas encuentren fuentes confiables y orientación fidedigna cuando las necesitan. El término infodemia se refiere a un gran aumento del volumen de información relacionada con un tema particular, que puede volverse exponencial en un período corto debido a un incidente concreto como la pandemia actual. En esta situación aparecen en escena la desinformación y los rumores, junto con la manipulación de la información con intenciones dudosas. En la era de la información, este fenómeno se amplifica mediante las redes sociales, propagándose más lejos y más rápido, como un virus


Assuntos
Humanos , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/prevenção & controle , Gestão da Informação/educação , Gestão da Informação/instrumentação , Pandemias/prevenção & controle , Betacoronavirus , Comunicação , Comunicação em Saúde/classificação , Comunicação em Saúde/tendências
3.
Evid. actual. práct. ambul ; 22(3): e002018, nov. 2019. ilus.
Artigo em Espanhol | LILACS | ID: biblio-1046953

RESUMO

En este comentario editorial, la autora repasa la controversia sobre la promoción del rastreo mamográfico del cáncer de mama en el contexto de las campañas de des-información durante el octubre rosa. (AU)


In this editorial comment, the author reviews the controversy over the promotion of mammographic screening of breastcancer in the context of misinformation campaigns during the pink October. (AU)


Assuntos
Humanos , Feminino , Adulto , Pessoa de Meia-Idade , Neoplasias da Mama/prevenção & controle , Mamografia/efeitos adversos , Programas de Rastreamento/efeitos adversos , Comunicação em Saúde/métodos , Serviços Preventivos de Saúde/tendências , Comunicação em Saúde/tendências , Promoção da Saúde/tendências
6.
Int J Med Inform ; 130: 103939, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31434043

RESUMO

BACKGROUND: Normal users' voluntary behaviors (e.g., knowledge sharing) in virtual communities (VCs) has been well investigated; however, research on health professionals' voluntary behaviors in online health communities (OHCs) is limited. OBJECTIVE: This paper focuses on OHCs for mental health and aims to explore how intrinsic and extrinsic motivations influence mental health service providers' voluntary behaviors. METHODS: Based on motivation theory and prior studies, we incorporated technical competence as intrinsic motivation and online reputation and economic rewards as extrinsic motivations, and proposed five hypotheses. We crawled objective data from YiXinLi, a Chinese OHC for mental health, and tested the hypotheses based on the Poisson regression model. All hypotheses are supported. RESULTS: 1) Technical competence, online reputation, and economic rewards positively influence mental health service providers' voluntary behaviors; 2) the interaction effect between technical competence and online reputation negatively influences mental health service providers' voluntary behaviors; 3) the interaction effect between technical competence and economic rewards negatively influences mental health service providers' voluntary behaviors. CONCLUSIONS: Both intrinsic motivations and extrinsic motivations positively influence mental health service providers' voluntary behaviors, and their interaction effects negatively influence mental health service providers' voluntary behaviors. This study first contributes to the literature on health professionals' voluntary behaviors in OHCs by verifying the positive effect of economic rewards. It then contributes to motivation theory by incorporating a situation where intrinsic motivations and extrinsic motivations could negatively interact.


Assuntos
Comunicação em Saúde/tendências , Pessoal de Saúde/psicologia , Serviços de Saúde Mental/estatística & dados numéricos , Serviços de Saúde Mental/normas , Saúde Mental/normas , Sistemas On-Line/estatística & dados numéricos , Telemedicina/estatística & dados numéricos , China , Feminino , Humanos , Masculino , Motivação , Papel Profissional , Saúde Pública
7.
Eur J Cancer Care (Engl) ; 28(6): e13149, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31429157

RESUMO

OBJECTIVE: The critics and recommendations for communication training in oncology call for new ideas, which may contribute to designing the next generation of training. The aim of this work was to search the literature on communication in oncology for empirically grounded observations that might be useful for the development of training approaches. METHODS: The approach consists of identifying findings that might serve as cues for the design of the next generation of training. The literature search strategy allowed the inclusion of 68 articles. RESULTS: Findings of the articles showed that multiple factors shape clinical communication: the functions and effects of information provision, the relational and interactional aspects of communication, its patient- and context-related dimensions, and the intrapsychic and context-related barriers hampering the patient encounter that clinicians are facing. CONCLUSION: A way to reach all oncologists and to provide training centred on the singular needs of participants is a shift in the focus of training from communication tasks or communication-related situations to the clinician. PRACTICE IMPLICATIONS: Training should focus on the competencies and qualities to be developed by clinicians, such as being flexible, able to adapt to the singular patient, sensitive to interactional aspects of communication, which influence the clinical encounter.


Assuntos
Comunicação em Saúde/métodos , Oncologia/educação , Atitude do Pessoal de Saúde , Comunicação em Saúde/tendências , Pessoal de Saúde/educação , Humanos , Oncologistas/educação , Guias de Prática Clínica como Assunto , Relações Profissional-Paciente , Pesquisa Qualitativa
9.
Cancer Control ; 26(1): 1073274819841442, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30995864

RESUMO

The number of social media users has increased substantially in the past decade, creating an opportunity for health-care professionals and patients to leverage social media for health communication. This study examines the recent use and predictors of social media for health communication in a nationally representative sample of US adults over time. We used 2013, 2014, and 2017 National Cancer Institute's Health Information National Trends Survey to identify respondents' use of social media for sharing health information or exchanging medical information with a health-care professional. We conducted bivariate analysis using the Pearson χ2 test to assess the association of respondents' basic demographic characteristics as well as health status and the use of social media for health communication. We performed multivariable logistic regression models to examine factors associated with the use of social media for health communication. We identified 4242 respondents (weighted sample size: 343 465 241 [2-year pooled sample]) who used social media for sharing health information and 4834 respondents (weighted sample size: 354 419 489 [2-year pooled sample]) who used social media for exchanging medical information. Multivariable analyses indicated the proportion of respondents who used social media for sharing health information has decreased (odds ratio [OR], 0.65; 95% confidence interval [CI], 0.49-0.85, P = .002), while the use of social media for exchanging medical information with a health-care professional has increased (OR, 1.88; 95% CI, 1.09-3.26, P = .025). The younger population had significantly higher odds of using social media for health communication. The study found no racial/ethnic disparities in the use of social media for health communication. Use of social media for sharing health information has declined, while exchanging medical information with health-care professionals has increased. Future research is needed to determine how to engage the population in social media-based health interventions, particularly for older adults.


Assuntos
Comunicação em Saúde/tendências , Disseminação de Informação/métodos , Neoplasias , Mídias Sociais , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
10.
Cancer Control ; 26(1): 1073274819841609, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31010296

RESUMO

With the rise in the use of the Internet for health-related purposes, social networking sites (SNSs) have become a prominent platform for cancer communication and information exchange. Studies of cancer communication on SNS have mostly focused on understanding the quantity, content, quality, and user engagement (eg, likes and comments) with cancer-related information on SNS. There is less of an understanding of when and why people coping with cancer turn to SNS for cancer-related information, and how users appraise the credibility of cancer-related information obtained on SNS. In this study, we use data from in-depth qualitative interviews with 40 primary caregivers of pediatric patients with cancer to examine how cancer caregivers engage in information appraisal and credibility assessment of cancer-related information obtained on SNS. Findings show that cancer caregivers turned to SNS for cancer-related information because information on SNS was immediate, targeted in response to specific caregiver questions and concerns, and tailored to the specific information needs of cancer caregivers. Cancer caregivers evaluated the credibility of cancer-related information obtained on SNS through assessment of the SNS user who posted the information, frequency the same information was shared, and external corroboration. Findings have important implications for cancer communication and information interventions and point to elements of SNS cancer communication that can be integrated into health professional-facilitated communication and cancer information strategies.


Assuntos
Cuidadores , Disseminação de Informação/métodos , Comportamento de Busca de Informação , Neoplasias , Mídias Sociais/estatística & dados numéricos , Criança , Confiabilidade dos Dados , Feminino , Comunicação em Saúde/métodos , Comunicação em Saúde/tendências , Letramento em Saúde/estatística & dados numéricos , Letramento em Saúde/tendências , Humanos , Masculino , Redes Sociais Online , Pais , Pesquisa Qualitativa
11.
JMIR Mhealth Uhealth ; 7(2): e10645, 2019 02 28.
Artigo em Inglês | MEDLINE | ID: mdl-30816850

RESUMO

BACKGROUND: The public health system in Bangladesh has been struggling to provide coverage and utilization of basic maternal health care services in pursuit of achieving maternal and child mortality-related goals. Interestingly, the rapid popularization of mobile technology in the country is transforming the landscape of health care access and delivery. However, little is known regarding the use of mobile phones from the perspective of maternal health care service utilization. OBJECTIVE: In this study, we aimed to investigate the prevalence and sociodemographic pattern of mobile phone use for health services among women and relationship between the use of mobile phone use and the uptake of essential maternal health services (MHSs). METHODS: Cross-sectional data from the Bangladesh Demographic and Health Survey on 4494 mothers aged between 15 and 39 years were used in the analysis. Using mobile phones to get health services or advice was hypothesized to have a positive association with the uptake of basic MHSs (antenatal care, ANC, facility delivery services, postnatal care) and postnatal care for the newborn. Data were analyzed using bivariate and multivariable techniques. RESULTS: More than a quarter (1276/4494, 28.4%; 95% CI 26.8-30.3) of the women aged 15-39 years reported using mobile phones to get health services with significant sociodemographic variations in the use of mobile phones. Analysis of the specific purposes revealed that, in most cases, mobile phones were used to contact service providers and consult with the same about what to do, whereas a smaller proportion reported using mobile phone for the purposes of arranging money and transportation. Multivariable analysis showed that compared with respondents who reported not using mobile phones for health care services, those who used them had higher odds of making 3+ ANC visits and delivering at a health facility. The odds were slightly higher for rural residents than for those in the urban areas. CONCLUSIONS: The findings of this study conclude that women who use mobile phones are more likely to use ANC and professional delivery services than those who do not. More in-depth studies are necessary to understand the mechanism through which mobile phone-based services enhance the uptake of maternal health care.


Assuntos
Telefone Celular/estatística & dados numéricos , Mães/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Cuidado Pós-Natal/psicologia , Cuidado Pré-Natal/psicologia , Adolescente , Adulto , Bangladesh , Estudos Transversais , Feminino , Comunicação em Saúde/métodos , Comunicação em Saúde/tendências , Humanos , Mães/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Cuidado Pós-Natal/métodos , Cuidado Pós-Natal/estatística & dados numéricos , Gravidez , Cuidado Pré-Natal/métodos , Cuidado Pré-Natal/estatística & dados numéricos
12.
Prev Med ; 118: 251-256, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30414396

RESUMO

How stories from media and social interactions shape parents' HPV vaccination decisions is poorly understood. We sought to characterize parents' exposure to such stories, as well as associations between story exposure and vaccination behavior. Study participants were 1263 parents of U.S. adolescents who had not yet completed the HPV vaccine series. In 2017, these parents completed an online survey about whether they had heard stories of people who were harmed by HPV vaccine or who got diseases HPV vaccine could have prevented. Almost half of parents had heard HPV vaccine stories, which were about vaccine harms only (19%), vaccine preventable diseases only (11%), or both (15%). Stories of harms more often came from social and traditional media; stories of preventable diseases more often came from conversations (all p < 0.01). Parents who heard only stories about harms were less likely than those who heard no stories to have initiated HPV vaccination (23% vs. 33%, aOR:0.48; 95% CI:0.33:0.69). They were more likely to have delayed (79% vs. 66%, aOR:2.00; 95% CI:1.09:3.71) or refused (72% vs. 24%, aOR:8.87; 95% CI:4.09:19.25) HPV vaccination. Exposure to both stories about harms and preventable diseases was similarly associated with initiation, delay and refusal. Exposure to only stories about preventable diseases was not associated with initiation, delay or refusal. In conclusion, stories of HPV vaccine harms may be associated more strongly with vaccination behavior than stories of HPV vaccine preventable diseases. Communication campaigns should consider strategies to elevate stories of preventable diseases in social and traditional media.


Assuntos
Comunicação em Saúde/tendências , Meios de Comunicação de Massa/estatística & dados numéricos , Infecções por Papillomavirus/prevenção & controle , Vacinas contra Papillomavirus/administração & dosagem , Mídias Sociais/estatística & dados numéricos , Adolescente , Feminino , Humanos , Masculino , Pais/psicologia , Inquéritos e Questionários , Vacinação/estatística & dados numéricos , Recusa de Vacinação/estatística & dados numéricos
13.
Interface (Botucatu, Online) ; 23: e180171, 2019. tab
Artigo em Português | LILACS | ID: biblio-1002333

RESUMO

Este estudo visa compreender de quais maneiras as informações sobre o parto são veiculadas pela mídia televisiva, a partir de um programa de jornalismo utilitário sobre saúde. Realizou-se uma pesquisa exploratória documental, com abordagem qualitativa a partir de todos os vídeos relacionados ao parto veiculados no programa "Bem Estar" da Rede Globo, no período de fevereiro de 2011 a dezembro de 2016. O corpus foi composto por 95 vídeos que originaram cinco categorias analíticas: o parto como mercadoria; a normalização da cesárea como modo de nascer; o efeito contraprodutivo das cesáreas; a alienação da dor, e em busca da autonomia. A discussão foi embasada nas ideias do autor Ivan Illich sobre a superprodução heterônoma da instituição médica. O estudo do parto em um espaço de jornalismo utilitário revelou sua potência como dispositivo educador relevante para a Saúde Pública.


The aim of this study was to understand how information about childbirth is transmitted by television, based on a health journalism program. This was a qualitative exploratory documentary study, based on all the videos related to childbirth transmitted by the program "Bem Estar" by the Brazilian network Rede Globo, between February 2011 and December 2016. The corpus was made up of 95 videos that yielded five analytical categories: childbirth as merchandise; the normalization of cesarean as a form of birth; the counterproductive effect of cesarean sections; alienation from pain; and in search of autonomy. The discussion was based on the ideas of author Ivan Illich about the heteronomous superproduction of the medical institution. The study of childbirth in a health journalism program demonstrated its potential as a relevant educational device for public health.


El objetivo de este estudio es comprender de qué maneras los medios televisivos transmiten las informaciones sobre el parto, a partir de un programa de periodismo utilitario sobre salud. Se realizó una investigación exploratoria documental, con abordaje cualitativo, a partir de todos los videos relacionados al parto transmitidos en el programa "Bem Estar" de la Red Globo, en el período de febrero de 2011 a diciembre de 2016. El corpus se compuso de 95 videos que originaron cinco categorías analíticas: el parto como mercancía, la normalización de la cesárea como modo de nacer, el efecto contra-productivo de las cesáreas, la alienación del dolor y la búsqueda de la autonomía. La discusión tuvo como base las ideas del autor Ivan Illich sobre la superproducción heterónoma de la institución médica. El estudio del parto en un espacio de periodismo utilitario reveló su potencia como dispositivo educador relevante para la Salud Pública.


Assuntos
Parto , Comunicação em Saúde/tendências , Medicalização , Jornalismo Médico
14.
Rev. Rol enferm ; 41(11/12,supl): 211-212, nov.-dic. 2018.
Artigo em Inglês | IBECS | ID: ibc-179964

RESUMO

Communication is a dynamic, complex and permanent process, composed of ex-pressive discourse (production) and receptive (understanding), with the purpose of mutual understanding between its participants. This process, which in itself is already complex and where there are several failu-res in daily life, is often hampered by changes in the health of one of the actors. This is an increasingly present reality in hospital inpatient services either by functional or structural changes becoming a challenge for health professionals. For nurses communication is especially important because they are in constant relation/interaction with their clients and their families/caregivers. The quality of care is closely related to the quality of the relationship established and, consequently, to the respective communication. In this way, understanding and understanding are important aspects of the quality of care. These are central and essential to identifying the care needs of each client and their respective fa-mily/caregiver. However, its due value is not always attributed to it, and it should be a specialist nurses' concern to have a mastery of relational and communicational skills. This article of integrative review of the literature aims to identify how the com-munication within the scope of the Specialized Nursing Intervention can subsidize the quality and effectiveness of the care provided by nurses in a hospital context


No disponible


Assuntos
Humanos , Instituições de Cuidados Especializados de Enfermagem/organização & administração , Enfermeiras Especialistas/organização & administração , Qualidade da Assistência à Saúde/organização & administração , Comunicação em Saúde/tendências , Cuidados de Enfermagem/tendências , Recursos em Comunicações , Habilidades Sociais
15.
Evid. actual. práct. ambul ; 21(2): 63-65, jul. 2018.
Artigo em Espanhol | LILACS | ID: biblio-1016686

RESUMO

El proceso de atención de un paciente y/o de su familia puede implicar una única consulta o bien una prolongada interac-ción entre dicho usuario ­y/o sistema de usuarios- y al menos, algún profesional de la salud. Podemos pensar a una persona, su familia, su entorno ampliado y su interacción con el sistema de salud, como un sis-tema complejo en un punto de su trayectoria.El autor de este ensayo reflexiona sobre la potencial aplicabilidad de algunos conceptos de la teoría de la complejidad a la comprensión de los procesos de salud-enfermedad en atención primaria y las limitaciones actuales para el desarrollo y la aplicación de las tecnologías que pudieran derivarse de este cuerpo teórico. (AU)


The process of patient and/or family care may involve a single consultation or a prolonged interaction between the user -and/or system of users -and at least one health professional.We can think of a person, his family, his extended context and his interaction with the health system, as a complex system at a point in his trajectory.The author of this essay reflects on the potential applicability of some concepts of complexity theory to the understanding of health-disease processes in primary care and the current limitations for the development and application of technologies that may arise from this theoretical body. (AU)


Assuntos
Humanos , Relações Médico-Paciente , Atenção Primária à Saúde/tendências , Administração dos Cuidados ao Paciente/tendências , Sistemas de Saúde/tendências , Comunicação em Saúde/tendências , Pacientes/psicologia , Análise de Sistemas , Registros Médicos , Dinâmica não Linear , Conhecimento , Comunicação em Saúde/métodos , Assistência ao Paciente/métodos
16.
Int J Audiol ; 57(9): 703-706, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29869562

RESUMO

OBJECTIVE: To determine the training, self-reported competence and practice patterns of South African audiologists (SAAs) regarding cerumen management (CM). DESIGN: Prospective cross-sectional survey. An online questionnaire was completed by SAA between July and September 2016. The questionnaire addressed sections on educational training, experience and practice patterns of SAAs regarding CM. STUDY SAMPLE: Three hundred and fifty-six SAAs responded to an email invitation sent to 382 actively-practicing audiologists. RESULTS: Majority of the participants (85%) were employed for less than 10 years. Forty-nine percent received less than 10 hours of theoretical training while 57% received less than 10 hours of clinical education. A total of 96% of the participants indicated they felt competent to perform CM, with 96% preferring manual, ear syringing, or a combination of the two. Handwashing pre- and post-procedure was the preferred method of infection prevention and control by 87% of the participants with 66% of these indicating they only wore gloves. Majority (85%) of the participants indicated that they always explained the possible complications of CM to their patients. CONCLUSION: Findings from this study indicate that South African audiologists feel that they are adequately trained and competent to perform CM.


Assuntos
Audiologistas/tendências , Cerume , Padrões de Prática Médica/tendências , Irrigação Terapêutica/tendências , Audiologistas/educação , Estudos Transversais , Luvas Cirúrgicas/tendências , Desinfecção das Mãos/tendências , Pesquisas sobre Serviços de Saúde , Comunicação em Saúde/tendências , Humanos , Projetos Piloto , Estudos Prospectivos , Medição de Risco , África do Sul , Irrigação Terapêutica/efeitos adversos
18.
Public Health Rep ; 133(3): 234-239, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29664696

RESUMO

The New York City (NYC) Department of Health and Mental Hygiene released the Teens in NYC mobile phone application (app) in 2013 as part of a program to promote sexual and reproductive health among adolescents aged 12-19 in NYC. The app featured a locator that allowed users to search for health service providers by sexual health services, contraceptive methods, and geographic locations. We analyzed data on searches from the Where to Go section of the app to understand the patterns of use of the app's search functionality. From January 7, 2013, through March 20, 2016, the app was downloaded more than 20 000 times, and more than 25 000 unique searches were conducted within the app. Results suggest that the app helped adolescents discover and access a wide range of sexual health services, including less commonly used contraceptives. Those designing similar apps should consider incorporating search functionality by sexual health service (including abortion), contraceptive method, and user location.


Assuntos
Comunicação em Saúde/métodos , Aplicativos Móveis/tendências , Saúde Reprodutiva/educação , Saúde Sexual/educação , Adolescente , Telefone Celular , Criança , Feminino , Comunicação em Saúde/tendências , Acesso aos Serviços de Saúde , Humanos , Masculino , Cidade de Nova Iorque , Comportamento Sexual
20.
Health Aff (Millwood) ; 37(12): 1948-1954, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30633673

RESUMO

Patient portals that provide secure online access to medical record information and provider communication can improve health care. Yet new technologies can exacerbate existing disparities. We analyzed information about 2,325 insured respondents to the nationally representative 2017 Health Information National Trends Survey to examine characteristics of portal nonusers and reasons for nonuse. Sixty-three percent reported not using a portal during the prior year. In multivariable analysis, we found that nonusers were more likely to be male, be on Medicaid, lack a regular provider, and have less than a college education, compared to users. Similar disparities existed in who reported being offered access to a portal, with nonwhites also less likely to report being offered access. Reasons for nonuse included the desire to speak directly to providers and privacy concerns, both of which require recognition of the important role of provider communication and patient-provider relationships.


Assuntos
Atitude Frente aos Computadores , Comunicação em Saúde/métodos , Portais do Paciente/estatística & dados numéricos , Privacidade , Adolescente , Adulto , Idoso , Registros Eletrônicos de Saúde/estatística & dados numéricos , Feminino , Comunicação em Saúde/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Portais do Paciente/tendências , Relações Médico-Paciente , Fatores Sexuais , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA