Internet usage and patient's trust in physician during diagnoses: A knowledge power perspective

Abstract

Does patients' Internet search of disease information affect their trust in physicians during diagnosis? This study proposes a research model from a knowledge power perspective, that is, Internet search affects patients' perception of their knowledge level. Our empirical study of more than 400 subjects suggests that for patients who searched online for disease information, the inconsistency between their self-diagnosis expectations and their physician's diagnosis reduces their trust in their physician. The effect is stronger for those who spent more time on Internet search. Patients with chronic conditions are less affected by the inconsistency, as are patients of physicians with a higher professional status. This study also found that physicians' interaction quality in the diagnosis process-how well they communicate with their patient-still plays a dominant role in gaining patient's trust. This finding suggests that even in the high-tech age, high-touch remains an important factor to physician-patient trust.

Antesedent Dari Online Trust Serta Dampaknya Terhadap Willingness To Choose Konsultasi Online (Studi Empiris Pada Konsumen Aplikasi Layanan Kesehatan)

“…Kepercayaan muncul sebagai isu penting antara dokter dan pasien karena aktivitas medis merupakan hal yang berisiko dan penuh ketidakpastian, dan karena dokter dan pasien mungkin memiliki tujuan dan minat yang berbeda. (Lu et al,2018) Professional knowledge biasanya tidak hanya berdasarkan pengetahuan deklaratif tetapi juga pengetahuan prosedural. Perbedaan ini mengacu pada penelitian dalam psikologi kognitif: pengetahuan deklaratif dapat diartikulasikan dan bersifat eksplisit, sedangkan pengetahuan prosedural mengacu pada bagaimana melakukan sesuatu dan seringkali bersifat implisit.…”

Clinical anisotropy: A case for shared decision making in the age of too much data and patient dis‐integration

“…Even putting aside the enormous resulting health care costs and associated mortality and morbidity, it is well established that patients who self‐diagnose using internet sources tend to have a lower perception of their physician's knowledge level and tend to reduce their trust in them . This can then result in a reduced propensity for patients to see their primary care physicians, which in itself has tremendous implications for health care systems.…”

“…This will result in potentially hundreds, possibly thousands, of dollars in diagnostic tests for something that was completely unjustified in the first place, thus contributing to the approximate 20.6% of unnecessary medical care 14 Even putting aside the enormous resulting health care costs and associated mortality and morbidity, it is well established that patients who self-diagnose using internet sources tend to have a lower perception of their physician's knowledge level and tend to reduce their trust in them. 16 This can then result in a reduced propensity for patients to see their primary care physicians, which in itself has tremendous implications for health care systems.…”

Switching of primary health care providers among self-paid health insurance participants in Denpasar, Bali, Indonesia

“…17 Greater patient comfort, assurance for a successful recovery as well as doctors' ability to treat patients professionally increase patients' confidence in accessing services of PHC providers. 17, 24 Further, a number of informants reported having received inadequate information about how they should use medication prescribed to them. Meanwhile, another informant complained of being prescribed unsuitable medication that he decided to seek a second opinion from another doctor.…”