Medical Web Use example

This is an example Medical Web Use survey. This survey includes questions like:

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1) Does your office provide a website for patients?
2) Which of the following does your website provide for patients? (Check all that apply)
  • Physician Directory
  • Patient Education
  • Medical Website Links
  • Frequently Asked Questions
  • Billing Procedures
  • Physician E-mail
  • Contact Information
  • Scheduling Information
  • Other:
3) Do you recommend medical websites to your patients?
4) Please list below the medical websites you have recommended to your patients. Include web addresses (URLs) if possible.
5) Do you recommend specific medical discussion forums to your patients?
6) Do you use the Internet to access medical care or treatment information?
7) What websites do you access for medical care or treatment information?
8) Do you use web-based case studies for continuing education credits?
9) How often do patients discuss with you medical information they have obtained from the Internet?
  • Often
  • Sometimes
  • Rarely
  • Never
10) In what ways has medical information your patients received from the Internet been helpful in treating your patients? (Check all that apply)
  • Not helpful at all
  • Patient is more informed
  • Patient has more partnership in his/her health care
  • Patient is more comfortable speaking with doctor
  • Promotes cooperation between patient and doctor
  • Other:
11) In what ways has medical information your patients received over the Internet been harmful or impeded patient care? (Check all that apply)
  • Not harmful at all
  • Promotes self-diagnosis and treatment
  • Takes away degree of control from physician
  • Creates patient mistrust of physician's decisions
  • Patient misunderstanding of information
  • Inaccurate information
  • Other:
12) Please tell us of any medical websites that you feel are particularly harmful for patients to obtain information from.
13) Are you male or female?
14) What is your age?
15) How long have you been in practice?
16) Do you work in private practice, clinic or medical group, or in a hospital?
  • Private Practice
  • Clinic or Medical Group
  • Hospital
  • Other:
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