%0期刊文章%@ 1438-8871 %I JMIR出版物%V 19%卡塔尔世界杯8强波胆分析 N 6% P e202% T Web用于身体健康状况症状评估:A系统综述%A Mueller,Julia %A Jay,Caroline %A Harper,Simon %A Davies,Alan %A Vega,Julio %A Todd,Chris %+曼彻斯特大学健康科学学院，Kilburn Building, LF1, Oxford Road, Manchester, M13 9PL, uk, 44 1612756239, julia.mueller@manchester.ac.uk %K在线健康信息%K健康信息搜索%K互联网%K症状评估%K网络搜索%K搜索策略%D 2017 %7 13.06.2017 %9综述%J J Med Internet Res %G英语%X背景:Web已经成为评估症状的重要信息来源。我们需要了解它目前在寻求帮助和症状评估中发挥的作用，以利用其潜力来支持医疗保健服务。目的:目的是系统地回顾目前可用的文献使用网络症状评估。方法:我们搜索了PubMed、EMBASE、PsycINFO、ACM数字图书馆、SCOPUS和Web of Science，以寻找外行使用网络来评估身体状况症状的任何实证研究。不符合最低质量标准的物品将被排除在外。研究结果采用专题方法进行综合。结果:共纳入32篇研究。研究设计包括横断面调查、定性研究、实验研究和涉及网站/搜索引擎使用数据的研究。 Approximately 35% of adults engage in Web use for symptom appraisal, but this proportion varies between 23% and 75% depending on sociodemographic and disease-related factors. Most searches were symptom-based rather than condition-based. Users viewed only the top search results and interacted more with results that mentioned serious conditions. Web use for symptom appraisal appears to impact on the decision to present to health services, communication with health professionals, and anxiety. Conclusions: Web use for symptom appraisal has the potential to influence the timing of help seeking for symptoms and the communication between patients and health care professionals during consultations. However, studies lack suitable comparison groups as well as follow-up of participants over time to determine whether Web use results in health care utilization and diagnosis. Future research should involve longitudinal follow-up so that we can weigh the benefits of Web use for symptom appraisal (eg, reductions in delays to diagnosis) against the disadvantages (eg, unnecessary anxiety and health care use) and relate these to health care costs. %M 28611017 %R 10.2196/jmir.6755 %U //www.mybigtv.com/2017/6/e202/ %U https://doi.org/10.2196/jmir.6755 %U http://www.ncbi.nlm.nih.gov/pubmed/28611017