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      Patients’ Use and Perception of Internet-Based Orthopaedic Sports Medicine Resources

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          Abstract

          Background:

          Current research is sparse regarding how patients with orthopaedic injuries perceive and use internet-based information resources.

          Hypothesis:

          The majority of patients use the internet to research their orthopaedic condition and are receptive to guidance from their provider.

          Study Design:

          Cross-sectional study.

          Methods:

          A total of 213 patients attending a sports medicine clinic on the East Coast of the United States were asked to complete a questionnaire regarding their use of internet-based information. Data from 185 patients were available for analysis. Bivariate and multivariate statistical analyses were used to determine the significance of identified associations.

          Results:

          Overall, 54% of patients used the internet to find information about their orthopaedic condition prior to their consultation. A higher percentage of internet users were women ( P = .01), were white ( P = .03), and had internet access at home ( P = .02). Multivariable analysis found home internet access to be the only significant independent factor predictive of patients using internet-based information sources ( P < .01). The majority of patients (61%) were neutral toward orthopaedic information found online, and only 32% of patients trusted the orthopaedic information they found online. The majority of patients (83%) reported they would be receptive to providers’ guidance on which internet resources to use.

          Conclusion:

          Only half of patients use the internet to research their orthopaedic condition. Most patients were either neutral toward or did not trust the internet-based information that they found and may forgo internet sources altogether. To help patients avoid misleading information, sports medicine providers should understand how patients are using the internet and guide patients in selecting high-quality, peer-reviewed sources of information. Doing so allows physicians to proactively educate their patients even after the clinic visit.

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          Most cited references20

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          Patients' and health professionals' use of social media in health care: motives, barriers and expectations.

          To investigate patients' and health professionals' (a) motives and use of social media for health-related reasons, and (b) barriers and expectations for health-related social media use. We conducted a descriptive online survey among 139 patients and 153 health care professionals in obstetrics and gynecology. In this survey, we asked the respondents about their motives and use of social network sites (SNS: Facebook and Hyves), Twitter, LinkedIn, and YouTube. Results showed that patients primarily used Twitter (59.9%), especially for increasing knowledge and exchanging advice and Facebook (52.3%), particularly for social support and exchanging advice. Professionals primarily used LinkedIn (70.7%) and Twitter (51.2%), for communication with their colleagues and marketing reasons. Patients' main barriers for social media use were privacy concerns and unreliability of the information. Professionals' main barriers were inefficiency and lack of skills. Both patients and professionals expected future social media use, provided that they can choose their time of social media usage. The results indicate disconcordance in patients' and professionals' motives and use of social media in health care. Future studies on social media use in health care should not disregard participants' underlying motives, barriers and expectations regarding the (non)use of social media. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
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            Untangling the Web--the impact of Internet use on health care and the physician-patient relationship.

            The use of Web (i.e. Internet)-derived health information within the health care encounter is rapidly increasing. In this article, an extensive review of the complex effects and sometimes contradictory roles of the Web in regard to health care delivery and the physician-patient relationship is presented. A review of relevant literature was conducted, with key points integrated into a physician guide for effective interaction with Web-activated patients. An emerging consumerist model with "triangulation" of patient-Web-physician can be expected to significantly impact dynamics of the physician-patient relationship. Potential advantages of Web-acquired information include helping patients make informed health care choices (with potential to decrease health care disparities), shared decision-making with a collaborative, teamwork approach, more efficient use of clinical time, augmenting of physician-provided information, online support groups, and/or access to patients' own health information. Alternatively, factors such as misinformation due to highly variable quality of Web information, possible exacerbation of socioeconomic health disparities, and shifting of conventional notions of the physician-patient relationship ("traditional" medical authority) present their own set of challenges for the health care provider. A tangible guide to the integration of patients' use of the Web within a medical practice is thus offered with recommended communication skills. The "net-friendly" clinician can be effective by engendering a genuine partnership with patients, thus contributing to quality health care.
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              Information and shared decision-making are top patients' priorities

              Background The profound changes in medical care and the recent stress on a patient-centered approach mandate evaluation of current patient priorities. Methods Hospitalized and ambulatory patients at an academic medical center in central Israel were investigated. Consecutive patients (n = 274) indicated their first and second priority for a change or improvement in their medical care out of a mixed shortlist of 6 issues, 3 related to patient-physician relationship (being better informed and taking part in decisions; being seen by the same doctor each time; a longer consultation time) and 3 issues related to the organizational aspect of care (easier access to specialists/hospital; shorter queue for tests; less charges for drugs). Results Getting more information from the physician and taking part in decisions was the most desirable patient choice, selected by 27.4% as their first priority. The next choices – access and queue – also relate to more patient autonomy and control over that of managed care regulations. Patients studied were least interested in continuity of care, consultation time or cost of drugs. Demographic or clinical variables were not significantly related to patients' choices. Conclusion Beyond its many benefits, being informed by their doctor and shared decision making is a top patient priority.
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                Author and article information

                Journal
                Orthop J Sports Med
                Orthop J Sports Med
                OJS
                spojs
                Orthopaedic Journal of Sports Medicine
                SAGE Publications (Sage CA: Los Angeles, CA )
                2325-9671
                20 September 2018
                September 2018
                : 6
                : 9
                : 2325967118796469
                Affiliations
                [* ]Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, Maryland, USA.
                []Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York, USA.
                [3-2325967118796469] Investigation performed at the University of Maryland Rehabilitation and Orthopaedic Institute, Baltimore, Maryland, USA
                Author notes
                [*] []R. Frank Henn III, MD, Department of Orthopaedics, University of Maryland Rehabilitation and Orthopaedic Institute, 2200 Kernan Drive, Baltimore, MD 21207, USA (email: frank_henn@ 123456yahoo.com ).
                Article
                10.1177_2325967118796469
                10.1177/2325967118796469
                6149032
                c7906002-d78d-40f6-8ea1-cef3a16304d6
                © The Author(s) 2018

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License ( http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

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                sports medicine,outpatient,internet use
                sports medicine, outpatient, internet use

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