인터넷 건강정보 소비자의 정보선택기준 및 정보이용행태 조사

김후정,박현애 대한의료정보학회 2004 Healthcare Informatics Research Vol.10 No.1

This study was conducted to investigate selection criteria of health information and utilization pattern of health information on the Web by the consumers. Data were collected through off-line and on-line surveys. The off-line survey was conducted with 64 white color office workers in seven companies. The on-line survey was conducted on JoongAng Ilbo 'Healthcare' and KIHASA 'Healthguide' Web sites and 216 participated in the survey. To compare the selection criteria of the consumers with that of health informatics experts, an e-mail survey was done with twenty-six health informatics experts. Selection criteria of health information rated by consumers were in order of accuracy of content, scope and depth of content, privacy and confidentiality, and readability. Experts ranked in order of accuracy of content, purpose of sites, scope and depth of content, and readability. Seventy eight percent of consumers used the Internet once a month to search health information, 60.4% visited health-related Web sites via Internet search. The majority (85%) visited 2-5 different Web sites when they searched for health information. Eighty three percent of consumers regarded the health information on Internet as reliable. Ninety percent of consumers said that the health information on Internet was useful. Consumers used the Internet 'to find disease-related information' (86.1%), 'to find information on exercise and nutrition' (77.9%), 'to get an on-line advice' (42.5%), and 'to buy products or medicine for health' (18.9%). The results of the present study suggested what the health informatics experts should consider when they provide health information on the Internet and what consumers demand when they filter quality health information.

Dietary and herbal supplements for fatigue: A quality assessment of online consumer health information

Jeremy Y. Ng,Catherine Jiayi Zhang,Saad Ahmed 한국한의학연구원 2021 Integrative Medicine Research Vol.10 No.4

Background The Internet is increasingly utilized by patients to acquire information about dietary and herbal supplements (DHSs). Previously published studies assessing the quality of websites providing consumer health information about DHSs have been found to contain inaccuracies and misinformation that may compromise patient safety.. The present study assessed the quality of online DHSs consumer health information for fatigue. Methods Six unique search terms were searched on Google, each relating to fatigue and DHSs, across four countries. Across 480 websites identified, 48 were deemed eligible and were quality assessed using the DISCERN instrument, a standardized index of the quality of consumer health information. Results Across 48 eligible websites, the mean summed score was 47.64 (SD = 10.38) and the mean overall rating was 3.06 (SD = 0.90). Commercial sites were the most numerous in quantity, but contained information of the poorest quality. In general, websites lacked discussion surrounding uncertainty of information, describing what would happen if no treatment was used, and how treatment choices affect overall quality of life. Conclusion Physicians and other healthcare professionals should be aware of the high variability in the quality of online information regarding the use of DHSs for fatigue and facilitate open communication with patients to guide them towards reliable online sources. Background The Internet is increasingly utilized by patients to acquire information about dietary and herbal supplements (DHSs). Previously published studies assessing the quality of websites providing consumer health information about DHSs have been found to contain inaccuracies and misinformation that may compromise patient safety.. The present study assessed the quality of online DHSs consumer health information for fatigue. Methods Six unique search terms were searched on Google, each relating to fatigue and DHSs, across four countries. Across 480 websites identified, 48 were deemed eligible and were quality assessed using the DISCERN instrument, a standardized index of the quality of consumer health information. Results Across 48 eligible websites, the mean summed score was 47.64 (SD = 10.38) and the mean overall rating was 3.06 (SD = 0.90). Commercial sites were the most numerous in quantity, but contained information of the poorest quality. In general, websites lacked discussion surrounding uncertainty of information, describing what would happen if no treatment was used, and how treatment choices affect overall quality of life. Conclusion Physicians and other healthcare professionals should be aware of the high variability in the quality of online information regarding the use of DHSs for fatigue and facilitate open communication with patients to guide them towards reliable online sources.

건강정보 접근방법별 소비자 평가 결과 비교

장혜정,심재선,김윤 대한의료정보학회 2005 Healthcare Informatics Research Vol.11 No.2

Objective: Each consumer uses different consumer evaluation by sources of health information, considering the influences of consumers' socio-demographic characteristics, health status, attitude to health, and types of health information needed. Methods: Sources of health information include web-based resources, health professionals, and publications such as medical books, magazines, newspapers, etc. Data were collected from 1,189 respondents through a telephone survey, among whom 513(43%) responses were finally included in the analysis. The results were analysed by statistical methods including Chi-square, multiple regression, and correlation analyses. Results: Key findings are as follows. First, there were significant differences in evaluation results by different sources of health information. Access to health professionals shows positive outcomes in general, followed by web-based resource. Second, the significant factors related to the access outcomes were different in each domains such as easiness, amount, understanding, reliability, and helpfulness. In addition, while access to health professionals was found to have significant influence on health behavior by improving the ability of health management, access to internet improved only the understanding of health information. Conclusion: Access to health professionals for health information was positively related to utilization outcomes in general, but access to publications was negatively related to outcomes. Despite the increase in the number of web-based users, they could not rely on the information they found. To effectively utilize various sources of health information and improve the nation's health by providing appropriate health information, quality assurance strategy for contents in health information websites and active intervention by health professionals should be pursued.

DISCERN을 이용한 우리나라 인터넷 건강정보 질 평가

박재현,조비룡,김용익,신영수,김윤 대한의료정보학회 2005 Healthcare Informatics Research Vol.11 No.3

Objective: This study was conducted to evaluate the quality of health information on the internet using DISCERN. Methods: Breast cancer, asthma, depression, obesity were selected to be the tracer conditions of the health information. To collect information about these 4 tracer conditions, we first select top 9 popular Korean websites which provide health information in January 2004. Nine websites include 6 commercial, 3 hospital. To compare quality of internet health information provided by Korean public institute and other countries', we select Healthguide in Korea, MEDLINEplus in USA and NHS direct online in UK. Overall, a total of 45 heath information provided by 10 Korean, 2 other countries' websites were evaluated by two nurses independently using DISCERN. DISCERN is a heath information quality assessment instrument consists of sixteen five-point- scale item questionnaire. The score was compared between Korean commercial and hospital websites and between Korean public institute's website and those of USA and UK. Results: Korean internet health information scored 2.0 for overall quality score. Internet health information of commercial websites scored 1.8 for overall quality score that was lower than hospital websites(2.4). Internet health information provided by Korean public institute scored 3.0 compared 3.3(MEDLINEplus) and 3.8(NHS direct online). Conclusion: Internet health information in Korea hardly meets DISCERN standard that means Korean health information have a problem in quality. Especially, Internet health information of commercial websites needs relatively urgent improvement in quality. (Journal of Korean Society of Medical Informatics 11-3,235-246, 2005)

건강 앱 이용자들의 단계적 건강행위변화와 정보탐색행태

이용정 한국문헌정보학회 2017 한국문헌정보학회지 Vol.51 No.4

The present study aimed at investigating health information seeking behaviors of health information consumers who changed their health behaviors by using mobile health applications according to the dynamic stages of change. For this purpose, the study analyzed the changes of perception, health information needs and seeking behaviors of health information consumers in each stage by employing Stages of Change as a theoretical framework. A total of 30 college students participated in this study to change health behaviors such as smoking or alcohol cessation, and regular exercise, while using health applications for 3 months; then written interviews were conducted with these students based on their experiences. Findings indicated that the study participants used diverse information sources, including social media and the Internet, seeking for different types of sources of information according to information needs. Above all, the health information needs and seeking behaviors examined in active utilization of health applications by consumers in the stage of action suggest the implications of health information services, particularly through health applications. In addition, stress management and relapse that consumers experienced while attempting health behavior changes, and the positive and negative effects of behavior changes inform health information providers of insights for supporting consumers’ changes of health behaviors. 본 연구는 모바일 건강 애플리케이션을 활용하여 건강행위를 변화시키는 건강정보소비자 들이 그 역동적인 단계적 변화에 따라 추구하는 건강정보 탐색행태를 관찰하고자 하였다. 이를 위해 본 연구는 변화단계모형(Stages of change)을 이론적 틀로 사용하여 각 단계에서 나타나는 건강정보소비자들의 인식, 정보요구 및 탐색행태의 변화를 분석하였다. 본 연구에는 총 30명의 대학생 이용자들이 참여하여 3개월 동안 건강 애플리케이션을 사용하면서 금연, 금주, 및 규칙적 운동 등의 건강행위의 변화를 시도하였으며, 그들의 경험을 바탕으로 서면인터뷰를 실시하였다. 연구결과에 따르면, 연구 참여자들은 소셜 미디어와 인터넷을 포함하여 다양한 정보원을 사용할 뿐 아니라 정보요구에 따라 상이한 정보원을 탐색했다. 특히, 실행단계에 접어든 소비자들의 본격적인 건강 앱 활용에서 나타나는 정보요구와 정보탐색행태는 특별히 건강 앱을 통한 건강정보서비스의 함의를 시사한다. 또한, 행위변화를 시행하면서 경험하는 스트레스 관리와 퇴보(relapse), 그리고 행위변화의 긍정적 및 부정적 효과는 건강정보제공자에게 소비자의 건강행위변화를 지원할 수 있는 통찰력을 제공한다.

국가건강정보포털의 의미와 역할

안지현,임인석 대한의사협회 2011 대한의사협회지 Vol.54 No.9

The National Health Information Portal (http://health.mw.go.kr), a collaborative project by the Ministry of Health and Welfare and the Korean Academy of Medical Sciences, was officially launched in January 2011. In the modern society, the internet and smart phones have been flooded with health information, in addition to the information available through traditional media such as newspapers, television, and radio broadcasting. The Korean Medical Association and the Korean Academy of Medical Sciences have expanded their work in several directions,including a monitoring project to correct wrong health information that is commonly used. Nevertheless, they are confronted with the fundamental problem that they are unable to keep up with the speed of production and diffusion of health information in modern society. This initiative of the National Health Information Portal led by the Ministry of Health and Welfare and the Korean Academy of Medical Sciences is significant in that anyone with internet access can easily find proven health information. Unlike existing health information, the National Health Information Portal is structured to help improve understanding by presenting a variety of materials, such as cartoons, pictures, photos, and videos, as compared to simple documents or texts. In addition, it is constructed with a feedback system so that the consumer of the health information can directly and easily access specific content. Furthermore, the National Health Information Portal continues to strive to provide practical contents with mobile services like smart phone applications. We expect the National Health Information Portal to make a contribution to the prevention and treatment of disease by reducing unnecessary medical expenditures, and providing quality health information to society.

일 지방대학 학생의 인터넷 의료정보 요구와 이용 및 평가

안재억,김정아,김귀숙,장성운 대한의료정보학회 2009 Healthcare Informatics Research Vol.15 No.1

Objective: This study aims to investigate the needs, uses and evaluation of Internet health information among students in a provincial university. Methods: Nine hundred and sixty one student from seven different classes of S University located in Chungnam province participated in this study from 2nd to 9th May, 2005. A self-reported questionnaire was used to collect data. Collected data were analyzed on SPSS 11.0. Results: 58.2% of them have needed some health information before and 84.6% of them needed the health information offered by a University. 67.2% of them use the Internet more than any other resource to acquire Health Information. 90.9% of them used a search engines to get health information on the Internet. 57.6% of them have searched for Internet health information to get information about specific disease or medical problem. The most frequently searched topics were LASIK(laser in-situ Keratomileusis), diabetes, and contraception. 39.6% of them evaluated the Internet health information was reliable and 55.8% of them satisfied with the Internet health information. Conclusion: Universities and their in-campus health centers are needed to offer the trustworthy Internet health informtaion on their official homepages so that the student can refer to the reliable and qualified Internet health information.

Trusting Social Media as a Source of Health Information: Online Surveys Comparing the United States, Korea, and Hong Kong

Song, Hayeon,Omori, Kikuko,Kim, Jihyun,Tenzek, Kelly E,Hawkins, Jennifer Morey,Lin, Wan-Ying,Kim, Yong-Chan,Jung, Joo-Young JMIR Publications Inc. 2016 Journal of medical Internet research Vol.18 No.3

<P><B>Background</B></P><P>The Internet has increasingly become a popular source of health information by connecting individuals with health content, experts, and support. More and more, individuals turn to social media and Internet sites to share health information and experiences. Although online health information seeking occurs worldwide, limited empirical studies exist examining cross-cultural differences in perceptions about user-generated, experience-based information compared to expertise-based information sources.</P><P><B>Objective</B></P><P>To investigate if cultural variations exist in patterns of online health information seeking, specifically in perceptions of online health information sources. It was hypothesized that Koreans and Hongkongers, compared to Americans, would be more likely to trust and use experience-based knowledge shared in social Internet sites, such as social media and online support groups. Conversely, Americans, compared to Koreans and Hongkongers, would value expertise-based knowledge prepared and approved by doctors or professional health providers more.</P><P><B>Methods</B></P><P>Survey questionnaires were developed in English first and then translated into Korean and Chinese. The back-translation method ensured the standardization of questions. Surveys were administered using a standardized recruitment strategy and data collection methods.</P><P><B>Results</B></P><P>A total of 826 participants living in metropolitan areas from the United States (n=301), Korea (n=179), and Hong Kong (n=337) participated in the study. We found significant cultural differences in information processing preferences for online health information. A planned contrast test revealed that Koreans and Hongkongers showed more trust in experience-based health information sources (blogs: <I>t</I><SUB>451.50</SUB>=11.21, <I>P</I><.001; online support group: <I>t</I><SUB>455.71</SUB>=9.30, <I>P</I><.001; social networking sites [SNS]: <I>t</I><SUB>466.75</SUB>=11.36, <I>P</I><.001) and also reported using blogs (<I>t</I><SUB>515.31</SUB>=6.67, <I>P</I><.001) and SNS (<I>t</I><SUB>529.22</SUB>=4.51, <I>P</I><.001) more frequently than Americans. Americans showed a stronger preference for using expertise-based information sources (eg, WebMD and CDC) compared to Koreans and Hongkongers (<I>t</I><SUB>360.02</SUB>=3.01, <I>P</I>=.003). Trust in expertise-based information sources was universal, demonstrating no cultural differences (Brown-Forsythe <I>F</I><SUB>2,654</SUB>=1.82, <I>P</I>=.16). Culture also contributed significantly to differences in searching information on behalf of family members (<I>t</I><SUB>480.38</SUB>=5.99, <I>P</I><.001) as well as to the goals of information searching.</P><P><B>Conclusions</B></P><P>This research found significant cultural differences in information processing preferences for online health information. Further discussion is included regarding effective communication strategies in providing quality health information.</P>

Social Network Analysis of Elders' Health Literacy and their Use of Online Health Information

장해란,안지영 대한의료정보학회 2014 Healthcare Informatics Research Vol.20 No.3

Objectives: Utilizing social network analysis, this study aimed to analyze the main keywords in the literature regarding the health literacy of and the use of online health information by aged persons over 65. Methods: Medical Subject Heading keywords were extracted from articles on the PubMed database of the National Library of Medicine. For health literacy, 110 articles out of 361 were initially extracted. Seventy-one keywords out of 1,021 were finally selected after removing repeated keywords and applying pruning. Regarding the use of online health information, 19 articles out of 26 were selected. One hundred forty-four keywords were initially extracted. After removing the repeated keywords, 74 keywords were finally selected. Results: Health literacy was found to be strongly connected with ‘Health knowledge, attitudes, practices’ and ‘Patient education as topic.’ ‘Computer literacy’ had strong connections with ‘Internet’ and ‘Attitude towards computers.’ ‘Computer literacy’ was connected to ‘Health literacy,’ and was studied according to the parameters ‘Attitude towards health’ and ‘Patient education as topic.’ The use of online health information was strongly connected with ‘Health knowledge, attitudes, practices,’ ‘Consumer health information,’ ‘Patient education as topic,’ etc. In the network, ‘Computer literacy’ was connected with ‘Health education,’ ‘Patient satisfaction,’ ‘Self-efficacy,’ ‘Attitude to computer,’ etc. Conclusions: Research on older citizens’ health literacy and their use of online health information was conducted together with study of computer literacy, patient education, attitude towards health, health education, patient satisfaction, etc. In particular, self-efficacy was noted as an important keyword. Further research should be conducted to identify the effective outcomes of self-efficacy in the area of interest.

소비자의 주관적 건강지식이 인터넷 건강정보 사이트 수용과 임파워먼트에 미치는 영향

박현애,윤은경 대한의료정보학회 2006 Healthcare Informatics Research Vol.12 No.4

Objective: The purpose of this study was to analyze the impact of consumer's subjective health literacy on health information websites acceptance and empowerment. Methods: Data were collected from people who had used health information website. Theoretical model was developed based on TAM(Technology Acceptance Model), and structural equation modeling(SEM) using Lisrel 8.5 was applied to test the relationship of hypotheses. Results: The final trimmed model resulted in a proper solution that exhibited adequate fit. This study supported that consumer's subjective health literacy was found to have a significant effect on empowerment by using health information websites. Conclusion: This study showed the use of health information website is worthy of strengthening of consumer's empowerment, which can be expected to contribute to patient's active participation in health management. (Journal of Korean Society of Medical Informatics 12-4,293-304, 2006)