Internet Health Information Seeking and the Patient-Physician Relationship: A Systematic Review
With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients' Internet health information-seeking behavior on their relationship with physicians. Therefore, it is pertinent to understand the influence of online health inform...
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| Published in: | Journal of medical Internet research Vol. 19; no. 1; p. e9 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Canada
Journal of Medical Internet Research
01.01.2017
Gunther Eysenbach MD MPH, Associate Professor JMIR Publications |
| Subjects: | |
| ISSN: | 1438-8871, 1439-4456, 1438-8871 |
| Online Access: | Get full text |
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| Abstract | With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients' Internet health information-seeking behavior on their relationship with physicians. Therefore, it is pertinent to understand the influence of online health information on the patient-physician relationship.
Our objective was to systematically review existing research on patients' Internet health information seeking and its influence on the patient-physician relationship.
We systematically searched PubMed and key medical informatics, information systems, and communication science journals covering the period of 2000 to 2015. Empirical articles that were in English were included. We analyzed the content covering themes in 2 broad categories: factors affecting patients' discussion of online findings during consultations and implications for the patient-physician relationship.
We identified 18 articles that met the inclusion criteria and the quality requirement for the review. The articles revealed barriers, facilitators, and demographic factors that influence patients' disclosure of online health information during consultations and the different mechanisms patients use to reveal these findings. Our review also showed the mechanisms in which online information could influence patients' relationship with their physicians.
Results of this review contribute to the understanding of the patient-physician relationship of Internet-informed patients. Our main findings show that Internet health information seeking can improve the patient-physician relationship depending on whether the patient discusses the information with the physician and on their prior relationship. As patients have better access to health information through the Internet and expect to be more engaged in health decision making, traditional models of the patient-provider relationship and communication strategies must be revisited to adapt to this changing demographic. |
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| AbstractList | Background With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients’ Internet health information-seeking behavior on their relationship with physicians. Therefore, it is pertinent to understand the influence of online health information on the patient-physician relationship. Objective Our objective was to systematically review existing research on patients’ Internet health information seeking and its influence on the patient-physician relationship. Methods We systematically searched PubMed and key medical informatics, information systems, and communication science journals covering the period of 2000 to 2015. Empirical articles that were in English were included. We analyzed the content covering themes in 2 broad categories: factors affecting patients’ discussion of online findings during consultations and implications for the patient-physician relationship. Results We identified 18 articles that met the inclusion criteria and the quality requirement for the review. The articles revealed barriers, facilitators, and demographic factors that influence patients’ disclosure of online health information during consultations and the different mechanisms patients use to reveal these findings. Our review also showed the mechanisms in which online information could influence patients’ relationship with their physicians. Conclusions Results of this review contribute to the understanding of the patient-physician relationship of Internet-informed patients. Our main findings show that Internet health information seeking can improve the patient-physician relationship depending on whether the patient discusses the information with the physician and on their prior relationship. As patients have better access to health information through the Internet and expect to be more engaged in health decision making, traditional models of the patient-provider relationship and communication strategies must be revisited to adapt to this changing demographic. BACKGROUNDWith online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients' Internet health information-seeking behavior on their relationship with physicians. Therefore, it is pertinent to understand the influence of online health information on the patient-physician relationship.OBJECTIVEOur objective was to systematically review existing research on patients' Internet health information seeking and its influence on the patient-physician relationship.METHODSWe systematically searched PubMed and key medical informatics, information systems, and communication science journals covering the period of 2000 to 2015. Empirical articles that were in English were included. We analyzed the content covering themes in 2 broad categories: factors affecting patients' discussion of online findings during consultations and implications for the patient-physician relationship.RESULTSWe identified 18 articles that met the inclusion criteria and the quality requirement for the review. The articles revealed barriers, facilitators, and demographic factors that influence patients' disclosure of online health information during consultations and the different mechanisms patients use to reveal these findings. Our review also showed the mechanisms in which online information could influence patients' relationship with their physicians.CONCLUSIONSResults of this review contribute to the understanding of the patient-physician relationship of Internet-informed patients. Our main findings show that Internet health information seeking can improve the patient-physician relationship depending on whether the patient discusses the information with the physician and on their prior relationship. As patients have better access to health information through the Internet and expect to be more engaged in health decision making, traditional models of the patient-provider relationship and communication strategies must be revisited to adapt to this changing demographic. With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients’ Internet health information-seeking behavior on their relationship with physicians. Therefore, it is pertinent to understand the influence of online health information on the patient-physician relationship. Our objective was to systematically review existing research on patients’ Internet health information seeking and its influence on the patient-physician relationship. We systematically searched PubMed and key medical informatics, information systems, and communication science journals covering the period of 2000 to 2015. Empirical articles that were in English were included. We analyzed the content covering themes in 2 broad categories: factors affecting patients’ discussion of online findings during consultations and implications for the patient-physician relationship. We identified 18 articles that met the inclusion criteria and the quality requirement for the review. The articles revealed barriers, facilitators, and demographic factors that influence patients’ disclosure of online health information during consultations and the different mechanisms patients use to reveal these findings. Our review also showed the mechanisms in which online information could influence patients’ relationship with their physicians. With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients' Internet health information-seeking behavior on their relationship with physicians. Therefore, it is pertinent to understand the influence of online health information on the patient-physician relationship. Our objective was to systematically review existing research on patients' Internet health information seeking and its influence on the patient-physician relationship. We systematically searched PubMed and key medical informatics, information systems, and communication science journals covering the period of 2000 to 2015. Empirical articles that were in English were included. We analyzed the content covering themes in 2 broad categories: factors affecting patients' discussion of online findings during consultations and implications for the patient-physician relationship. We identified 18 articles that met the inclusion criteria and the quality requirement for the review. The articles revealed barriers, facilitators, and demographic factors that influence patients' disclosure of online health information during consultations and the different mechanisms patients use to reveal these findings. Our review also showed the mechanisms in which online information could influence patients' relationship with their physicians. Results of this review contribute to the understanding of the patient-physician relationship of Internet-informed patients. Our main findings show that Internet health information seeking can improve the patient-physician relationship depending on whether the patient discusses the information with the physician and on their prior relationship. As patients have better access to health information through the Internet and expect to be more engaged in health decision making, traditional models of the patient-provider relationship and communication strategies must be revisited to adapt to this changing demographic. |
| Audience | Academic |
| Author | Goonawardene, Nadee Tan, Sharon Swee-Lin |
| AuthorAffiliation | 2 SMU -TCS iCity lab Singapore Management University Singapore Singapore 1 Center for Health Informatics Department of Information Systems National University of Singapore Singapore Singapore |
| AuthorAffiliation_xml | – name: 2 SMU -TCS iCity lab Singapore Management University Singapore Singapore – name: 1 Center for Health Informatics Department of Information Systems National University of Singapore Singapore Singapore |
| Author_xml | – sequence: 1 givenname: Sharon Swee-Lin orcidid: 0000-0001-5164-2749 surname: Tan fullname: Tan, Sharon Swee-Lin – sequence: 2 givenname: Nadee orcidid: 0000-0001-8195-0822 surname: Goonawardene fullname: Goonawardene, Nadee |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28104579$$D View this record in MEDLINE/PubMed |
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| Copyright | Sharon Swee-Lin Tan, Nadee Goonawardene. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 19.01.2017. COPYRIGHT 2017 Journal of Medical Internet Research 2017. This work is licensed under http://creativecommons.org/licenses/by/2.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Sharon Swee-Lin Tan, Nadee Goonawardene. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 19.01.2017. 2017 |
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| Keywords | Internet health information physician-patient relations information seeking |
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| License | Sharon Swee-Lin Tan, Nadee Goonawardene. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 19.01.2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
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| References | ref13 ref35 ref12 ref34 ref15 ref37 ref30 ref11 ref33 ref32 ref2 ref1 ref17 ref19 ref18 Berland, GK (ref10) 2001; 285 Davids, EL (ref22) 2014; 20 Bessell, TL (ref16) 2003; 12 ref24 ref23 Russ, H (ref31) 2011; 13 ref26 ref25 ref20 ref42 ref21 Helft, PR (ref14) 2003; 21 Lin, K (ref36) 1997; 3 ref28 ref27 ref29 ref8 ref7 ref9 ref4 ref3 ref6 ref5 ref40 Roter, D (ref39) 2000; 39 Powell, JA (ref38) 2003; 96 Emanuel, EJ (ref41) 1992; 267 |
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| Snippet | With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients' Internet health... With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients’ Internet health... Background With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients’ Internet health... Background: With online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients’ Internet... BACKGROUNDWith online health information becoming increasingly popular among patients, concerns have been raised about the impact of patients' Internet health... |
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| SubjectTerms | Analysis Communication Communication strategies Consumer health information Decision analysis Decision making Demography Discourse strategies Evaluation Health Health Behavior Health informatics Health information Humans Information Information Seeking Behavior Information services Information sources Information systems Information technology Internet Medical decision making Medical informatics Medical research Medicine, Experimental Online information services Online services Patient education Patient satisfaction Patients Physician patient relationships Physician-Patient Relations Physicians Practitioner patient relationship Research methodology Review Systematic review Websites |
| Title | Internet Health Information Seeking and the Patient-Physician Relationship: A Systematic Review |
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