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J. Barry O'Connor, MD, MS; John F. Johanson, MD, MS

JAMA. 2000;284:1962-1964.

Context  Surveys have shown that 60 million persons in the United States searched for health information online in 1998. However, lack of sampling from a clinic population limits the generalizability of these surveys to clinical practice.

Objectives  To determine gastroenterology patients' access to and use of the Web as a medical information resource, to identify for what information patients search, and to determine how often physicians recommend that patients search the Web.

Design, Setting, and Participants  Cross-sectional survey of 1006 gastroenterology outpatients in Durham, NC, and Rockford, Ill, conducted in August 1999.

Main Outcome Measures  Patient characteristics and education level, access to the Web, use of the Web as a medical information resource, search methods, and plans for future Web use.

Results  A total of 924 patients (92%) completed the questionnaire. Median age was 53 years, 41% were men, and the median education level was having completed some college. Fifty percent (462/924) reported having access to the Web. Of the 462 with access, 235 (51%) had searched the Web for medical information within the previous 12 months. Therefore, 25.5% of all patients surveyed had searched the Web for medical information within the previous year. Sixty percent of patients intended to use the Web as a medical information resource in the future. Only 35 (4%) of 825 had ever been referred to the Web by a physician.

Conclusions  In this clinic setting, more than one quarter of gastroenterology outpatients reported having obtained medical information from the Web within the previous year. More than two thirds of patients stated they would use the Web as a medical information resource in the future.

Author Affiliations: Division of Gastroenterology, Department of Medicine, Duke University Medical Center, Durham, NC (Dr O'Connor); and Rockford Gastroenterology Associates, Rockford, Ill (Dr Johanson).

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