The Journal of the American Osteopathic Association, 2012/08, 111(8):473-482. doi: 10.7556/jaoa.2011.111.8.473, type of study: ,css,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

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Keywords:

communication [91]
health education [7]
health knowledge [18]
information dissemination [1]
osteopathic medicine [2109]
patient education [9]
internet use [1]
physician-patient relations [104]
primary health care [58]
cross sectional study [894]

Abstract:

CONTEXT: Using the Internet has transformed communication and improved access to health-related information for patients and physicians. OBJECTIVE: To determine why patients use the Internet for health-related information, where patients find answers to their questions, and whether patient use of the Internet impacts the patient-physician relationship. This study focused on patients of osteopathic physicians to confirm previously published data in a more specific population. METHODS: An anonymous 25-item survey was distributed to patients in a primary care setting. The survey elicited information regarding demographics, health-related Internet use, and discussion of Web-based health information during the clinical visit. RESULTS: Two hundred eighty-five patient surveys were collected. Data based on sex, age, education level, and ethnicity were evaluated. Two hundred fifty of 280 patients (89%) reported that they use the Internet to find health-related information, and 134 of 250 patients (54%) indicated that they changed their health-related behaviors based on information they found. Seventy-three of 133 patients (55%) who changed their behaviors reported these findings to their physicians. This finding differed by age and ethnicity. Patients aged 50 to 64 years (22 responses, 73%) were the most likely group to report behavioral changes to their physicians (P=.048). No patients who identified themselves as of Asian/Pacific Islander descent indicated that they reported behavioral changes to their physician (P=.043). Two hundred forty-two of 261 patients (93%) reported that their personal physician is the most reliable source for health information. CONCLUSION: Most patients use the Internet to find health-related information, but many of them are not reporting potentially important health-related behavioral changes to their physicians. However, most patients still consider their physician as the most reliable source for health-related information. Physicians should ask patients about Internet use and counsel them about where to find reliable, accurate, high-quality health information.