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題名:醫師對參與網路線上諮詢之態度
書刊名:臺灣公共衛生雜誌
作者:郭峰淵 引用關係柯秀佳黃莉君許瓊文
作者(外文):Kuo, Feng-yangKo, Hsiu-chiaHuang, Li-chunHsu, Chiung-wen
出版日期:2007
卷期:26:2
頁次:頁89-98
主題關鍵詞:線上諮詢醫生態度醫療不確定性Internet-based patient consultationPhysicians' attitudeUncertainty of health care
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:89
  • 點閱點閱:18
目標:本研究主要目的為從醫師參與網路線上諮詢的經驗中,探討醫師對線上諮詢的態度、使用時面臨的障礙及困難。 方法:研究者採用質性研究方法,透過對36位醫師的深度訪談,了解醫師參與線上諮詢與民眾進行互動的經驗。 結果:本研究發現大多數醫生不認為透過線上諮詢的文字互動,即可解決民眾的問題。同時,醫師認為線上諮詢無法滿足需即時溝通的醫療諮詢過程以及望聞問切的社會文化場域,並增加了醫病互動的模糊性與不確定性。此外,醫院政策未強化醫生參與的動機,以及政府法律未給予醫生對等的智慧財產權保護,均會影響醫生參與線上諮詢的意願。 結論:本研究建議目前線上諮詢的效用在於讓有網路使用能力及有時間資源的醫生傳遞情感的支持予病人。然而,未來醫院或政府欲設立線上諮詢服務民眾時,亦應正視醫生參與線上諮詢所面臨的困難與問題。
Objective: This paper reports results of a study on physicians’ attitudes toward internet-based patient consultation. Methods: This study employs the qualitative research method, interviewing a total of 36 physicians to investigate physicians’ attitudes toward internet-based patient consultation. Results: The study reveals that, in general, physicians do not think favorably toward internet-based patient consultation that lacks face-to-face communication between physicians and patients. It also shows that internet-based consultation cannot fulfill most physician-patient communication requirements, and cannot satisfy the culturally rich diagnostic method of “watch, listen, ask and touch.” As a result, internet-based patient consultation may raise levels of obscurity and uncertainty for physicians who wish to communicate with patients through the internet. Finally, the lack of support by hospital policies and the absence of laws protecting physicians’ intellectual property rights may further diminish physicians’ willingness to engage in internet-based patient consultation. Conclusions: This research suggests that, at present, for physicians who are competent in using the internet and have sufficient time resources, internet-based consultation services could be useful for communicating with patients needing ad-hoc emotional support. However, either healthcare institutions or the government must carefully consider the barriers and problems faced by physicians if they plan to set up internet-based consultation services in the future.
期刊論文
1.Coulson, N. S.(2005)。Receiving Social Support Online: An Analysis of a Computer-Mediated Support Group for Individuals Living with Irritable Bowel Syndrome。CyberPsychology & Behavior,8(6),580-584。  new window
2.Anderson, J. G.、Rainey, M. R.、Eysenbach, G.(2003)。The impact of Cyber Healthcare on the physician-patient relationship。Journal Medicine System,27,67-84。  new window
3.Weiss, N.(2004)。E-mail consultation: clinical, financial, legal, and ethical implications。Surg Neurol,61,455-459。  new window
4.Umefjord, G.、Petersson, G.、Hamberg, K.(2003)。Reasons for consulting a doctor on the internet: web survey of users of an ask the doctor service。J Med Internet Res,5,e26。  new window
5.鍾國彪、周其宏、郭年真(20051000)。醫院網站服務品質與使用者就醫意向之關係探討。臺灣公共衛生雜誌,24(5),375-384。new window  延伸查詢new window
6.Kleiner, K.、Akers, R.、Burke, B. L.、Werner, E. J.(2002)。Parent and physician attitudes regarding electronic communication in pediatric practices。Pediatrics,109,740-744。  new window
7.Hassol, A.、Walker, J. M.、Kidder, D.(2004)。Patient experiences and attitudes about access to a patient electronic health care record and linked web messaging。J Am Med Inform Assn,11,505-513。  new window
8.Kassirer, J. P.(2000)。Patients, physicians, and the internet。Health Affairs,19,115-123。  new window
9.Preece, Jenny(1999)。Empathic communities: Balancing emotional and factual communication。Interacting with Computers,12(1),63-77。  new window
10.Nelson, Debra L.(1990)。Individual Adjustment to Information-driven Technologies: A Critical Review。MIS Quarterly,14(1),79-98。  new window
11.曾淑芬、張良銘(19981200)。醫療資訊網站之內容分析及使用者調查。醫療資訊雜誌,8,54-72。new window  延伸查詢new window
12.張苙雲(19981000)。「逛醫師」的邏輯:求醫歷程的分析。臺灣社會學刊,21,59-87。new window  延伸查詢new window
13.成令方(20020600)。醫「用」關係的知識與權力。臺灣社會學,3,11-71。new window  延伸查詢new window
14.Radin, Patricia(2006)。''To me, It's My Life'': Medical Communication, Trust, and Activism in Cyberspace。Social Science & Medicine,62(3),591-601。  new window
15.Morse, Janice M.、Barrett, Michael、Mayan, Maria、Olson, Karin、Spiers, Jude(2002)。Verification strategies for establishing reliability and validity in qualitative research。International Journal of Qualitative Methods,1(2),13-22。  new window
16.Daft, Richard L.、Lengel, Robert H.(1986)。Organizational Information Requirements, Media Richness and Structural Design。Management Science,32(5),554-571。  new window
17.Daft, Richard L.、Lengel, Robert H.、Trevino, Linda Klebe(1987)。Message Equivocality, Media Selection, and Manager Performance: Implications for Information Systems。MIS Quarterly,11(3),355-366。  new window
會議論文
1.Fridsma, D. B.、Ford, P.、Altman, R.(1994)。A survey of patient access to electronic mail: attitudes, barriers, and opportunities。Eighteenth Annual Symposium on Computer Applications in Medical Care。New York:McGraw-Hill。  new window
圖書
1.蕭瑞麟(2006)。不用數字的研究。台北:培生教育。  延伸查詢new window
其他
1.eRisk Working Group for Healthcare(2005)。Guidelines for online communication,http://www.medem.com/phy/phy_eriskguidelines.cfm, 2006/02/24。  new window
圖書論文
1.Cohen, M. Z.、Kahn, D. L.、Steeves, R. H.(2000)。How to Analyze the Data。Hermeneutic Phenomenological Research。Thousand Oaks:Sage publication。  new window
2.韓揆(2001)。醫院之功能、組織與管理。公共衛生學。台北:巨流圖書。  延伸查詢new window
 
 
 
 
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