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1.
Ninfa Pe?a-Purcell 《Journal of the Medical Library Association》2008,96(2):101-107
Purpose: The research examined use of the Internet to seek health information among Hispanics in the United States.Methods: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 2000–2001, survey data. Pearson''s χ2 test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking.Results: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse).Conclusion: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics'' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics'' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes.
Highlights
- Consistent with prior studies, a lower proportion of Hispanics compared to non-Hispanic whites reported using the Internet to seek health information.
- Overall, Hispanics tended to agree that the Internet is a helpful resource for health information.
- Hispanics and non-Hispanic whites reported that bringing Internet health information to doctors'' visits worsened the physician-patient relationship.
- Consistent with prior literature, the odds of seeking Internet health information were decreased for Hispanics with low (<$25,000) and middle ($25,000– $49,000) household incomes.
Implications
- More studies are needed to provide evidence to develop culturally appropriate interventions to examine differences in Internet use and potential digital disparities among Hispanics.
- Concurrent with increasing Hispanics'' use of Internet health information, efforts to address the Internet''s impact on physician-patient relationship are warranted.
2.
Narissra M. Punyanunt-Carter Marilda J. Oviedo Samer Melhem 《Qualitative Research Reports in Communication》2019,20(1):67-74
Based on questionnaire responses from 381 undergraduate students, this study sought to examine perceptions of Hispanics on television. Results revealed that college students perceive Hispanics portrayals on television are mainly stereotypical and often highlight negative perceptions (e.g., lazy and ill-tempered). Students regarded Hispanics to be hardworking and to prioritize culture. Perceptions of Hispanic men were mainly controlling figures and Hispanic women were mostly caretaking characters. These findings suggest that television can affect the way college students view and possibly communicate with Hispanics. 相似文献
3.
S J Bell 《Medical reference services quarterly》1987,6(1):27-40
As the health care industry becomes more business oriented, health sciences librarians will encounter more patrons seeking business information. Administrators and managers of health care facilities are primarily in need of business information. This paper discusses those resources with which health sciences librarians must be familiar to successfully meet the challenges of these new demands. It identifies traditional and online sources, and emphasizes business sources geared to the health care industry. The business managers of the health care facility represent a new patron market for the health sciences librarian. 相似文献
4.
Kim Millican 《期刊图书馆员》2013,64(3):260-275
The purpose of this literature review was exploring how medical librarians are addressing health literacy barriers, with an emphasis on enhancing the patient care experience. This literature review contributes up-to-date information related to health literacy barriers, with a specific focus on medical librarianship and enhancing the patient care experience. Medical librarians can positively impact health literacy barriers. By partnering with other healthcare professionals, medical librarians are in a position to ensure health information can be understood, which will ultimately improve health literacy and enhance the patient care experience. Improving health literacy rates may improve health outcomes and decrease healthcare costs. 相似文献
5.
Christine Urquhart 《Health information and libraries journal》2020,37(1):1-4
This study considers the status of trends in value and impact research in health libraries and discusses how return on investment approaches such as social value analysis could be used. It uses an example, based on the Health Education England evaluation framework for health library and knowledge services, to outline how a theory of change can be developed. Health libraries now work more closely with health care staff and researchers in co‐creating value and impact for improving patient care. Therefore, collection of data to assess social value should be drawn not only from performance data already collected by libraries, but also data collection by and for the health care organisation on evaluation of care quality and professional competence. 相似文献
6.
Janet Chan 《Journal of the Medical Library Association》2021,109(3):376
Technology advances in eHealth and mHealth are changing the way that health care consumers and providers communicate, receive and deliver care, and access health information. As electronic health records and smartphones have become ubiquitous in the United States, opportunities and applications for the integration of eHealth and mHealth have increased. In addition to technology advances, the changing health care model is simultaneously adapting to and driving initiatives in digital health care. With these digital initiatives have come challenges, including data overload, security and privacy concerns, deficits in technological and health literacy skills, and sorting through the vast number of choices of digital applications. Navigating this changing landscape can be overwhelming and time consuming for both health care providers and consumers. Librarians are uniquely positioned to assist providers and consumers to break down barriers within the digital health care landscape through data management initiatives, technology and health literacy instruction, and finding and evaluating health information and digital health technologies. 相似文献
7.
8.
Barry M 《Medical reference services quarterly》2004,23(4):75-85
In the past three decades, knowledge professionals have made remarkable strides toward achieving clinicians' decision-support dream of immediately available short answers. Medical evidence, what is truly known about health care effects and ready to be applied in patient care, can now much more easily be identified. Today's information delivery tools enable clinicians to seek answers to many more of their questions and to find the answers when patient encounters and teachable moments are occurring. Excerpted from a state health sciences library association presentation, this paper highlights efforts to speed clinician adoption of health care discoveries into routine patient care. 相似文献
9.
P W Brennen 《Bulletin of the Medical Library Association》1992,80(3):294-299
The medical libraries of Vietnam maintain high profiles within their institutions and are recognized by health care professionals and administrators as an important part of the health care system. Despite the multitude of problems in providing even a minimal level of medical library services, librarians, clinicians, and researchers nevertheless are determined that enhanced services be made available. Currently, services can be described as basic and unsophisticated, yet viable and surprisingly well organized. The lack of hard western currency required to buy materials and the lack of library technology will be major obstacles to improving information services. Vietnam, like many developing nations, is about to enter a period of technological upheaval, which ultimately will result in a transition from the traditional library limited by walls to a national resource that will rely increasingly on electronic access to international knowledge networks. Technology such as CD-ROM, Integrated Services Digital Network (ISDN), and satellite telecommunication networks such as Internet can provide the technical backbone to provide access to remote and widely distributed electronic databases to support the information needs of the health care community. Over the long term, access to such databases likely will be cost-effective, in contrast to the assuredly astronomical cost of building a comparable domestic print collection. The advent of new, low-cost electronic technologies probably will revolutionize health care information services in developing nations. However, for the immediate future, the medical libraries of Vietnam will require ongoing sustained support from the international community, so that minimal levels of resources will be available to support the information needs of the health care community. It is remarkable, and a credit to the determination of Vietnam's librarians that, in a country with a legacy of war, economic deprivation, and international isolation, they have somehow managed to provide a sound basic level of information services for health care professionals. 相似文献
10.
Managed care organizations have become one of the dominant forms of health care delivery in the United States. Paradoxically, this system, designed to provide better, less expensive care for patients and increased efficiency for health care providers may be compromising patients’ privacy by making patients’ records available to a wider range of internal and external parties. By allowing many individuals access to patients’ health records, the confidentiality of patients’ private information in the managed care environment is at risk. Using an extension of the communication boundary management perspective (Petronio, 1991, 2000) within a case study approach, a breach of patient confidentiality in a managed care environment is examined. From this analysis, practical recommendations are offered to patients, health care providers, and managed care organizations for managing the paradox of patient confidentiality. 相似文献
11.
Cultural proximity is a multidimensional concept, most often used to explain media preferences across national boundaries. The present study extends the construct, revealing its power to explain audience formation within a multicultural society. Portable People Meter data from Arbitron, Inc., was used to compare patterns of television and radio use across Spanish-speaking Hispanics, English-speaking Hispanics, and non-Hispanics in Houston, Texas. The results indicate that language preferences play a powerful role in determining audience behavior. Furthermore, while English-speaking Hispanics exhibit multicultural fluency, the other two populations show evidence of cultural polarization. 相似文献
12.
Taylor MK 《Medical reference services quarterly》2001,20(2):57-70
Managed care reform, commonly referred to as "patients' rights" legislation, has become a hot topic. Many groups, including consumers, health care professionals, employers, managed care organizations, political parties, and government agencies, have strong opinions about measures that should be taken and what the outcomes of these measures might be. Those investigating this multidisciplinary topic will want to examine health care administration, ethics, health services research, and political science sources. Web resources covered in this article include: clearinghouses; government agencies; federal legislative and legal sites; and home pages of professional and trade associations, policy research institutes, and consumer advocacy organizations. 相似文献
13.
Awalin Sopan Angela Song-Ie Noh Sohit Karol Paul Rosenfeld Ginnah Lee Ben Shneiderman 《Government Information Quarterly》2012
Trillions of dollars are spent each year on health care. The U.S. Department of Health and Human Services keeps track of a variety of health care indicators across the country, resulting in a large geospatially multivariate data set. Current visualization tools for such data sets make it difficult to make multivariate comparisons and show the geographic distribution of the selected variables at the same time. Community Health Map is a web application that enables users to visualize health care data in multivariate space as well as geospatially. It is designed to aid exploration of this huge data repository and deliver deep insights for policy makers, journalists, consumer groups, and academic researchers. Users can visualize the geospatial distribution of a given variable on an interactive map, and compare two or more variables using charts and tables. By employing dynamic query filters, visualizations can be narrowed down to specific ranges and regions. Our presentation to policy makers and pilot usability evaluation suggest that the Community Health Map provides a comprehensible and powerful interface for policy makers to visualize health care quality, public health outcomes, and access to care in an effort to help them to make informed decisions about improving health care. 相似文献
14.
Michelle Sergison 《Health information and libraries journal》1999,16(2):106-111
Skill mix in primary care should be governed by research-based evidence of how skills may best be distributed among health professionals in order to optimize the cost-effectiveness of health service delivery. There is a dearth of research in this area, yet many changes in skill mix within primary care have still to be adequately researched. Existing evidence of the nature and cost-effectiveness of skill mix change is scattered across the specialist literature of many different disciplinary groups, making it difficult to form a coherent overview of service provision. This paper reports on a project that sought to create a comprehensive database bringing together specialist literature relating to skill mix in primary care, as resource for health services researchers, providers and purchasers in the UK. 相似文献
15.
Rose Guerrieri 《Medical reference services quarterly》2013,32(1):65-76
The United States is currently experiencing a nursing shortage, and it is expected to worsen in the next ten years. Physician shortages are also projected. Some allied health professions are also experiencing personnel shortages. Health sciences libraries can be of service in addressing the shortages by making information available on health care careers. Internet sites and resources on health care career decisions are discussed in this article. 相似文献
16.
Carlock D 《Medical reference services quarterly》2006,25(3):67-76
Health disparities between Native Americans and the general population of the United States are a major health concern. Traditional healing and culturally competent health care offer much promise in raising the health status of Native Americans. Traditional healing, although uniquely practiced by each indigenous culture, is generally a system of medicine based on the inseparability of mind, body, and spirit. Culturally competent health care, care that is congruent with the culture and language of the patient, is a growing initiative in western medicine. This article outlines Internet sites and online resources relevant to the study and practice of traditional healing and culturally competent health care. 相似文献
17.
Charlotte Kelham 《Health information and libraries journal》2014,31(3):235-238
Until relatively recently, the concept of information literacy, and teaching the skills to enable it, was mainly a concern of academic libraries. Now, it is also seen to be of high importance within the context of health care libraries. Health care libraries and librarians can provide crucial support towards the implementation of evidence‐based practice in patient care through both information literacy skills training and by conducting mediated searches on behalf of health care practitioners. This article reports the findings from an investigation conducted by Charlotte Kelham as part of her MA in Librarianship from the University of Sheffield. Her dissertation investigated how health care librarians understand the concept of information literacy, the implications of this for their role and their perceptions around how their role is valued. Charlotte graduated from Sheffield in 2013 and is currently job hunting. AM 相似文献
18.
[目的/意义] 在医疗信息化迅速发展过程中,医疗大数据信息安全保护存在数据丢失、难以共享等问题。为了更好地对健康医疗大数据进行保护,本文构建面向健康医疗大数据安全保护的医疗区块链模型,解决健康医疗大数据集中存储、不可追溯、易受攻击等问题,为进一步推动区块链技术在健康医疗领域的应用提供方案。[方法/过程] 构建基于区块链技术的健康医疗大数据信息安全保护模型和系统架构,通过PBFT共识算法保证医疗区块链数据的不可篡改,通过非对称加密技术保证个人医疗信息的安全性,通过激励机制鼓励各节点加入医疗区块链。[结果/结论] 相对于传统的医疗信息保护方法而言,面向健康医疗大数据安全保护的医疗区块链模型具有数据可追溯、防篡改和信息平等共享、安全可信等优势,可以更好地推动健康医疗数据化的发展。 相似文献
19.
Sara Anne Hook 《Journal of the Medical Library Association》2005,93(3):386-393
PURPOSE: The author shows that not only can the illustrations on the front of postcards reveal a considerable amount of information about hospitals in the early twentieth century, but that the messages, addresses, captions, postmarks, and stamps on the back of postcards also offer a valuable glimpse into the lives of ordinary citizens and their interactions with the health care system. METHOD: In addition to a literature review on postcards and their history and use, particularly in the depiction of health care, the author reviews the postcards in her own collection, which includes a variety of hospital postcards from this time period. CONCLUSIONS: Early hospital postcards provide a framework for examining individual elements of postcards and show how postcards can be used as key sources in historical research on health care in the early 1900s. 相似文献
20.
The American health care system is experiencing a period of unprecedented change. This paper identifies and discusses the major changes in patient care, research, control of the health care system, and medical education, and their implications for health sciences librarians. These changes have resulted in new demands for effective information delivery and a broader health sciences library clientele. There are both challenges and opportunities for health sciences librarians as they respond to information pressures of the current health care environment and anticipate future needs. 相似文献