The Impact of CyberHealthcare on the Physician–Patient Relationship

It is estimated that 70 million Americans have used the Internet to acquire health-related information. Multiple factors provide the driving force behind this demand for online health information. Information technology is beginning to change the exclusive focus of medicine from curing disease to prevention of disease and enhancing health status. A critical feature of this change is the development of information and services that assist consumers to assume more responsibility for their own health and to actively participate in health care decisions. At the same time, physicians remain skeptical about the advantages of using the Internet for patient education. Some of the issues that this paper addresses include the following: What are the major factors that are leading to the increased use of the Internet by consumers to obtain health-related information? How do physicians view the use of the Internet by patients to obtain health-related information and services? How is the use of the Internet by consumers affecting physician–patient communications? What are the implications of the Internet for the future of physician–patient relationships?

[1]  Possibilities and perils of cross-bite treatment. , 1967, Dental radiography and photography.

[2]  George D. Lundberg Providing reliable medical information to the public--caveat lector. , 1989 .

[3]  M. Barry,et al.  Patient Reactions to a Program Designed to Facilitate Patient Participation in Treatment Decisions for Benign Prostatic Hyperplasia , 1995, Medical care.

[4]  Ronald E. LaPorte Commentary: Telepreventive medicine—the autobahn to health , 1996 .

[5]  K R Shelstad,et al.  Information retrieval patterns and needs among practicing general surgeons: a statewide experience. , 1996, Bulletin of the Medical Library Association.

[6]  Leslie Lenert,et al.  Research Paper: Automated Computer Interviews to Elicit Utilities: Potential Applications in the Treatment of Deep Venous Thrombosis , 1997, J. Am. Medical Informatics Assoc..

[7]  Electronic medicine: possibilities and perils , 1998, The Lancet.

[8]  Omar Bouhaddou,et al.  Consumer health informatics: knowledge engineering and evaluation studies of medical HouseCall , 1998, AMIA.

[9]  Gunther Eysenbach,et al.  An International Dermatological Image Atlas on the WWW: Practical Use for Undergraduate and Continuing Medical Education, Patient Education and Epidemiological Research , 1998, MedInfo.

[10]  G Eysenbach,et al.  Epidemiological data can be gathered with world wide web , 1998, BMJ.

[11]  G Eysenbach,et al.  Information in practice Towards quality management of medical information on the internet : evaluation , labelling , and filtering of information , 1998 .

[12]  G Eysenbach,et al.  Responses to unsolicited patient e-mail requests for medical advice on the World Wide Web. , 1998, JAMA.

[13]  D Pencheon NHS Direct , 1998, BMJ.

[14]  P. Pemberton,et al.  The Internet and the changing roles of doctors, patients and families , 1998, The Medical journal of Australia.

[15]  Patricia Flatley Brennan,et al.  Review: Improving Health Care by Understanding Patient Preferences: The Role of Computer Technology , 1998, J. Am. Medical Informatics Assoc..

[16]  J G Anderson The business of Cyberhealthcare. , 1999, M.D. computing : computers in medical practice.

[17]  V. Entwistle,et al.  Decision aids for patients facing health treatment or screening decisions: systematic review , 1999, BMJ.

[18]  A Coulter,et al.  Sharing decisions with patients: is the information good enough? , 1999, BMJ.

[19]  G Eysenbach,et al.  Patients looking for information on the Internet and seeking teleadvice: motivation, expectations, and misconceptions as expressed in e-mails sent to physicians. , 1999, Archives of dermatology.

[20]  J Henderson,et al.  Developers and evaluation of interactive health communication applications. The Science Panel on Interactive Communications and Health. , 1999, American journal of preventive medicine.

[21]  D H Gustafson,et al.  Consumers and evaluation of interactive health communication applications. The Science Panel on Interactive Communication and Health. , 1999, American journal of preventive medicine.

[22]  Robert Mittman,et al.  Health e-People: The Online Consumer Experience , 2000 .

[23]  E H Shortliffe,et al.  Networking health: learning from others, taking the lead. , 2000, Health affairs.

[24]  J. Goldsmith,et al.  How will the Internet change our health system? , 2000, Health affairs.

[25]  R H Brook,et al.  The public release of performance data: what do we expect to gain? A review of the evidence. , 2000, JAMA.

[26]  Michael OReilly Helping patients untangle a Web of misinformation , 2000 .

[27]  John P. Robinson,et al.  Social Implications of the Internet , 2001 .

[28]  M Parker,et al.  What is the role of clinical ethics support in the era of e-medicine? , 2001, Journal of medical ethics.

[29]  US physicians shunning online communication with patients , 2001 .

[30]  Using the internet for facilitating research [ch. 6.3] , 2002 .

[31]  Kenneth W. Goodman,et al.  Ethics and Information Technology: A Case-Based Approach to a Health Care System in Transition , 2002 .