°æÃß Ãß°£ÆÇ Å»ÃâÁõ¿¡ ´ëÇÑ À¥»çÀÌÆ®ÀÇ Á¾·ù ¹× Á¤º¸ÀÇ Áú Æò°¡
Evaluation of the Source and Quality of Information Regarding Cervical Disc Herniation on Websites
È«¿ëö, ±è¿ìÁ¾, ¼ÒÀç¿Ï, ÀåÈñÁØ, ȫâÈ,
¼Ò¼Ó »ó¼¼Á¤º¸
È«¿ëö ( Hong Yong-Cheol ) - Soonchunhyang University Hospital Department of Orthopaedic Surgery
±è¿ìÁ¾ ( Kim Woo-Jong ) - Soonchunhyang University Hospital Department of Orthopaedic Surgery
¼ÒÀç¿Ï ( Soh Jae-Wan ) - Soonchunhyang University Hospital Department of Orthopaedic Surgery
ÀåÈñÁØ ( Chang Hee-June ) - Soonchunhyang University Hospital Department of Orthopaedic Surgery
È«Ã¢È ( Hong Chang-Hwa ) - Soonchunhyang University Hospital Department of Orthopaedic Surgery
Abstract
¿¬±¸ °èȹ: °æÃß Ãß°£ÆÇ Å»ÃâÁõ°ú °ü·ÃµÈ À¥»çÀÌÆ®¿¡ ´ëÇÑ ´Ü¸é Á¶»ç ¿¬±¸¸ñÀû: °æÃß Ãß°£ÆÇ Å»ÃâÁõ¿¡ ´ëÇÑ À¥»çÀÌÆ®ÀÇ Á¾·ù ¹× Á¤º¸ÀÇ Áú°ú Á¤È®µµ¸¦ ü°èÀûÀ¸·Î Æò°¡ÇÏ°í ±× »ó°ü°ü°è¸¦ Á¶»çÇϰíÀÚ ÇÏ¿´´Ù.
¼±Çà ¿¬±¸¹®ÇåÀÇ ¿ä¾à: 2019³â °úÇбâ¼úÁ¤º¸Åë½ÅºÎÀÇ º¸°í¿¡ ÀÇÇÏ¸é ´ëÇѹα¹ ¼ºÀÎÀÇ ¾à 92%°¡ ÀÎÅͳÝÀ» ÀÌ¿ëÇϰí ÀÖÀ» Á¤µµ·Î ÀÎÅÍ³Ý ÀÌ¿ëÀÚ ¼ö¿Í Á¤º¸ÀÇ ¾çÀº ¹æ´ëÇÏ°Ô Áõ°¡ÇÏ¿´À¸³ª, Á¤º¸ÀÇ Áú¿¡ ´ëÇÑ °´°üÀûÀÎ Æò°¡°¡ ÀÌ·ç¾îÁö°í ÀÖÁö ¾ÊÀ¸¸ç °ü·ÃµÈ ¼±Çà ¿¬±¸µµ ºÎÁ·ÇÑ ½ÇÁ¤ÀÌ´Ù.
´ë»ó ¹× ¹æ¹ý: Á¡À¯À² »óÀ§ °Ë»ö¿£Áø 3°³(³×À̹ö, ±¸±Û, ´ÙÀ½)¿¡ ¡°°æÃß Ãß°£ÆÇ Å»ÃâÁõ¡±À» °Ë»ö¾î·Î ÀÔ·ÂÇÏ¿© ¾òÀº °Ë»ö ¿£Áøº° »óÀ§ 50°³, ÃÑ 150°³ÀÇ À¥»çÀÌÆ®¸¦ ¿¬±¸ ´ë»óÀ¸·Î ¼±Á¤ÇÏ¿´À¸¸ç 6°³ ¹üÁÖ(Çмú, ÀÇ·áÀÎ, ºñ ÀÇ·áÀÎ, »ó¾÷, Á¤ºÎ±â°ü, ±âŸ)·Î ºÐ·ùÇÏ¿´´Ù. Á¤º¸ÀÇ Æò°¡¸¦ À§ÇØ °³º° À¥»çÀÌÆ®¿¡ ´ëÇÏ¿© DISCERN Á¡¼ö(DISCERN score), Á¤È®µµ Á¡¼ö(accuracy score), ¿ÏÀü¼º Á¡¼ö(exhaustivity score) ±×¸®°í ¼¼ Á¡¼ö¸¦ ÇÕ»êÇÏ¿© ÃÑ Á¡¼ö(total summary score)¸¦ ±¸ÇÑ ÈÄ, À¥»çÀÌÆ® À¯Çüº° Á¡¼öÀÇ Â÷À̸¦ ºÐ¼®ÇÏ¿´´Ù.
°á°ú: ÃÑ 150°³ÀÇ À¥»çÀÌÆ®¿¡¼ Áߺ¹À» Á¦¿ÜÇÑ 83°³ÀÇ °íÀ¯ÇÑ À¥»çÀÌÆ®°¡ ½Äº°µÇ¾úÀ¸¸ç, À¯Çüº°·Î´Â ºñ ÀÇ·áÀÎ »çÀÌÆ®°¡ 34.9%·Î °¡Àå ¸¹¾Ò°í ÀÇ·áÀÎ(27.7%), »ó¾÷(13.3%), ±âŸ(10.8%), Çмú(9.6%) ¹× Á¤ºÎ±â°ü(3.6%) »çÀÌÆ® ¼øÀ¸·Î ³ªÅ¸³µ´Ù. ÃÑ Á¡¼ö´Â Çмú »çÀÌÆ®¿Í Á¤ºÎ±â°ü »çÀÌÆ®°¡ °¢°¢ 16.1Á¡, 15.3Á¡À¸·Î °¡Àå ³ô¾ÒÀ¸¸ç, ´Ù¸¥ À¯ÇüÀÇ »çÀÌÆ®¿Í Åë°èÀûÀ¸·Î À¯ÀǹÌÇÑ Â÷À̸¦ º¸¿´´Ù(p-value 0.03).
°á·Ð: °æÃß Ãß°£ÆÇ Å»ÃâÁõ¿¡ ´ëÇÑ À¥»çÀÌÆ®ÀÇ Á¤º¸´Â Æò±ÕÀûÀ¸·Î Á¦ÇÑÀûÀÎ ¼öÁØ¿¡ ¸Ó¹°·¯ ÀÖÀ¸¸ç, ȯÀÚµéÀÌ ¼öÁØ ³ôÀº ÀÇ·á Á¤º¸ Á¦°øÀ» ¹ÞÀ» ¼ö Àִ ȯ°æÀ» À§ÇÑ Á¦µµÀû °³¼± ³ë·ÂÀÌ ÇÊ¿äÇϸç ÀÇ»ç ´Üü°¡ ÁßÃßÀûÀÎ ¿ªÇÒÀ» ¼öÇàÇØ¾ß ÇÑ´Ù.
Study Design: In this original study, a cross-sectional analysis was performed to evaluate websites with information on cervical disc herniation.
Objectiv
es: The purpose of this study was to assess the source and quality of information regarding cervical disc herniation available to patients on websites.
Summary of Literature Review: Studies have shown that 92% of the Korean population regularly accesses and searches for medical information on websites. While a large amount of information exists on websites, there is a possibility that patients will be misled due to inaccurate information because there are no established criteria for qualitative evaluation. In addition, little research has been conducted on websites that provide information about cervical disc herniation.
Materials and Methods: The search term ¡®¡®cervical disc herniation¡¯¡¯ was entered into the three most popular search engines in Korea (Naver, Daum, and Google). The first 50 websites displayed by each engine were selected for inclusion in this study and were categorized as academic, commercial, physician, non-physician, government organization, and unspecified. Information was assessed in terms of DISCERN, accuracy, and exhaustivity scores, and a total summary score was calculated for each website.
Results: Among the theoretical total of 150 websites, 83 unique and relevant websites were identified. The distribution by source was as follows: non-physician, 34.9%; physician, 27.7%; commercial, 13.3%; unspecified, 10.8%; academic, 9.6%; and government, 3.6%.
Academic and government websites obtained the highest total summary scores, with statistical significance when compared to other types (p=0.03).
Conclusions: Website information on cervical disc herniation is generally limited. Institutional improvement efforts are needed to foster an environment where patients can receive high-quality medical information, and physician groups should play a central role in this process.
Ű¿öµå
°æÃß Ãß°£ÆÇ Å»ÃâÁõ; ÀÎÅÍ³Ý ÀÇ·á Á¤º¸; Á¤º¸ÀÇ ÁúÀû Æò°¡
Cervical disc herniation; Internet health information; Quality of information
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸