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Tytuł:
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Qualitative study: patients' enduring concerns about discussing internet use in general practice consultations.
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Autorzy:
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Cuteanu A; Research Department of Primary Care and Population Health, University College London, London, UK.
Seguin M; Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Ziebland S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Pope C; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Leydon G; Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Barnes R; Centre for Academic Primary Care, School for Social and Community Medicine, Bristol University, Bristol, UK.
Murray E; Research Department of Primary Care and Population Health, University College London, London, UK.
Atherton H; Unit of Academic Primary Care, Warwick Medical School, University of Warwick, Coventry, UK.
Stevenson F; Research Department of Primary Care and Population Health, University College London, London, UK .
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Źródło:
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BMJ open [BMJ Open] 2021 Apr 28; Vol. 11 (4), pp. e047508. Date of Electronic Publication: 2021 Apr 28.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
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MeSH Terms:
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General Practice*
General Practitioners*
Adult ; England ; Female ; Humans ; Internet ; Internet Use ; London ; Male ; Physician-Patient Relations ; Qualitative Research ; Referral and Consultation
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References:
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J Public Health Res. 2019 Apr 15;8(1):1518. (PMID: 31044138)
BMJ. 2015 Mar 13;350:h1414. (PMID: 25769489)
Br J Gen Pract. 2012 Nov;62(604):e732-8. (PMID: 23211176)
BMJ Open. 2018 Aug 10;8(8):e024188. (PMID: 30099404)
Soc Sci Med. 2011 Apr;72(8):1374-82. (PMID: 21454003)
Am J Med. 2018 Oct;131(10):1250.e1-1250.e10. (PMID: 29730361)
J Med Internet Res. 2017 Jan 19;19(1):e9. (PMID: 28104579)
Br J Gen Pract. 2010 Feb;60(571):88-94. (PMID: 20132702)
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Contributed Indexing:
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Keywords: primary care; qualitative research; world wide web technology
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Entry Date(s):
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Date Created: 20210429 Date Completed: 20210520 Latest Revision: 20210520
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Update Code:
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20240104
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PubMed Central ID:
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PMC8094327
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DOI:
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10.1136/bmjopen-2020-047508
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PMID:
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33910948
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Objectives: To examine patients' accounts of their use of the internet before seeing a general practitioner (GP) using thematic analysis of semistructured interviews.
Design: Qualitative semistructured interview study with transcripts analysed thematically.
Setting: Primary care patients consulting with 10 GPs working at 7 GP practices of varying sizes and at a range of locations around London and the Southeast of England.
Participants: 28 adult patients: 16 women and 12 men ranging in age from 18 to 75 from a range of self-defined ethnic backgrounds. Participants were selected based on instances when the patients reported having used the internet before the consultation, when patients referred to the internet in the consultation or when the physician used the internet or made reference to it during the consultation.
Results: Patients report that they can find health information online that they believe is reliable and helpful for both themselves and their GP. However, they report uncertainty about how to share internet-based findings and reluctance to disclose their efforts at researching health issues online for fear of appearing disrespectful or interfering with the flow of the consultation.
Conclusions: Despite the democratisation of access to information about health due via the internet, patients continue to experience their use of the internet for health information as a sensitive and potentially problematic topic. The onus may well be on GPs to raise the likelihood (without judgement) that patients will have looked things up before consulting and invite them to talk about what they found.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.)
