醫師對參與網路線上諮詢之態度

Physicians' Attitudes toward internet-based Patient Consultation

10.6288/TJPH2007-26-02-01

郭峰淵(Feng-Yang Kuo)；柯秀佳(Hsiu-Chia Ko)；黃莉君(Li-Chun Huang)；許瓊文(Chiung-Wen Hsu)

線上諮詢 ； 醫生態度 ； 醫療不確定性 ； Internet-based patient consultation ； physicians' attitude ； uncertainty of health care

台灣公共衛生雜誌

26卷2期（2007 / 04 / 01）

89 - 98

繁體中文

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.

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