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Wprowadzenie i cel:
Stale wzrasta liczba osób rozpoczynających poszukiwanie diagnozy online przed skonsultowaniem się z pracownikami ochrony zdrowia (POZ). Trend ten sprawił, iż pacjenci stali się bardziej świadomymi uczestnikami własnej ścieżki opieki zdrowotnej. Jednakże wraz z większym zaangażowaniem pacjentów pojawiły się nowe wyzwania, szczególnie w postaci dezinformacji rozpowszechnionej na platformach internetowych. Takie błędne informacje online nie tylko zagrażają zdrowiu pacjentów, ale także obciążają relację pacjent – POZ. Celem pracy było zwrócenie uwagi na zmiany, jakie zaszły w ciągu ostatnich lat w komunikacji z pacjentami ze względu na zwiększoną dostępność Internetu.

Metody przeglądu:
Przegląd opiera się na wyszukiwaniu przeprowadzonym w internetowych bazach naukowych, w tym Pubmed, Google Scholar, Elsevier i Scopus, z ograniczeniem do lat publikacji 2016–2024. Kryteria włączenia obejmowały artykuły badawcze koncentrujące się na relacji pacjent – POZ w erze Internetu.

Opis stanu wiedzy:
Biorąc pod uwagę, że ok. 93,3% polskich gospodarstw domowych ma dostęp do Internetu, wydaje się, że warto rozważyć długoterminowy wpływ społeczny coraz bardziej powszechnej telemedycyny. Brakuje badań nad rozprzestrzenianiem się dezinformacji. Konieczne byłoby również określenie wytycznych dla podmiotów opieki zdrowotnej udzielających świadczeń opieki zdrowotnej online, aby zapewnić pozytywny wpływ społeczny podejmowanych przez nie działań.

Podsumowanie:
Istotne jest dbanie o równowagę pacjent – Internet – POZ. Pomoc pacjentom w wyborze wysokiej jakości zasobów z wiarygodnych źródeł leży w zakresie odpowiedzialności POZ-u. Mimo dostępu do różnych źródeł informacji pacjenci powinni pamiętać o kluczowej roli zaufania do pracowników ochrony zdrowia.


Introduction and objective:
A steadily increasing number of individuals begin to seek a diagnosis online before consulting healthcare professionals (HCPs). This trend has transformed patients (Pts) into more informed participants in their own healthcare path. However, alongside greater patient engagement, new challenges have emerged, particularly in the form of misinformation prevalent across online platforms. Such online misguidance not only jeopardizes Pts’ health but also strains the Pt – HCP relationship. The purpose of the work was to highlight changes that have taken place over the past few years in communication with Pts due to the increased availability of the Internet.

Review methods:
The review is based on a search conducted in online scientific databases, including Pubmed, Google Scholar, Elsevier, and Scopus, with a restriction to publication years 2016–2024. Inclusion criteria encompassed research articles focusing on the Pt-HCP relationship in the Internet era.

Brief description of the state of knowledge:
Taking into account the fact that about 93.3% of Polish households have Internet access, the long-term impact of increasingly widespread telemedicine seems important to consider. Research on the spread of misinformation is lacking. It would also be necessary to define guidelines for healthcare entities involved in online activities to ensure that their activities have a positive effect

Summary:
It is important to take care of the Pt-Internet- HCP balance. Helping patients select high-quality resources from reputable sources is within the responsibility of HCPs. However, Pts should keep in mind that their HCP is the one who needs their greatest trust.

Szewczyk JA, Świta MS, Szuciak A, Szelc S, Szczekala K. The impact of widespread Internet use on the healthcare professional-patient relationship – a scooping review. Med Og Nauk Zdr. 2024; 30(3): 197–202. doi: 10.26444/monz/193156
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