Internet Health Information Seeking and the Patient-Physician Relationship: A Systematic Review

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.

[1]  R. Kravitz,et al.  Health information on the Internet: accessibility, quality, and readability in English and Spanish. , 2001, JAMA.

[2]  Khalid M. AlGhamdi,et al.  Internet use by the public to search for health-related information , 2012, Int. J. Medical Informatics.

[3]  C. Dube,et al.  Untangling the Web--the impact of Internet use on health care and the physician-patient relationship. , 2007, Patient education and counseling.

[4]  G. Maudsley,et al.  Patients bringing information to primary care consultations: a cross-sectional (questionnaire) study of doctors' and nurses' views of its impact. , 2008, Journal of evaluation in clinical practice.

[5]  Michelle Pannor Silver,et al.  Patient Perspectives on Online Health Information and Communication With Doctors: A Qualitative Study of Patients 50 Years Old and Over , 2015, Journal of medical Internet research.

[6]  S. Wyatt,et al.  The Role of the Internet in Patient-Practitioner Relationships: Findings from a Qualitative Research Study , 2004, Journal of medical Internet research.

[7]  G. Eysenbach.  Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness , 2008, Journal of medical Internet research.

[8]  Rossella Zucco,et al.  Parents Seeking Health-Related Information on the Internet: Cross-Sectional Study , 2013, Journal of medical Internet research.

[9]  E. Murray,et al.  The impact of health information on the internet on the physician-patient relationship: patient perceptions. , 2003, Archives of internal medicine.

[10]  M. McMullan.  Patients using the Internet to obtain health information: how this affects the patient-health professional relationship. , 2006, Patient education and counseling.

[11]  Zhu Jialiang,et al.  Association of Obesity With COVID-19 Severity and Mortality: An Updated Systemic Review, Meta-Analysis, and Meta-Regression , 2022, Frontiers in Endocrinology.

[12]  Bo Xie,et al.  Older Adults' Health Information Wants in the Internet Age: Implications for Patient–Provider Relationships , 2009, Journal of health communication.

[13]  L. Sansom,et al.  Surfing, self-medicating and safety: buying non-prescription and complementary medicines via the internet , 2003, Quality & safety in health care.

[14]  Thomas Abel,et al.  Internet information and medical consultations: experiences from patients' and physicians' perspectives. , 2009, Patient education and counseling.

[15]  C. Daugherty,et al.  American oncologists' views of internet use by cancer patients: a mail survey of American Society of Clinical Oncology members. , 2003, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[16]  D. Roter.  The enduring and evolving nature of the patient-physician relationship. , 2000, Patient education and counseling.

[17]  Lisa Gualtieri,et al.  The doctor as the second opinion and the internet as the first , 2009, ITI.

[18]  Christine Marton,et al.  A review of theoretical models of health information seeking on the web , 2012, J. Documentation.

[19]  Jane M. Young,et al.  How to critically appraise an article , 2009, Nature Clinical Practice Gastroenterology &Hepatology.

[20]  Farah Ahmad,et al.  Are Physicians Ready for Patients With Internet-Based Health Information? , 2006, Journal of medical Internet research.

[21]  J. Yaphe,et al.  The effect of the Internet on the patient-doctor relationship from the patient's perspective: a survey from primary care. , 2011, The Israel Medical Association journal : IMAJ.

[22]  Katie J. Ward,et al.  The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet. , 2005, Social science & medicine.

[23]  Jae Eun Chung,et al.  Patient–Provider Discussion of Online Health Information: Results From the 2007 Health Information National Trends Survey (HINTS) , 2013, Journal of health communication.

[24]  E. Emanuel,et al.  Four models of the physician-patient relationship. , 1992, JAMA.

[25]  E. Murray,et al.  'A heartbeat moment': qualitative study of GP views of patients bringing health information from the internet to a consultation. , 2010, The British journal of general practice : the journal of the Royal College of General Practitioners.

[26]  A. Broom.  Virtually He@lthy: The Impact of Internet Use on Disease Experience and the Doctor-Patient Relationship , 2005, Qualitative health research.

[27]  P. Schulz,et al.  Physicians' Communicative Strategies in Interacting With Internet-Informed Patients: Results From a Qualitative Study , 2012, Health communication.

[28]  Peter R. Harris,et al.  How do patients evaluate and make use of online health information? , 2007, Social science & medicine.

[29]  J. Powell,et al.  The doctor, the patient and the world-wide web: how the internet is changing healthcare. , 2003, Journal of the Royal Society of Medicine.

[30]  Michele L. Ybarra,et al.  Reasons, assessments and actions taken: sex and age differences in uses of Internet health information. , 2008, Health education research.

[31]  R. Snyder,et al.  Information from the Internet: attitudes of Australian oncology patients , 2006, Internal medicine journal.

[32]  B. Schrank,et al.  How Patients With Schizophrenia Use the Internet: Qualitative Study , 2010, Journal of medical Internet research.

[33]  B. Gerber,et al.  The Patient-Physician Relationship in the Internet Age: Future Prospects and the Research Agenda , 2001, Journal of medical Internet research.

[34]  E. Murray,et al.  Information from the Internet and the doctor-patient relationship: the patient perspective – a qualitative study , 2007, BMC family practice.

[35]  Hyun Jung Oh,et al.  The Effect of Computer-Mediated Social Support in Online Communities on Patient Empowerment and Doctor–Patient Communication , 2012, Health communication.

[36]  Y. Chiu,et al.  Probing, Impelling, But Not Offending Doctors , 2011, Qualitative health research.

[37]  R. J. Cadigan,et al.  Prepared patients: internet information seeking by new rheumatology patients. , 2008, Arthritis and rheumatism.

[38]  Eugene Lee Davids,et al.  A systematic review of the relationship between parenting styles and children's physical activity , 2014 .

[39]  M. Hardey.  Doctor in the house: the Internet as a source of lay health knowledge and the challenge to expertise , 1999 .