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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 2002 May;84(3):187–192.

The internet--friend or foe? A questionnaire study of orthopaedic out-patients.

C M Gupte 1, A N A Hassan 1, I D McDermott 1, R D Thomas 1
PMCID: PMC2503834  PMID: 12092873

Abstract

OBJECTIVE: To examine patients' use of the Internet to obtain medical information, their opinions on the quality of medical Web sites, and their attitudes towards Internet-based consultations. DESIGN: Questionnaire study. PARTICIPANTS AND SETTING: 398 patients, aged 10-95 years, visiting the orthopaedic outpatient clinics of a London district general hospital over a 2-week period. MAIN OUTCOME MEASURES: (i) The rate of Internet use by patients; (ii) the perception of the quality of medical web sites; (iii) future intentions and attitudes towards Internet-based consultations; and (iv) concurrence between information obtained from Web sites and advice given by the orthopaedic surgeon in the clinic. RESULTS: From 369 respondents (response rate 93%), 55.3% of patients had accessed the Internet. Of these, 52.0% had obtained medical information from this source. Access was linearly correlated with age (r2 = 0.975, P < 0.01) and was also related to social status. Of the 12.3% of patients who had researched their particular orthopaedic condition, 20% reported that the advice received from the surgeon in the clinic contradicted that obtained from the Internet. A total of 35.7% of patients would undergo an Internet-based consultation, whilst a further 25.5% would consider this, depending on the medical condition in question. CONCLUSIONS: Over half of the patients studied were willing to access the Internet for medical information, with younger patients more likely to undertake this activity. Moreover, a significant proportion of respondents were willing to undergo an Internet-based consultation. The increased use of medical Web sites by patients raises important issues regarding the need for quality control, and impacts significantly upon the surgeon-patient relationship.

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Selected References

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  1. Adelhard K., Obst O. Evaluation of medical internet sites. Methods Inf Med. 1999 Jun;38(2):75–79. [PubMed] [Google Scholar]
  2. Aucar J. A., Doarn C. R., Sargsyan A., Samuelson D. A., Odonnell M. J., DeBakey M. E. Use of the Internet for long-term clinical follow-up. Telemed J. 1998 Winter;4(4):371–374. doi: 10.1089/tmj.1.1998.4.371. [DOI] [PubMed] [Google Scholar]
  3. Bader S. A., Braude R. M. "Patient informatics": creating new partnerships in medical decision making. Acad Med. 1998 Apr;73(4):408–411. doi: 10.1097/00001888-199804000-00014. [DOI] [PubMed] [Google Scholar]
  4. Baker D. B., Masys D. R. PCASSO: a design for secure communication of personal health information via the internet. Int J Med Inform. 1999 May;54(2):97–104. doi: 10.1016/s1386-5056(98)00088-4. [DOI] [PubMed] [Google Scholar]
  5. Damster G., Williams J. R. The Internet, virtual communities and threats to confidentiality. S Afr Med J. 1999 Nov;89(11):1175–1178. [PubMed] [Google Scholar]
  6. Edworthy S. M. World wide web: opportunities, challenges, and threats. Lupus. 1999;8(8):596–605. doi: 10.1191/096120399680411434. [DOI] [PubMed] [Google Scholar]
  7. Eysenbach G., Diepgen T. L. Patients looking for information on the Internet and seeking teleadvice: motivation, expectations, and misconceptions as expressed in e-mails sent to physicians. Arch Dermatol. 1999 Feb;135(2):151–156. doi: 10.1001/archderm.135.2.151. [DOI] [PubMed] [Google Scholar]
  8. Goldberg H. I., Tarczy-Hornoch P., Stephens K., Larson E. B., LoGerfo J. P. Internet access to patients' records. Lancet. 1998 Jun 13;351(9118):1811–1811. doi: 10.1016/s0140-6736(05)78772-9. [DOI] [PubMed] [Google Scholar]
  9. Hellawell G. O., Turner K. J., Le Monnier K. J., Brewster S. F. Urology and the Internet: an evaluation of internet use by urology patients and of information available on urological topics. BJU Int. 2000 Aug;86(3):191–194. doi: 10.1046/j.1464-410x.2000.00831.x. [DOI] [PubMed] [Google Scholar]
  10. Hjortdahl P., Nylenna M., Aasland O. G. Internett og lege-pasient-forholdet--fra "takk" til "hvorfor?". Tidsskr Nor Laegeforen. 1999 Nov 30;119(29):4339–4341. [PubMed] [Google Scholar]
  11. Horton K. M., Garland M. R., Fishman E. K. The Internet as a potential source of information about radiological procedures for patients. J Digit Imaging. 2000 Feb;13(1):46–47. doi: 10.1007/BF03168340. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Lamp J. M., Howard P. A. Guiding parents' use of the Internet for newborn education. MCN Am J Matern Child Nurs. 1999 Jan-Feb;24(1):33–36. doi: 10.1097/00005721-199901000-00007. [DOI] [PubMed] [Google Scholar]
  13. Ling C. A. Guiding patients through the maze of drug information on the Internet. Am J Health Syst Pharm. 1999 Feb 1;56(3):212–214. [PubMed] [Google Scholar]
  14. Mandl K. D., Feit S., Peña B. M., Kohane I. S. Growth and determinants of access in patient e-mail and Internet use. Arch Pediatr Adolesc Med. 2000 May;154(5):508–511. doi: 10.1001/archpedi.154.5.508. [DOI] [PubMed] [Google Scholar]
  15. Mandl K. D., Katz S. B., Kohane I. S. Social equity and access to the World Wide Web and E-mail: implications for design and implementation of medical applications. Proc AMIA Symp. 1998:215–219. [PMC free article] [PubMed] [Google Scholar]
  16. Mandl K. D., Kohane I. S. Healthconnect: clinical grade patient-physician communication. Proc AMIA Symp. 1999:849–853. [PMC free article] [PubMed] [Google Scholar]
  17. Mann C. E. Searching for HIV/AIDS information on the World Wide Web. J Assoc Nurses AIDS Care. 1999 Mar-Apr;10(2):79–81. doi: 10.1016/S1055-3290(06)60302-6. [DOI] [PubMed] [Google Scholar]
  18. Masys D. R., Baker D. B., Barnhart R., Buss T. PCASSO: a secure architecture for access to clinical data via the Internet. Stud Health Technol Inform. 1998;52(Pt 2):1130–1134. [PubMed] [Google Scholar]
  19. McKinley J., Cattermole H., Oliver C. W. The quality of surgical information on the Internet. J R Coll Surg Edinb. 1999 Aug;44(4):265–268. [PubMed] [Google Scholar]
  20. Mix S., Borchelt M., Nieczaj R., Trilhof G., Steinhagen-Thiessen E. Telematik in der Geriatrie--Potentiale, Probleme und Anwendungserfahrungen. Z Gerontol Geriatr. 2000 Jun;33(3):195–204. doi: 10.1007/s003910070060. [DOI] [PubMed] [Google Scholar]
  21. Peckham B. Internet access for ESRD patients gives new meaning to "sleepless in Seattle". Northwest kidney centers wire all stations at newest unit. Nephrol News Issues. 1999 Jan;13(1):18–19. [PubMed] [Google Scholar]
  22. Richards B., Colman A. W., Hollingsworth R. A. The current and future role of the Internet in patient education. Int J Med Inform. 1998 Jun;50(1-3):279–285. doi: 10.1016/s1386-5056(98)00083-5. [DOI] [PubMed] [Google Scholar]
  23. Robinson C., Flowers C. W., Alperson B. L., Norris K. C. Internet access and use among disadvantaged inner-city patients. JAMA. 1999 Mar 17;281(11):988–989. doi: 10.1001/jama.281.11.988-a. [DOI] [PubMed] [Google Scholar]
  24. Sacchetti P., Zvara P., Plante M. K. The Internet and patient education--resources and their reliability: focus on a select urologic topic. Urology. 1999 Jun;53(6):1117–1120. doi: 10.1016/s0090-4295(98)00662-1. [DOI] [PubMed] [Google Scholar]
  25. Sandvik H. Health information and interaction on the internet: a survey of female urinary incontinence. BMJ. 1999 Jul 3;319(7201):29–32. doi: 10.1136/bmj.319.7201.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Tench C. M., Clunie G. P., Dacre J., Peacock A. An insight into rheumatology resources available on the World Wide Web. Br J Rheumatol. 1998 Nov;37(11):1233–1235. doi: 10.1093/rheumatology/37.11.1233. [DOI] [PubMed] [Google Scholar]
  27. Wakelin S., Oliver C. W. How should orthopaedic surgeons respond to unsolicited e-mail? J Bone Joint Surg Br. 2001 May;83(4):482–485. doi: 10.1302/0301-620x.83b4.12319. [DOI] [PubMed] [Google Scholar]
  28. Winker M. A., Flanagin A., Chi-Lum B., White J., Andrews K., Kennett R. L., DeAngelis C. D., Musacchio R. A. Guidelines for medical and health information sites on the internet: principles governing AMA web sites. American Medical Association. JAMA. 2000 Mar 22;283(12):1600–1606. doi: 10.1001/jama.283.12.1600. [DOI] [PubMed] [Google Scholar]

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