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首页> 外文期刊>Journal of health communication >A Self-Determination Perspective on Online Health Information Seeking: The Internet vs. Face-to-Face Office Visits With Physicians
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A Self-Determination Perspective on Online Health Information Seeking: The Internet vs. Face-to-Face Office Visits With Physicians

机译：在线健康信息寻找的自我决定视角：互联网与医师面对面的办公室访问

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摘要

This study elucidates the experiential and motivational aspects of online health information beyond the theoretically limited instrumental perspective that dominates the extant literature. Based on a sample of 993 online health information seekers in India, the survey found that online health information seeking offers individuals greater autonomy, competence, and relatedness compared to face-to-face office visits with physicians. According to self-determination theory, individuals are motivated to act by a sense of volition and experience of willingness, validation of one's skills and competencies, and feeling of connection with others who shaped one's decisions. These 3 psychological needs, which motivate individuals to pursue what they innately seek as human beings, help explain why individuals turn online for health information. T tests showed that all 3 self-determination theory constructs - autonomy, competence, and relatedness- were higher for online health information seeking than for face-to-face office visits with physicians. A regression analysis found that 2 variables, autonomy and relatedness, explained online health information seeking. Competence was not a significant factor, likely because of competency issues faced by individuals in interpreting, understanding, and making use of online health information. The findings, which do not suggest that online health information seeking would displace physicians as many have feared, offer promise for an integrated system of care. Office visits with physicians would necessarily evolve into an expanded communicative space of health information seeking instead of an alternative channel for health information.
机译：这项研究阐明了在线健康信息的经验和动机方面，超出了在现存文献中占主导地位的理论上有限的工具观点。根据印度993位在线健康信息搜索者的抽样调查，与与医生面对面的办公室访问相比，在线健康信息搜索为个人提供了更大的自主权，能力和相关性。根据自决理论，人们的意志是由一种意志力和经验，愿意验证自己的技能和能力，以及与决定自己的其他人的联系感来进行的。这三种心理需求促使个人追求他们天生追求的人类，这有助于解释个人为何上网获取健康信息。 T检验表明，在线健康信息搜索的所有三种自决理论建构（自主性，能力和相关性）都比面对面与医生的办公室访问要高。回归分析发现，自主性和相关性这两个变量解释了在线健康信息的搜索。能力不是一个重要因素，可能是由于个人在解释，理解和利用在线健康信息时遇到的能力问题。这项发现并不意味着在线健康信息的搜寻不会像许多人所担心的那样取代医生，这为整合的医疗系统提供了希望。与医生的办公室访问必然会演变成扩大的健康信息交流空间，而不是健康信息的替代渠道。

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