scholarly journals Contexto Atitudinal dos Docentes de Um Curso de Medicina Envolvendo o Tema Relação Médico Paciente

2020 ◽  
Vol 21 (1) ◽  
pp. 28-33
Author(s):  
Beatriz Do Amaral Rezende Bento ◽  
Tânia Gisela Biberg-Salum ◽  
Mirella Ferreira da Cunha Santos ◽  
Rosilene Canavarros Monteiro
Keyword(s):  
Cross Sectional Study ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Centered Care ◽  
Orientation Scale ◽  
Mato Grosso Do Sul ◽  
De Medicina

Este estudo foi conduzido junto aos professores de um curso médico que adota a metodologia de Aprendizagem Baseada em Problemas, em uma universidade pública, com o objetivo de avaliar os aspectos atitudinais no contexto da relação médico-paciente. Trata-se de um estudo do tipo observacional, descritivo-exploratório, transversal, realizado na cidade de Campo Grande- MS, na Universidade Estadual de Mato Grosso do Sul (UEMS). O instrumento utilizado para a avaliação da atitude dos professores a respeito da relação médico-paciente foi a escala PPOS (Patient-practitioner Orientation Scale), também foi utilizado um questionário sociodemográfico. Os docentes foram divididos em 3 grupos, de acordo com a média obtida das 18 questões da escala PPOS.  O primeiro, representado por uma média inferior a 4,57 define o grupo com atitudes centradas no médico, o segundo com valores que variam de 4,57 a 5,00 representa o grupo com atitudes relativamente centradas no paciente e o terceiro, com médias superiores a 5,00 estabelece o grupo com atitudes totalmente centradas no paciente. Quando se analisam os números obtidos, percebe-se que ainda há uma parcela de professores que possuem atitudes centradas nos médicos. Ainda há muito para ser feito no sentido de permitir ao paciente passar de objeto a sujeito na prática médica, e isto demanda mudanças significativas na maneira de se ensinar e praticar a medicina. Conclui-se que este estudo tem algumas limitações, uma delas é a amostra reduzida, outra limitação se refere ao uso da escala traduzida, o que pode ter interferido com algumas respostas, gerando uma interpretação errada.   Palavras-chave: Educação Médica. Docentes de Medicina. Relação Médico-Paciente. Assistência Centrada no Paciente.   Abstract This study was conducted with the professors of a medical course that adopts the Problem-Based Learning methodology, in a public university, with the objective of evaluating the attitudinal aspects in the context of the doctor-patient relationship. This is an observational descriptive-exploratory, cross-sectional study, carried out in the city of Campo Grande-MS, at the Universidade Estadual Mato Grosso do Sul (UEMS). The instrument used to evaluate the teachers' attitude towards the doctor-patient relationship was the PPOS scale (Patient-practitioner Orientation. Scale), a sociodemographic questionnaire was also used. The teachers were divided into 3 groups, according to the average obtained from the 18 questions on the PPOS scale. The first represented by an average of less than 4.57 defines the group with attitudes centered on the doctor, the second with values ranging from 4.57 to 5.00 represents the group with attitudes relatively centered on the patient and the third, with averages greater than 5.00 establishes the group with attitudes totally centered on the patient. When analyzing the numbers obtained, it is clear that there is still a portion of teachers who have attitudes centered on doctors. There is still much to be done in order to allow the patient to move from object to subject in medical practice, and this requires significant changes in the way of teaching and practicing medicine. It is concluded that this study has some limitations, one of which is the reduced sample, another limitation refers to the use of the translated scale, which may have interfered with some responses, generating a wrong interpretation.   Keywords: Education, Medical. Faculty, Medical. Physician-Patient Relation. Patient-Centered Care.  

scholarly journals Attitudes of medical students in Pakistan toward the doctor-patient relationship

2014 ◽  
Author(s):  
Waqas Ahmad ◽  
Edward Krupat ◽  
Yumna Asmaa ◽  
Noor-E- Fatima ◽  
Rayan Attique ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care ◽  
Academic Year

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

scholarly journals Attitudes of medical students in Pakistan toward the doctor-patient relationship

2014 ◽  
Author(s):  
Waqas Ahmad ◽  
Edward Krupat ◽  
Yumna Asmaa ◽  
Noor-E- Fatima ◽  
Rayan Attique ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care ◽  
Academic Year

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

scholarly journals Manifestations of the flu syndrome in medical students during the COVID-19 pandemic.

2020 ◽  
Vol 22 (4) ◽  
pp. 289-294
Author(s):  
Tânia Gisela Biberg-Salum ◽  
José Luis Quelho Filho ◽  
Gabriela Freitas Sorrilha ◽  
Pietro Delgado Rezende ◽  
Eduarda Oliveira Celeri ◽  
...  
Keyword(s):  
Medical Students ◽  
Cross Sectional Study ◽  
Ministry Of Education ◽  
Disease Notification ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Runny Nose ◽  
Academic Activities ◽  
Mato Grosso Do Sul ◽  
De Medicina

Abstract Infection caused by the new Coronavirus (SARS-COV-2) causes a variable clinical picture. Due to its high transmissibility, Covid-19 was declared a pandemic. In view of this, in Brazil, the Ministry of Education (MEC) published an ordinance that temporarily suspended face-to-face activities at Higher Education Institutions (HEIs). Despite this and other measures, the number of cases and deaths in Brazil has, so far, increased exponentially, a fact that impacts the health and educational authorities, due to the exceptionality imposed on the development of teaching activities. In view of this context, the present study aimed to measure the frequency of the Flu Syndrome in medical students from Mato Grosso do Sul during the Covid-19 pandemic period, in order to propose resolutions for conducting academic activities. A descriptive, observational and cross-sectional study carried out among students enrolled in medical courses in the state of Mato Grosso do Sul. The data were obtained through a semi-structured questionnaire, online and based on the Google Forms platform. Descriptive results were prepared automatically, from the platform itself. Result: 371 responses were computed. Approximately 50% had flu-like symptoms, the most common of which were runny nose, nasal obstruction and cough. Among the diagnoses reported, the most described was rhinosinusitis, with 7 participants presenting Covid-19. It was possible to measure the condition of flu-like syndrome among medical students in this state, seeking to provide support and possible basis for decision-making by the coordinators of medical courses in Mato Grosso do Sul regarding the referral of academic activities. Keywords: Coronavirus; SARS-CoV-2; Students, Medical; Disease Notification; Prevalence. Resumo A infecção causada pelo novo Coronavírus (SARS-COV-2) causa quadro clínico variável. Devido à sua alta transmissibilidade, decretou-se estado de pandemia pela Covid-19. Diante disto, no Brasil, o Ministério da Educação (MEC) publicou portaria que suspendeu, temporariamente, as atividades presenciais nas Instituições de Ensino Superior (IES). Apesar desta e de outras medidas, o número de casos e óbitos no Brasil continua, até o momento, aumentando de forma exponencial, fato que impacta as autoridades sanitárias e educacionais, pela excepcionalidade imposta no desenvolvimento das atividades de ensino. Em face deste contexto, o presente trabalho teve como objetivo mensurar a frequência da Síndrome Gripal em acadêmicos de medicina do Mato Grosso do Sul durante o período da pandemia da Covid-19, para assim, propor resoluções para condução das atividades acadêmicas. Um estudo descritivo, observacional e transversal, realizado entre estudantes matriculados nos cursos de medicina do estado de Mato Grosso do Sul. Os dados foram obtidos por questionário semiestruturado, online e assentado na plataforma Google Forms. Os resultados descritivos foram elaborados automaticamente, a partir da própria plataforma. Computou-se 371 respostas. Aproximadamente 50% apresentaram algum sintoma gripal, sendo os mais comuns: coriza, obstrução nasal e tosse. Entre os diagnósticos informados, o mais descrito foi rinossinusite, sendo que 7 participantes apresentaram Covid-19. Foi possível mensurar o quadro de síndrome gripal, entre estudantes de medicina neste estado, buscando proporcionar apoio e eventual embasamento para a tomada de decisões das coordenações dos cursos de medicina do Mato Grosso do Sul quanto aos encaminhamentos das atividades acadêmicas. Palavras-chave: Coronavirus; SARS-CoV-2; Estudantes de medicina; Notificação de Doenças; Prevalência.

PRELIMINARY ASSESSMENT OF GPS' KNOWLEDGE AND ATTITUDE ABOUT PERSON CENTRED CARE

2018 ◽  
Vol 28 (2) ◽  
pp. 567-570
Author(s):  
Radost Assenova ◽  
Levena Kireva ◽  
Gergana Foreva
Keyword(s):  
General Practice ◽  
Patient Empowerment ◽  
Patient Relationship ◽  
Preliminary Assessment ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Term Care ◽  
Family Doctors ◽  
Person Centered Care ◽  
Centered Care

Introduction: The European definition of WONCA of general practice introduces the determinant elements of person-centered care regarding four important, interrelated characteristics: continuity of care, patient "empowerment", patient-centred approach, and doctor-patient relationship. The application of person-centred care in general practice refers to the GP's ability to master the patient-centered approach when working with patients and their problems in the respective context; use the general practice consultation to develop an effective doctor–patient relationship, with respect to patient’s autonomy; communicate, set priorities and establish a partnership when solving health problems; provide long-lasting care tailored to the needs of the patient and coordinate overall patient care. This means that GPs are expected to develop their knowledge and skills to use this key competence. Aim: The aim of this study is to make a preliminary assessment of the knowledge and attitudes of general practitioners regarding person-centered care. Material and methods: The opinion of 54 GPs was investigated through an original questionnaire, including closed questions, with more than one answer. The study involved each GP who has agreed to take part in organised training in person-centered care. The results were processed through the SPSS 17.0 version using descriptive statistics. Results: The distribution of respondents according to their sex is predominantly female - 34 (62.9%). It was found that GPs investigated by us highly appreciate the patient's ability to take responsibility, noting that it is important for them to communicate and establish a partnership with the patient - 37 (68.5%). One third of the respondents 34 (62.9%) stated the need to use the GP consultation to establish an effective doctor-patient relationship. The adoption of the patient-centered approach at work is important to 24 (44.4%) GPs. Provision of long-term care has been considered by 19 (35,2%). From the possible benefits of implementing person-centered care, GPs have indicated achieving more effective health outcomes in the first place - 46 (85.2%). Conclusion: Family doctors are aware of the elements of person-centered care, but in order to validate and fully implement this competence model, targeted GP training is required.

scholarly journals Aspectos clínicos e epidemiológicos relacionados ao transplante de córneas

2019 ◽  
Vol 13 ◽  
Author(s):  
Mayk Penze Cardoso ◽  
Marcos Antonio Ferreira Júnior ◽  
Elenilda De Andrade Pereira Gonçalves ◽  
Vanessa Giavarotti Taboza Flores ◽  
Élen Ferraz Teston ◽  
...  
Keyword(s):  
Health Services ◽  
Corneal Transplantation ◽  
Epidemiological Data ◽  
Distribution Patterns ◽  
Cross Sectional Study ◽  
The State ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Eye Banks ◽  
Mato Grosso Do Sul

RESUMOObjetivo: caracterizar epidemiologicamente os transplantes de córneas realizados no estado de Mato Grosso do Sul. Método: trata-se de estudo quantitativo, epidemiológico, de desenho transversal. Compor-se-á a amostra de estudo de forma censitária por todos os pacientes em fila de espera, os submetidos ao transplante de córneas e os doadores desse tipo de tecido no Estado de Mato Grosso do Sul. Realizar-se-á a coleta de dados por meio de três instrumentos elaborados para cada população distinta, com as variáveis de dados clínicos e epidemiológicos. Estabelecer-se-ão estatisticamente os padrões de distribuição e as frequências, bem como as medidas de tendência central, além da análise multivariada com aplicação de medidas de magnitude de efeito e associação, de acordo com a natureza de cada variável, a serem apresentados em forma de gráficos e tabelas. Resultados esperados: espera-se identificar as dificuldades encontradas no sistema estadual de transplante de córneas com foco no desenvolvimento de conceitos técnicos, de planejamento e organização do atendimento aos usuários em fila de espera, doadores e transplantados. Descritores: Transplante de Córnea; Doenças da Córnea; Retalhos de Tecido Biológico; Epidemiologia; Serviços de Saúde; Bancos de Olhos.ABSTRACTObjective: to make the clinical and epidemiological characterization of corneal transplants performed in the state of Mato Grosso do Sul. Method: this is a quantitative, epidemiological, cross-sectional study. A sample of the study will be collected in a census form for all patients in queue, those submitted to corneal transplantation and donors of this type of tissue in the State of Mato Grosso do Sul. Data collection will be performed by means of three instruments elaborated for each distinct population, with the variables of clinical and epidemiological data. Distribution patterns and frequencies as well as measures of central tendency will be statistically established, as well as multivariate analysis with application of magnitude of effect and association, according to the nature of each variable, to be presented in charts and tables. Expected results: it is hoped to identify the difficulties found in the state transplant system of corneal aimed at the development of technical concepts, planning and organization of care for waiting users, donors and transplanted patients. Keywords: Corneal Transplantation; Corneal Diseases; Biological Tissue Patchwork; Epidemiology; Health services; Eye Banks. Descriptors: Corneal Transplantation; Corneal Diseases; Free Tissue Flaps; Epidemiology; Health Services; Eye Banks.RESUMENObjetivo: caracterizar epidemiológicamente los trasplantes de córneas hechos en el estado de Mato Grosso do Sul. Método: trata-se de un estudio cuantitativo, epidemiológico, de diseño transversal. La muestra de estudio se compondrá de forma censal por todos los pacientes en cola de espera, los sometidos al trasplante de córneas y los donantes de ese tipo de tejido en el Estado de Mato Grosso do Sul. Se realizará la recolección de datos mediante tres instrumentos preparados para cada población distinta, con las variables de datos clínicos y epidemiológicos. Se establecerán estadísticamente los patrones de distribución y las frecuencias, así como las medidas de tendencia central, además del análisis multivariado con aplicación de medidas de magnitud de efecto y asociación, de acuerdo con la naturaleza de cada variable, que deberán presentarse en forma de gráficos y tablas. Resultados esperados: se espera identificar las dificultades encontradas en el sistema estatal de trasplante de córneas mirando el desarrollo de conceptos técnicos, de planificación y organización de la atención a los usuarios en cola de espera, los donantes y los trasplantados. Descriptores: Trasplante de Córnea; Enfermedades de Córnea; Colgajos Tisulares Libres; Epidemiología; Servicios de Salud; Bancos de Ojos.

scholarly journals Do Physicians’ Attitudes towards Patient-Centered Communication Promote Physicians’ Intention and Behavior of Involving Patients in Medical Decisions?

2020 ◽  
Vol 17 (17) ◽  
pp. 6393 ◽  
Author(s):  
Dan Wang ◽  
Chenxi Liu ◽  
Xinping Zhang
Keyword(s):  
Patient Involvement ◽  
Subscale Score ◽  
Cross Sectional Study ◽  
Patient Centered ◽  
Medical Decisions ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Orientation Scale ◽  
And Behavior ◽  
Patient Relationships

Promoting patient-centered communication among physicians is one core strategy for improving physician–patient relationships and patient outcomes. Our study aims to understand the physicians’ attitudes towards patient-centered communication and its effects on physicians’ intention and behavior of involving patients in medical decisions in primary care in China. One cross-sectional study was conducted in primary facilities in Hubei province, China, from December 2019 to January 2020, where physicians’ attitudes towards patient-centered communication were measured by the Chinese-revised patient–practitioner orientation scale. Multilevel ordinal logistic regression was conducted for estimating the effects of physicians’ attitudes on their intention and behavior of patient involvement in medical decisions. Six hundred and seventeen physicians were investigated for the main study. Physicians had a medium score of patient-centered communication (3.78, SD = 0.56), with relatively high caring subscale score (4.59, SD = 0.64), and low sharing subscale score (3.09, SD = 0.75). After controlling physicians’ covariates, physicians’ attitudes towards patient-centered communication was significantly associated with a higher intention of involving patients in medical decisions (OR > 1, p = 0.020). Physicians’ positive attitudes towards patient-centered communication affected their intention of involving patients in medical decisions, which implies the importance of taking the physicians’ attitudes into account for the accomplishment of patient involvement processes.

scholarly journals Formação de cuidadores de idosos institucionalizados

2019 ◽  
Vol 13 (5) ◽  
pp. 1216
Author(s):  
Vitor Emanuel Sousa da Silva ◽  
Kaiza Vilarinho da Luz ◽  
Dalton Kaynnan de Prado Costa ◽  
André Ricardo Ferreira da Silva Rocha ◽  
Rosângela Nunes Almeida ◽  
...  
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Care Education ◽  
Patient Centered ◽  
Cross Sectional ◽  
Calidad De Vida ◽  
Caregiver Quality ◽  
Centered Care ◽  
Qualitative Descriptive ◽  
Elderly Caregivers

RESUMOObjetivo: analisar a formação dos cuidadores de idosos institucionalizados. Método: trata-se de um estudo qualitativo, descritivo e transversal. Realizou-se com dez cuidadores de instituição de longa permanência (ILP), utilizando-se um instrumento semiestruturado. Submeteram-se os dados coletados à Análise de Discurso. Resultados: registra-se que predominaram as cuidadoras do gênero feminino, casadas, com idade média de 42 anos, e que o período médio de atuação na área foi de 7,1 anos. Sabe-se que 90% tinham formação em cuidador de idoso e elencaram, como dificuldades, colocar a fralda, dar banho, a comunicação e as estratégias para interagir com a teimosia dos idosos, bem como as demandas dos idosos e a sobrecarga de peso e de trabalho. Conclusão: concluiu-se que há a necessidade de se qualificar bem e atualizar a formação do cuidador profissional para que este possa executar a sua práxis com segurança, efetividade, eficiência e atenção centrada no paciente. Descritores: Saúde do Idoso; Cuidador; Qualidade de Vida; Atenção Primária à Saúde; Educação; Ensino.ABSTRACT Objective: to analyze the training of institutionalized elderly caregivers. Method: this is a qualitative, descriptive and cross-sectional study. It was carried out with ten caregivers of long-term institution (LTI), using a semi-structured instrument. The collected data were submitted to Speech Analysis. Results: it is recorded that the female carers, married, with a mean age of 42 years, predominated, and that the average period of performance in the area was 7.1 years. It is known that 90% had training in elderly caregivers and listed, as difficulties, putting diapers, bathing, communication and strategies to interact with the stubbornness of the elderly, as well as the demands of the elderly and the overload of weight and of work. Conclusion: it was concluded that there is a need to qualify well and update the training of the professional caregiver so that they can perform their praxis with safety, effectiveness, efficiency and patient-centered care. Descriptors: Elderly Health; Caregiver; Quality of life; Primary Health Care; Education; Teaching.RESUMEN Objetivo: analizar la formación de los cuidadores de ancianos institucionalizados. Método: se trata de un estudio cualitativo, descriptivo y transversal. Se realizó con diez cuidadores de institución de larga permanencia (ILP), utilizando un instrumento semiestructurado. Se sometieron los datos recogidos al Análisis de Discurso. Resultados: se registra que predominaron las cuidadoras del género femenino, casadas, con edad promedio de 42 años, y que el período promedio de actuación en el área fue de 7,1 años. Se sabe que el 90% tenía formación en cuidador de anciano y enumeró, como dificultades, colocar el pañal, bañar, la comunicación y las estrategias para interactuar con la terquedad de los ancianos, así como las demandas de los ancianos y la sobrecarga de peso y de trabajo. Conclusión: se concluyó que hay la necesidad de calificar bien y actualizar la formación del cuidador profesional para que éste pueda ejecutar su praxis con seguridad, efectividad, eficiencia y atención centrada en el paciente. Descritores: Salud del Anciano; Cuidadores; Calidad de Vida; Atención Primaria de Salud; Educación; Enseñanza.

scholarly journals Is doctor-patient relationship influenced by health online information?

2018 ◽  
Vol 64 (8) ◽  
pp. 692-699 ◽  
Author(s):  
Luciana Rodrigues Alves da Mota ◽  
Carolina Cavalcanti Gonçalves Ferreira ◽  
Henrique Augusto Alves da Costa Neto ◽  
Ana Rodrigues Falbo ◽  
Suélem de Barros Lorena
Keyword(s):  
Health Information ◽  
Cross Sectional Study ◽  
The Internet ◽  
Online Health Information ◽  
Online Information ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Doctor Patient Relationship ◽  
Cross Sectional ◽  
Positive Effects

SUMMARY OBJECTIVES To analyse the opinions and attitudes reported by medical specialists regarding online health information and their interference in the doctor-patient relationship. Methods A cross-sectional study developed between 2016 and 2017 in Recife-Pernambuco-Brazil, which used a questionnaire in person in a population of 183 specialists from the Instituto de Medicina Integral Prof. Fernando Figueira. The results were analysed through the Statistical Package for the Social Sciences. Obtained approval of the Ethics Committee under the voucher number 121004/2016. Results In the opinion of 85.2% of physicians, online health information has both positive and negative impacts on the physician-patient relationship. Faced with a questioning patient who claims to have researched information on the internet, 98.9% of the physicians said they would try to explain the reasons for their diagnosis and treatment. 59% already had a patient who modified the treatment recommended after seeing health information on the Internet. 73.8% agreed that online health information has positive effects for the general public, but 89.1% feel that most patients do not know which online health information is reliable CONCLUSION The physicians surveyed view online health information in a positive way, but realize that it is necessary to be cautious as to their repercussions on the treatment of patients. There is concern about the accuracy of online health information, and it is incumbent upon the physician and health institutions to instruct patients about the sources of quality and that they are able to understand, as its known the patients have an active voice through the guarantee of the ethical principle of autonomy.

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