研究生: |
朱凱纓 Chu, Kai-Ying |
---|---|
論文名稱: |
網路藥物諮詢問題內容分析研究 An Analysis of the Questions of Online Consumer Medication Information Service |
指導教授: |
邱銘心
Chiu, Ming-Hsin |
學位類別: |
碩士 Master |
系所名稱: |
圖書資訊學研究所 Graduate Institute of Library and Information Studies |
論文出版年: | 2017 |
畢業學年度: | 105 |
語文別: | 中文 |
論文頁數: | 102 |
中文關鍵詞: | 網路藥物諮詢 、消費者健康資訊 、內容分析 |
英文關鍵詞: | Online medication counseling, Consumer health information, Content analysis |
DOI URL: | https://doi.org/10.6345/NTNU202202240 |
論文種類: | 學術論文 |
相關次數: | 點閱:195 下載:15 |
分享至: |
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由於網路科技的發展,網路諮詢的形式成為消費者尋求醫療資訊的另一參考來源。藥物網路諮詢為醫療諮詢的一項,藥物治療在照護病人中扮演著重要角色,遵從醫囑使用藥物則可改善健康,依照不同的人口特徵差異,對醫囑的需求也各有不同,因此本研究以臺灣網路E院提供之性別、年齡作為人口特徵變項,分析網路藥物諮詢提問者之尋求表達與行為特徵。研究對象為臺灣網路E院之藥物諮詢相關提問共1302則,逐篇分析其內容,以期提供藥物資訊提供者了解民眾對藥物資訊之需求。
研究發現,在語意表達及問題結構上,性別對身份表達揭露性影響較大,女性在藥物諮詢的問題中比起男性更願意提供較多的個人資訊,年齡層則對表達及問題結構較不具影響。在提問需求的分析上,女性提問者所提出之問題較男性多樣化,但兩性之間針對藥物資訊諮詢的重點仍在藥物副作用及處理、適應症、用法上,是為多數人對藥物諮詢的重點類別,各年齡層所關注的問題類別也大同小異,惟次之關注的類別有稍許的不同,13-25歲年齡層與36歲年齡層的人對藥物副作用及處理類別的提問較26-35歲多,26-35歲年齡層較其他年齡層關心藥物分級之問題。
本研究透過網路藥物諮詢提問,挖掘各個族群針對藥物諮詢的表達特徵及所需之藥物資訊。本研究之結果能提供給線上藥物諮詢服務之使用者、專業醫療人員以及藥物資訊供給者作為參考。
Due to the development of the Internet, online medical consultation has become another source for consumers to search for medical information. Medication consultation is one of the medical consultation, and drug treatment acts an important role in the course of treatment for the patients. Patients’ health will be improved by following the medical compliance. Based on different demographic differences, the demand for the medical advice is also different. Thus, the research is based on the differences of gender and age, and sets to analyze the expression and behavioral characteristics of the online medication consultation. This study content analyzed 1302 medication consultation questions posted on Taiwan e-Doctor platform, an official online medical consultation service supported by Ministry of Health and Welfare in Taiwan. It is aimed to provide insights and understanding into people’s information need for medication.
In the research, the gender shows much more difference through the content and structure of the questions. The female askers are more likely to provide more personal information than the male counterpart shown in the questions. Comparatively, the age illustrates less influence. The questions raised by the female askers show more diversity than the male, but they both focus on the side effects and treatment, indications, and the useage information. The theme that most people concern is similar, but there are slightly different in the secondary category of theme. Askers aged between 13 to 25 years old and the age 36 years old have more question about side effects and treatment than the group between the age 26 to 35 years old. The group between the age 26 to35 years old are more concerned with the classification of drugs than other groups.
This study explores the characteristics expression and medication information requirement of each group for medication consultation through the online medication consultation. The results of the study will provide references to users of online medication consultation services, professional medical personnel and drug information providers.
吳明清(1992)。教育研究。台北市:五南。
李佩育, 許郁笙, 陳旭輝, 郭震羣, 黃耀斌, 呂英豪,(2016)。運用資訊化管理系統探討醫學中心門診病人藥物諮詢服務之現況。 臺灣臨床藥學雜誌, 24(1),33-41。
李佳純(2003)。以社會資本理論探討網路健康資訊使用者之資訊使用行為(碩士論文)。取自http://nhuir.nhu.edu.tw/handle/987654321/21348
李炳鈺 (2002)。 醫院門診病患用藥行為相關因素探討(碩士論文)。取自http://ir.kmu.edu.tw/handle/310902000/21740
邱慧芬(2001)。高雄市社區民眾用藥之調查。臺北市:行政院衛生署中央健康保險局。
洪增陽(2008)。藥袋副作用標示-民眾需求之探討(碩士論文)。取自 http://handle.ncl.edu.tw/11296/ndltd/51728968512109876172
范卉妤、邱銘心(2016)。罕見疾病兒童與青少年之主要照護者資訊需求與資訊行為研究。圖書資訊學刊,14(2),127-135。
許瑋哲(2015年9月24日)。藥物包裝說明書 應說清楚講明白。台灣醒報。取自 https://anntw.com/articles/20150924-WRT7
國家教育研究院 (2000)。教育大辭書。取自http://terms.naer.edu.tw/detail/1309109/
國家教育研究院 (2000)。教育大辭書。取自http://terms.naer.edu.tw/detail/1313455/
陳思穎(2012)。台灣綜合型醫院藥袋資訊設計研究(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/08269055367791798243
陳鈴潔、林玟君、李淑貞、謝玲玲、呂品儀、王淑芬、何藴芳(2009)。 門診處方箋內容格式探討。 臺灣醫學,13(5), 449-460.
陳騰永(2007)。高齡者用藥資訊認知之探討(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/20163487020950717234
郭淑珍 & 吳筱筑 (2016)。 醫病互動對失眠者使用藥物行為的影響。 人文社會與醫療學刊,3,177-201.
黃憶雯(2008)。 藥袋標示與民眾用藥安全關係之研究(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/45757592978046177604
楊淑婷 (2007)。 媒體對用藥安全的知識, 態度及行為之影響(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/52614818205044129333
楊意菁、徐美苓 (2010)。 風險社會概念下的風險溝通與網路傳播: 以全球暖化議題為例。中華傳播學刊,18,151-191。
溫明芳(2004)。社區大學健康教育對民眾用藥行為、態度、藥品資訊來源及對藥師認知之影響評估(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/79278372907767593823
臺北市政府衛生局(2012年1月20日)。民眾自我醫藥照護能力顯不足,問卷調查結果大揭露!! 。健康e 手報,檢自http://health.gov.taipei/Default.aspx?tabid=736&mid=2468&itemid=28897
劉梅君(2002年1月11)。藥袋標示,踏出醫療品質監測的第一步!。中國時報,醫藥保健版。
劉淑玉 (2009)。 藥袋標示資訊與民眾需求之相關性探討─ 以北部某醫學中心為例(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/07076850321433462591
衛生福利部(2015)。103-104 年度醫院醫療品質及病人安全工作目標。檢 自http://ttw3.mmh.org.tw/safe/download/safe_2c_103.pdf
簡志峰(2002)。個人化藥品資訊服務網頁系統(碩士論文)。取自http://handle.ncl.edu.tw/11296/ndltd/22291284852441164396
醫療改革基金會會訊編輯部(2002)。醫療改革暨健保爭議事件簿。醫改會訊,5, 1-3。
Ascione, F. J., Kirscht, J. P., & Shimp, L. A. (1986). An assessment of different components of patient medication knowledge. Medical Care, 24(11), 1018-1028.
Baker, S. J. (1997). Who can read consumer product information? The Australian Journal of Hospital Pharmacy, 27(2), 126-131.
Bandesha, G., Raynor, D. K., & Teale, C. (1996). Preliminary investigation of patient information leaflets as package inserts. International Journal of Pharmacy Practice, 4(4), 246-248.
Barak, A., & Grohol, J. M. (2011). Current and future trends in internet-supported mental health interventions. Journal of Technology in Human Services, 29(3), 155-196.
Berelson, B. (1952). Content Analysis in Communication Research. NY: Free Press.
Blackwell, B. (1972). The drug defaulter. Clinical Pharmacology & Therapeutics, 13(6), 841-848.
Cockerham, W. C. (2004). Medical sociology. NJ : Prentice Hall
Covington, T.R. (2004). Self-care and nonprescription pharmacotherapy. In Handbook of Nonprescription (pp. 3-14). Washington, DC: American Pharmaceutical Association.
Crichton, E. F., Smith, D. L., & Demanuele, F. (1978). Patient recall of medication information. Drug intelligence & clinical pharmacy, 12(10), 591-599.
Crummy. (2012). Beautiful Soup is licensed under the same terms as Python itself. Retrieved from https://www.crummy.com/software/BeautifulSoup/#Download
Davis, T. C., Wolf, M. S., Bass, P. F., Middlebrooks, M., Kennen, E., Baker, D. W., ... & Parker, R. M. (2006). Low literacy impairs comprehension of prescription drug warning labels. Journal of general internal medicine, 21(8), 847-851.
Deering, M. J., & Harris, J. (1996). Consumer health information demand and delivery: implications for libraries. Bulletin of the Medical Library Association, 84(2), 209.
Downe‐Wamboldt, B. (1992). Content analysis: method, applications, and issues. Health care for women international, 13(3), 313-321.
Fox, S., & Duggan, M. (2013). Health Online 2013. Retrieved from http://bibliobase.sermais.pt:8008/BiblioNET/Upload/PDF5/003820.pdf
Fraenkel, J.R. & Wallen, N.E.(1996). How to design and evaluate research in education (3rd. ed.). NY: McGraw-Hill.
Gazmararian, J. A., Baker, D. W., Williams, M. V., Parker, R. M., Scott, T. L., Green, D. C., ... & Koplan, J. P. (1999). Health literacy among Medicare enrollees in a managed care organization. JAMA, 281(6), 545-551.
Grunwald, M., & Wesemann, D. (2007). Special online consulting for patients with eating disorders and their relatives: Analysis of user characteristics and e-mail content. CyberPsychology & Behavior, 10(1), 57-63.
Harris, L. M. (1995). Differences that make a difference. Health and the new media: Technologies transforming personal and public health, 163-183.
Haynes, R. B., Taylor, D. W., & Sackett, D. L. (1979). Compliance in Health Care. NY: Armonk
Hepler, C. D., & Strand, L. M. (1990). Opportunities and responsibilities in pharmaceutical care. Am J hosp pharm, 47(3), 533-543.
Hermann, F., Herxheimer, A., & Lionel, N. D. (1978). Package inserts for prescribed medicines: what minimum information do patients need? Br Med J, 2(6145), 1132-1135.
Holt, G. A., & Hall, E. L. (1993). The self-care movement. In Handbook of Nonprescription Drugs (10th. Ed.). (pp. 1-9). Washington, DC: American Pharmaceutical Association.
Houldin, A. D. (2007). A qualitative study of caregivers' experiences with newly diagnosed advanced colorectal cancer. Oncology nursing forum, 34(2), 332-330.
Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative health research, 15(9), 1277-1288.
Hussar, D. A. (1975). Pharmacy practice--the importance of effective communications. American journal of pharmacy and the sciences supporting public health, 148(5), 136-147.
Koo, M., Krass, I., & Aslani, P. (2006). Enhancing patient education about medicines: factors influencing reading and seeking of written medicine information. Health Expectations, 9(2), 174-187.
Krippendorff, K. (1980). Content analysis: An introduction to its methodology. Los Angeles, CA:Sage.
Lee, P. R. (1979). Prescription drug use and patient education--the critical role of the pharmacist. American journal of pharmaceutical education, 43(4), 354.
MacLaughlin, E. J., Raehl, C. L., Treadway, A. K., Sterling, T. L., Zoller, D. P., & Bond, C. A. (2005). Assessing medication adherence in the elderly. Drugs & Aging, 22(3), 231-255.
Makoul, G., Arntson, P., & Schofield, T. (1995). Health promotion in primary care: physician-patient communication and decision making about prescription medications. Social science & medicine, 41(9), 1241-1254.
Monnier, J., Laken, M., & Carter, C. L. (2002). Patient and Caregiver Interest in Internet‐Based Cancer Services. Cancer practice, 10(6), 305-310. doi: 10.1046/j.1523-5394.2002.106005.x
Morris, L. A., & Halperin, J. A. (1979). Effects of written drug information on patient knowledge and compliance: a literature review. American Journal of Public Health, 69(1), 47-52.
Morris, L. A., Grossman, R., Barkdoll, G., & Gordon, E. (1987). A Segmentational Analysis of Prescription Drug Information Seeking. Medical Care, 25(10), 953-964.
Nair, K., Dolovich, L., Cassels, A., McCormack, J., Levine, M., Gray, J., ... & Burns, S. (2002). What patients want to know about their medications. Focus group study of patient and clinician perspectives. Canadian Family Physician, 48(1), 104-110.
Nichols-English, G., & Poirier, S. (2000). Optimizing adherence to pharmaceutical care plans. J Am Pharm Assoc, 40(4), 475-475.
Oh, S., Yi, Y. J., & Worrall, A. (2012). Quality of health answers in social Q&A. Proceedings of the Association for Information Science and Technology, 49(1), 1-6.
Raynor, D. K., Savage, I., Knapp, P., & Henley, J. (2004). We are the experts: people with asthma talk about their medicine information needs. Patient education and counseling, 53(2), 167-174.
Redestam, K.E., Newton, R.R. (1992). Surviving your dissertation: A comprehensive guide to content and process. Newbury Park, CA:SAGE.
Renahy, E., Parizot, I., & Chauvin, P. (2010). Determinants of the frequency of online health information seeking: results of a web-based survey conducted in France in 2007. Informatics for Health and Social Care, 35(1), 25-39.
Rice, R. E. (2006). Influences, usage, and outcomes of Internet health information searching: multivariate results from the Pew surveys. International journal of medical informatics, 75(1), 8-28.
Rutten, L. J. F., Arora, N. K., Bakos, A. D., Aziz, N., & Rowland, J. (2005). Information needs and sources of information among cancer patients: a systematic review of research (1980–2003). Patient education and counseling, 57(3), 250-261.
Sabaté, E. (2003). Adherence to long-term therapies: Evidence for action. World Health Organization. Geneva, Switzerland.
Sangl, J. A., & Wolf, L. F. (1996). Role of consumer information in today's health care system. Health Care Financing Review, 18(1), 1.
Schillinger, D., Grumbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., ... & Bindman, A. B. (2002). Association of health literacy with diabetes outcomes. Jama, 288(4), 475-482.
Shah, C., Oh, S., & Oh, J. S. (2009). Research agenda for social Q&A. Library & Information Science Research, 31(4), 205-209.
Shrensky, R., & Sless, D. (2008). Choosing the right method for testing. Retrieved from http://www.communication.org.au/criapublications/publication_id_94_2114333509. html.
Spink, A., Yang, Y., Jansen, J., Nykanen, P., Lorence, D. P., Ozmutlu, S., & Ozmutlu, H. C. (2004). A study of medical and health queries to web search engines. Health Information & Libraries Journal, 21(1), 44-51.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. NY: Sage Publications, Inc.
The American College of Physicians Foundation. (2007). Improving Prescription Drug Container Labeling in the United States. Retrieved from: http://www.nap.edu/catalog/12077.html
Tuckman, B.W.(1994). Conducting Educational Research (4th ed.). Forth Worth, TX:Harcourt Brace & Company.
Vander Stichele, R. H., Van Haecht, C. H., Braem, M. D., & Bogaert, M. G. (1991). Attitude of the public toward technical package inserts for medication information in Belgium. Annals of Pharmacotherapy, 25(9), 1002-1006.
Wallace, L. S., Roskos, S. E., & Weiss, B. D. (2006). Readability characteristics of consumer medication information for asthma inhalation devices. Journal of Asthma, 43(5), 375-378.
Webb, J., Davis, T. C., Bernadella, P., Clayman, M. L., Parker, R. M., Adler, D., & Wolf, M. S. (2008). Patient-centered approach for improving prescription drug warning labels. Patient education and counseling, 72(3), 443-449.
WiseGeek. (2015). How do I get an Online Pharmacy Consultation? Retrieved from http://www.wisegeek.com/how-do-i-get-an-online-pharmacy-consultation.htm
Wolf, M. S., Davis, T. C., Tilson, H. H., Bass III, P. F., & Parker, R. M. (2006). Misunderstanding of prescription drug warning labels among patients with low literacy. American Journal of Health-System Pharmacy, 63(11).
World Health Organization. (2003). WHO Expert Committee on Drug Dependence : thirty-third report. Geneva : World Health Organization.
Zeman, S. E. (2001). Regulation of online pharmacies: a case for cooperative federalism. Annals Health L, 10(1), 105-137.
Zhang, Y. (2010). Contextualizing consumer health information searching: an analysis of questions in a social Q&A community. In Proceedings of the 1st ACM International Health Informatics Symposium (pp. 210-219). ACM.