The Impact of Health Information on the Internet on the Physician-Patient Relationship

Murray, Elizabeth; Lo, Bernard; Pollack, Lance M.; Donelan, Karen; Catania, Joe; White, Martha Sturm; Zapert, Kinga; Turner, Raymond M.

doi:10.1001/archinte.163.14.1727

Cited by 395 publications

(330 citation statements)

References 16 publications

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“…Although the response rate of 47% is similar to other diabetes studies, such as the 53% response rate in the TRIAD study (66)(67)(68), it limits our ability to generalize the study results. The secular trend of declining response rates to telephone surveys likely affected our study as well (69,70).…”

Section: Discussionmentioning

confidence: 68%

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Sarkar

Piette

Gonzales

et al. 2008

Patient Education and Counseling

131

118

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Objectives-We sought to identify interest in different modes of self-management support among diabetes patients cared for in public hospitals, and to assess whether demographic or disease-specific factors were associated with patient preferences. We explored the possible role of a perceived communication need in influencing interest in self-management support.Methods-Telephone survey of a random sample of 796 English and Spanish-speaking diabetes patients (esponse rate 47%) recruited from 4 urban US public hospital systems. In multivariate models, we measured the association of race/ ethnicity, primary language, self-reported health literacy, self-efficacy, and diabetes-related factors on patients' interest in three self-management support strategies (telephone support, group medical visits, and internet -based support). We explored the extent to which patients believed that better communication with providers would improve their diabetes control, and whether this perception altered the relationship between patient factors and selfmanagement support acceptance. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. CI 0.33-0.93). African-Americans were more interested than Whites in all 3 self-management support strategies. Patients with limited self-reported health literacy were more likely to be interested in telephone support than those not reporting literacy deficits. Forty percent reported that their diabetes would be better controlled if they communicated better with their health care provider. This perceived communication benefit was independently associated with interest in self-management support (p<0.001), but its inclusion in models did not alter the strengths of the main associations between patient characteristics and self-management support preferences. NIH Public AccessConclusion-Many diabetes patients in safety-net settings report an interest in receiving selfmanagement support, but preferences for modes of delivery of self-management support vary by race/ethnicity, language proficiency, and self-reported health literacy.Practice Implications-Public health systems should consider offering a range of selfmanagement support services to meet the needs of their diverse patient populations. More broad dissemination and implementation of self-management support may help address the unmet need for better provider communication among diabetes patients in these settings.

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Section: Discussionmentioning

confidence: 68%

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Sarkar

Piette

Gonzales

et al. 2008

Patient Education and Counseling

131

118

View full text Add to dashboard Cite

show abstract

“…In addition, we included the doctor's acting challenged as an important outcome variable, because it had been established as such in our previous work. 16 We postulated that the doctor's acting challenged could indicate either that the doctor felt challenged by interacting with an activated, knowledgeable patient or that the patient was failing to acknowledge the doctor's professional expertise. Independent variables were categorized to maximize opportunities to determine the effect of low SES.…”

Section: Discussionmentioning

confidence: 99%

Direct-to-Consumer Advertising: Public Perceptions of Its Effects on Health Behaviors, Health Care, and the Doctor-Patient Relationship

Murray

Lo²,

Pollack³

et al. 2004

The Journal of the American Board of Family Medicine

119

109

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Purpose: To determine public perceptions of the effect of direct-to-consumer advertising (DTCA) of prescription medications on health behaviors, health care utilization, the doctor-patient relationship, and the association between socioeconomic status and these effects.Methods: Cross-sectional survey of randomly selected, nationally representative sample of the US public using computer-assisted telephone interviewing. Main outcome measures: numbers and proportions of respondents in the past 12 months who, as a result of DTCA, requested preventive care or scheduled a physician visit; were diagnosed with condition mentioned in advertisement; disclosed health concerns to a doctor; felt enhanced confidence or sense of control; perceived an effect on the doctor-patient relationship; requested a test, medication change, or specialist referral; or manifested serious dissatisfaction after a visit to a doctor.Results: As a result of DTCA, 14% of respondents disclosed health concerns to a physician, 6% requested preventive care, 5% felt more in control during a physician visit; 5% made requests for a test, medication change, or specialist referral, and 3% received the requested intervention. One percent of patients reported negative outcomes, including worsened treatment, serious dissatisfaction with the visit, or that the physician acted challenged. Effects of DTCA were greater for respondents with low socioeconomic status.Conclusions: DTCA has positive and negative effects on health behaviors, health service utilization, and the doctor-patient relationship that are greatest on people of low socioeconomic status. The benefits of DTCA in terms of encouraging hard-to-reach sections of the population to seek preventive care must be balanced against increased health care costs caused by clinically inappropriate requests generated by DTCA. (J Am Board Fam Pract 2004;17:6 -18.)

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“…How are these emerging technologies being used by persons who have been historically disadvantaged in accessing health services? What research should be (Smedley, Stith, & Nelson, 2003), and the establishment of the National Healthcare Disparities Report, which has monitored national health care disparities trends since 2003 (Fox & Jones, 2009;Fox & Rainie, 2002;Hesse et al, 2005;Murray et al, 2003;Risk & Dzenowagis, 2001;Ybarra & Suman, 2006). Recent literature on health care disparities indicates that unequal treatment associated with varied demographic factors continues to be pervasive and persistent in the U.S. health care system (2010 National Healthcare Disparities Report, 2011).…”

mentioning

confidence: 99%

Exploring the Potential of Web 2.0 to Address Health Disparities

Gibbons

Fleisher

Slamon

et al. 2011

Journal of Health Communication

118

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The Impact of Health Information on the Internet on the Physician-Patient Relationship

Abstract: For health information on the Internet to achieve its potential as a force for equity and patient well-being, actions are required to overcome the digital divide; assist the public in developing searching and appraisal skills; and ensure physicians have adequate communication skills.

Cited by 395 publications

References 16 publications

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Direct-to-Consumer Advertising: Public Perceptions of Its Effects on Health Behaviors, Health Care, and the Doctor-Patient Relationship

Exploring the Potential of Web 2.0 to Address Health Disparities

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