- citati u SCIndeksu: 0
- citati u CrossRef-u:0
- citati u Google Scholaru:[
 ]
- posete u poslednjih 30 dana:0
- preuzimanja u poslednjih 30 dana:0
|
|
|
2013, vol. 19, br. 3-4, str. 57-63
|
|
Izvori medicinskih informacija koje cene slovenački studenti
Sources of medical information appreciated by Slovenian student population
aDepartment of Family Medicine, Medical School, University of Ljubljana, Ljubljana, Slovenia bDepartment of Family Medicine, Medical School, University of Maribor, Maribor, Slovenia + Department of Family Medicine, Medical School, University of Ljubljana, Ljubljana, Slovenia
e-adresa: janko.kersnik@uni-mb.si
Sažetak
Uvod. Lekarima je sve teže i teže da ispune svoju tradicionalnu ulogu zdravstvenih vaspitača, zbog do sada neviđene količine zdravstvenih informacija dostupnih na internetu, u časopisima, novinama, radiju, televiziji i drugim medijima. Povećanje količine informacija u vezi sa zdravljem može da koristi u poboljšanju bihevioralnih rezultata, ali za to je neophodan odgovarajući nivo poverenja i kritička procena tih informacija. Prisutan je i strah da će nedavne promene u zdravstvenoj zaštiti i sve veći broj drugih izvora informacija potkopati odnos između pacijenta i lekara. Cilj rada. Želeli smo da ocenimo nivo poverenja koji studenti Medicinskog fakulteta Univerziteta u Ljubljani imaju u različite izvore informacija. Metod: Koristili smo anonimni web upitnik za populaciju studenata Univerziteta u Ljubljani. Odgovori na pitanja o poverenju u različite izvore zdravstvenih informacija su davani prema sedmostepenoj Likertovoj skali. Rezultati. Učestvovalo je 1.294 studenta, od kojih je 991 (76,6%) bilo ženskog pola. Prosečna starost uzorka je bila 22,4±3,2 godine. Na skali poverenja, najvišu vrednost imaju poverenje u lekare (6,2±1,3), farmaceute (5,5 ± 1,3) i knjige (5,3±1,2). Ispostavilo se da žene imaju više poverenja u lekare (p<0,001), medicinske sestre (p=0,016) i farmaceute (p=0,004) nego muškarci, a manje poverenja u internet nego muškarci (p=0,022). Studenti koji u nastavnom programu imaju medicinske predmete, imaju više poverenje u lekare (p<0,001), farmaceute (p<0,004) i knjige p<0,001), a manje poverenja u homeopate (p<0,001), iscelitelje (p<0,001) i prijatelje (p=0,011), u odnosu na studente koji nemaju ove predmete Zaključak. Lekari su još uvek izvor informacija u vezi sa zdravljem, kojima mlada populacija najviše veruje. Dalja ispitivanja bi trebalo da identifikuju subpopulaciju kod koje postoji opasnost da internet smatraju najpouzdanijim izvorom medicinskih informacija i omoguće preduzimanje odgovarajućih mera.
Abstract
Introduction: The traditional role of physicians as health educators is becoming more and more difficult to accomplish due to unprecedented amount of health information available in the Internet, magazines, newspapers, radio, television and other media. The increasing amount of health related information can be beneficial in improving behavioural outcomes but an adequate level of trust and critical appraisal of the information are needed. There is also present fear that recent changes in healthcare and growing number of other sources of information are undermining the patient-physician relationship. Objective: We wanted to evaluate the level of trust to different health related information sources among population of students at the University of Ljubljana. Participants and methods. We used an anonymous web questionnaire in a population of students at the University of Ljubljana. Questions in trust to various sources of health information had to be answered on a 7-point Likert scale. Results. There was 1294 students in a sample out of which 991 (76.6%) were women. Mean age was of the sample was 22.4 ± 3.2 years. Mean score on trust scale was the highest for trust to physicians (6.2 ± 1.0), to pharmacists (5.5 ± 1.3) and books (5.3 ± 1.2). Women turned out to trust physicians (p<0.001), nurses (p=0.016) and pharmacists (p=0.004) more and the Internet (p=0.022) less than men. Students with medical topics in school curriculum trusted doctor (p<0.001), pharmacist (p=0.004) and books (p=0.001) more and homoeopathist (p<0.001), healer (p<0.001) and friends (p=0.011) less than students with no medical topics. Conclusion. Physicians are still the most trust worthiest source of health related information also among young populations. Further studies should identify subpopulations at risk of recognizing the Internet as the most trustful health related information source and draw appropriate measures.
|
|
|
|
Reference
|
|
|
Bergeron, B. (2004) Online patient-education options. Medscape Journal of Medicine, 6: 54, Available at: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1395756 (Accessed 10 May 2009)
|
|
  
|
Butzlaff, M., Telzerow, A., Lange, S., Krüger, N. (2001) Physicians, internet and new knowledge. Utilization and efficiency of new continuing education media in the hospital. Medizinische Klinik, 96(6): 309-20
|
|
|
Butzlaff, M., Koneczny, N., Floer, B., Vollmar, H.C., Lange, S., Kunstmann, W., Köck, C. (2002) Family physicians, the internet and new knowledge. Utilization and judgment of efficiency of continuing education media by general physicians and internists in family practice. Medizinische Klinik, 97(7): 383-8
|
|
|
Castrén, J., Huttunen, T., Kunttu, K. (2008) Users and non-users of web-based health advice service among Finnish university students - chronic conditions and self-reported health status (a cross-sectional study). BMC Medical Informatics and Decision Making, 8(1): 8
|
|
|
Eng, T.R., Maxfield, A., Patrick, K., Deering, M.J., Ratzan, S.C., Gustafson, D.H. (1998) Access to Health Information and Support. JAMA, 280(15): 1371
|
|
|
Freda, M.C. (2004) Issues in patient education. Journal of Midwifery & Women's Health, 49(3): 203-209
|
|
|
Hesse, B.W., Nelson, D.E., Kreps, G.L., Croyle, R.T., Arora, N.K., Rimer, B.K., Viswanath, K. (2005) Trust and Sources of Health Information. Archives of Internal Medicine, 165(22): 2618
|
|
1
|
Klemenc-Ketis, Z., Hladnik, Z., Kersnik, J. (2010) Self-Medication among Healthcare and Non-Healthcare Students at University of Ljubljana, Slovenia. Medical Principles and Practice, 19(5): 395-401
|
|
|
Klemenc-Ketiš, Z., Hladnik, Ž., Rotar-Pavlič, D., Post, M., Kersnik, J. (2010) Self-reported chronic conditions in student population in Slovenia. Zdrav Vestn, 79: 31-41
|
|
|
Kline, K. (2003) Popular media and health: Images, effects, and institutions. u: Thompson T.L., Dorsey A.M., Miller K.I., Parrott R., i dr. [ur.] Handbook of Health Communication, Mahwah: Lawrence Erlbaum Associates, str. 557-81
|
|
|
Mechanic, D. (1996) Changing Medical Organization and the Erosion of Trust. Milbank Quarterly, 74(2): 171
|
|
|
Mechanic, D. (1996) The Impact of Managed Care on Patients' Trust in Medical Care and Their Physicians. JAMA: the Journal of the American Medical Association, 275(21): 1693
|
|
|
Murray, E., Lo, B., Pollack, L., Donelan, K., Catania, J., White, M., Zapert, K., Turner, R. (2003) The Impact of Health Information on the Internet on the Physician-Patient Relationship. Archives of Internal Medicine, 163(14): 1727
|
|
|
Neuhauser, L., Kreps, G.L. (2003) Rethinking Communication in the E-health Era. Journal of Health Psychology, 8(1): 7-23
|
|
|
Nicholson, W., Gardner, B., Grason, H.A., Powe, N.R. (2005) The association between women’s health information use and health care visits. Women's Health Issues, 15(6): 240-248
|
|
|
Pearson, S.D., Raeke, L.H. (2000) Patients’ trust in physicians: Many theories, few measures, and little data. Journal of General Internal Medicine, 15(7): 509-513
|
|
|
Pennbridge, J., Moya, R., Rodrigues, L. (1999) Questionnaire survey of California consumers' use and rating of sources of health care information including the Internet. Western journal of medicine, 171(5-6): 302-5
|
|
|
Peterson, M.U., Fretz, P.C. (2003) Patient use of the Internet for information in a lung cancer. Clinic Chest, 23, str. 452-7
|
|
|
Rice, R.E. (2001) The Internet and health communication: A framework of experiences. u: Rice R.E., Katz J.E. [ur.] The Internet and Health Communication: Experiences and Expectations, Thousand Oaks, CA: Sage Publications, 5-46
|
|
|
Stasio, M.J., Curry, K., Sutton-Skinner, K.M., Glassman, D.M. (2008) Over-the-counter medication and herbal or dietary supplement use in college: dose frequency and relationship to self-reported distress. Journal of American college health, 56(5): 535-47
|
|
|
The Proprietary Association of Great Britain (2009) A picture of health. Available at: http://www.pagb.co.uk/information/PDFs/Pictureofhealth.pdf, Accessed 12 May
|
|
|
|
|