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  • Health-related information gathering practices among outpatients
    124-138
    Views:
    47

    Introduction: Obtaining health information is an important part of health behaviour. However, there is limited data available about information gathering habits of patients. Aims: To identify different patient groups according to their information gathering habits.
    Methods: Questionnaire survey among potential patients in an outpatient clinic in Budapest. The survey consisted of the following domains: sociodemographic data; habits of visit a doctor; communications method with a specialist; use of technical devices.
    Results: The survey was completed by 260 patients (36,2% men; 63,8% women). Patients primarily get medical information from their doctors, followed by the internet, where different websites and Facebook groups are the most common sources of information. Mostly they use the internet for checking their symptoms and complaints, however searching for data about their physicians and healthcare institutions are uncommon. Patients who are young, active workers, highly educated are more active, while elderly patients and widows search less information on the internet. Conclusions: There are socio-demographic groups who are underinformed by digital healthcare related issues. Audited websites and social media releases could play an important role in
    the information gathering process of patients, and also supplement patient-doctor relationship.

  • Social media communication in the digital medical space: A #cysticfibrosis és a #Asthma Big Data összehasonlító elemzése
    143-180.
    Views:
    37

    In the environment of 21st century technology, the transformation of information acquisition
    of health care and patients has had an increasing emphasis. Despite the earlier authoritative
    doctor-patient relationship, a need for an equal, cooperation-based communication has emerged
    and there are so many digital healthcare projects to achieve this (Koskova 2015).
    Information acquisition on the internet has allowed patients that based on the increasingly
    available medical information they acquire information about their condition, become part of
    patient communities, ask for second opinions, and become committed helpers of their doctors in
    their disease (Meskó et. al 2017).
    This can be especially true for patients with rare diseases, where a diagnosis might take even
    a decade, the patient needs lifelong condition maintenance and treatment, if it is available. While the proportion of patients with rare diseases is low compared to the whole of society, the number of such patients is approximately 30 million in Europe (EURORDIS), which means patients
    and their relatives need not only a harmonized health care system, but extensive information so
    that they can live with the rare disease with less difficulty.
    The aim of our study was to present the options of information acquisition in the social
    media, focusing on Twitter, via an interdisciplinary and social approach. In this study therefore
    we carried out a Big Data based social media analysis based on #Asthma and #CysticFibrosis
    databases of the Symplur corporation. This study results contain the complete online communication of 7 years (2012-2019) regarding these hashtags. The analysis has few levels including
    semantic research, stakeholder and hashtag review, engagement, and the whole tweet activity
    exploration.

  • Peer support instead of community solidarity among people with psychiatric diagnosis: Examining an online, anonymous self-help website
    10-33
    Views:
    45

    In our research, we examined the first social networking website in Hungary that was specifically and explicitly designed for people with mental health problems and their relatives, or for people interested in the topic. A unique feature is that in 2021, it will still be possible to register anonymously and post comments on the site. Our research explores the life situations of people diagnosed as psychiatrically ill based on the concept of the recovery model, and therefore a central question for us is how an online self-help, peer support group can contribute to the recovery of individuals. In addition, one of the main hypotheses of our research is that community solidarity towards people with a psychiatric diagnosis is very low at different levels of society, and therefore self-help and peer support, also provided by the site we are investigating, may be of particular importance for the people concerned. We assume that they are a group that is highly stigmatised and socially rejected. In the media they are typically either invisible or portrayed as violent, aggressive figures. The Covid19 epidemic situation has led to many people experiencing psychological difficulties because of quarantine or the long-term side effects of the virus itself, which have been thematised in the media, but we believe that the mechanisms of solidarity with those diagnosed as psychiatric patients have not fundamentally changed (see for example the first establishment of psychiatric hospital wards

  • The choice of medical career – What do our field work experiences represent?
    5-21
    Views:
    69

    Background: One of the greatest challenges of the XXI. century is the changing of the medical profession. Beside of the process of deprofessionalism, the demographic and social composition of the medical society have also been altering. More women became medical doctors in recent years. Parallel to these changes, the career motivations of medical students are transforming. Method: 175 first year medical students from the Semmelweis University participated in our study. They wrote about their career motivations based on a fixed set of viewpoints. The narratives were analysed by both quantitative and qualitative (content analysis) methods. Results: The female students are committed to medical profession at younger ages. The most important factors in career choices are altruism and scientific interest for both genders. There is a male dominance in career motivations of experiences, knowledge and benefits. Conclusions: The changing face of career motivations has a significant impact on both the physicians and the patients. This issue opens up possibilities for following research.

  • Themes of medical profession and professional socialization in medical sociology textbooks
    79-97
    Views:
    58

    Introduction: The present study examines the information on the medical profession and how the changes occurring in the medical practice, the social role and the evaluation of the physician are reflected in the English and Hungarian language medical sociology textbooks used in Hungary. Method: We analyzed chapters of Hungarian language medical sociology textbooks of the
    last 25 years that discuss medical profession and student choices, and textbooks used in English language courses of Semmelweis University. Results: The corpus of the Hungarian textbooks (history of medical profession, medical role models, models of doctor-patient relationships, medical socialization) stayed relatively unchanged. While preserving the myth of the medical profession, there are criticisms towards the role and relationship models. The theme of the medical education gradually disappears from the
    English language textbooks. The social positions of the medical profession and health care are discussed in a broader context, focusing on the health care system and health care provision, incorporating the allied professions, and taking aspects of patients/consumers into greater consideration. Summary: Both textbook types reflect on the changes in the social position of the medical profession. However, the English literature approaches the modernization processes from the angles of the health care system and health care provision, resulting in the diminishing importance of the topic of medical profession while the Hungarian literature focuses on the profession and professional education of physicians.

  • A Hidden Stream in Medical Education
    56-78
    Views:
    53

    The general aim of medical education is the same as in the case of any other ones: creating a professional person from a lay one. A special characteristic of this education is a deep rift between the lay and the professional perspective. One of the main trends of this trait is the discrepancy between the open and the hidden curricula. The contents of the hidden curricula, in many cases, cannot support the main messages of the formal one, on the contrary, they provide a different or even contradictory set of norms, values,
    attitudes. One of the main consequences of these discrepancies is that some medical students have been becoming more cynical since their entrance into medical education. The open curricula emphasize empathy, alleviating pain and suffering, the importance of trust and fidelity, and that the well-being of patients is one of the most important priorities. The hidden curricula at the same time emphasize objectivity, detachment, caution, and being suspicious against emotions. One of the outcomes of these eventually contradictory tendencies is that the ’wounded healer’ is not a precondition for becoming a healer, like in archaic times, but a by-product of medical education.