目的 探寻患者在获取网络医疗信息时面临的关键风险点以及当前影响较大的危险点.方法 运用患者就医感知价值问卷,于2018 年1 月,选取浙江省医院中具有网络医疗经历的1 164名患者进行调查,对其获取网络医疗信息时的风险进行评测.根据评测结果进行重要性排序和满意度排序,以及两种排序间的交叉对比,找到排名靠前的因子以及差异值最高的因子.采用描述性统计学方法及相关分析方法,对数据进行分析.结果 患者在搜寻网络医疗信息时,健康风险与隐私风险是其最担心的2种风险.导致风险的主要影响因素中,信息内容可信度与传递渠道可信度的重要性位于排名前两位.交叉对比后发现,患者认为当前网络医疗信息风险控制较好因素依次为信息作者可信度、传递方式可靠性与服务风险;风险控制较差因素为隐私风险,而最有问题的风险点为信息类型可信度与传递渠道可信度.结论 当前需要重点关注隐私风险及信息传递渠道可信度要素.导致风险产生的主要原因在于监管意识.建议根据当前患者对网络医疗获取风险的感知特征,对相关风险指标进行分级分层管理,采取措施降低患者网络医疗信息获取风险.
Objective To explore the critical risk points and major current threats for patients to access online medical information. Methods The patient perception value questionnaire was used, to sample survey 1 164 patients with online medical experiences from hospitals in Zhejiang province in January 2018.Their risks in accessing online medical information was evaluated.The evaluation results were ranked according to their importance and satisfaction, and a cross comparison was made between the two, to identify the top ranking factors and the highest difference factor.Descriptive statistics and related analysis methods were used for the data so obtained.Results Health risks and privacy risks were the highest concerns for patients in accessing online medical information.Among the risk factors, information content credibility and transmission channel credibility rank top two.A cross-comparison found that factors of good risk control for online medical information were information author credibility, transmission mode reliability and service risk in turn. The factor of the worst risk control was privacy, while the most problematic risk points were information type credibility and transmission channel credibility.Conclusions The present focus should be placed on the factors of privacy risks and the credibility of information delivery channels, and the main cause of risks is the regulatory awareness.In this consideration, it is suggested that the relevant risk indicators be hierarchically managed according to the current perception characteristics in patients′ online medical access risks, with measures taken accordingly to minimize their risk in such information access.