Molly E Waring1, David D McManus2, Daniel J Amante3, Chad E Darling4, Catarina I Kiefe5. 1. Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA; Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: molly.waring@uconn.edu. 2. Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA; Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA; Meyers Primary Care Institute, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: david.mcmanus@umassmed.edu. 3. Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: daniel.amante@umassmed.edu. 4. Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: chad.darling@umassmed.edu. 5. Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA, USA. Electronic address: catarina.kiefe@umassmed.edu.
Abstract
OBJECTIVE: To describe characteristics associated with online health information-seeking and discussing resulting information with healthcare providers among adults with acute coronary syndromes (ACS). METHODS: Consecutive patients hospitalized with ACS in 6 hospitals in Massachusetts and Georgia who reported Internet use in the past 4 weeks (online patients) were asked about online health information-seeking and whether they discussed information with healthcare providers. Participants reported demographic and psychosocial characteristics; clinical characteristics were abstracted from medical records. Logistic regression models estimated associations with information-seeking and provider communication. RESULTS: Online patients (N = 1142) were on average aged 58.8 (SD: 10.6) years, 30.3% female, and 82.8% non-Hispanic white; 56.7% reported online health information-seeking. Patients with higher education and difficulty accessing medical care were more likely to report information-seeking; patients hospitalized with myocardial infarction, and those with impaired health numeracy and limited social networks were less likely. Among information-seekers, 33.9% discussed information with healthcare providers. More education and more frequent online information-seeking were associated with provider discussions. CONCLUSION: Over half of online patients with ACS seek health information online, but only 1 in 3 of these discuss information with healthcare providers. PRACTICE IMPLICATIONS: Clinician awareness of patient information-seeking may enhance communication including referral to evidence-based online resources.
OBJECTIVE: To describe characteristics associated with online health information-seeking and discussing resulting information with healthcare providers among adults with acute coronary syndromes (ACS). METHODS: Consecutive patients hospitalized with ACS in 6 hospitals in Massachusetts and Georgia who reported Internet use in the past 4 weeks (online patients) were asked about online health information-seeking and whether they discussed information with healthcare providers. Participants reported demographic and psychosocial characteristics; clinical characteristics were abstracted from medical records. Logistic regression models estimated associations with information-seeking and provider communication. RESULTS: Online patients (N = 1142) were on average aged 58.8 (SD: 10.6) years, 30.3% female, and 82.8% non-Hispanic white; 56.7% reported online health information-seeking. Patients with higher education and difficulty accessing medical care were more likely to report information-seeking; patients hospitalized with myocardial infarction, and those with impaired health numeracy and limited social networks were less likely. Among information-seekers, 33.9% discussed information with healthcare providers. More education and more frequent online information-seeking were associated with provider discussions. CONCLUSION: Over half of online patients with ACS seek health information online, but only 1 in 3 of these discuss information with healthcare providers. PRACTICE IMPLICATIONS: Clinician awareness of patient information-seeking may enhance communication including referral to evidence-based online resources.
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