The Implications of Internet Use in the Doctor–Patient Relationship: A Case Study in A Hospital in the City of São Paulo - Brazil

• Oliveira, Jayr Figueiredo de ^[1]
  1. [1] EAESP-FGV
• Localización: Revista de Gestão em Sistemas de Saúde, ISSN-e 2316-3712, Vol. 2, Nº. 1, 2013, págs. 42-66
• Idioma: inglés
• DOI: 10.5585/rgss.v2i1.53
• Enlaces
  • Texto completo (pdf)
• Resumen

  • The aim of this qualitative study was to investigate the influence of the Internet on the patient–physician relationship as perceived by physicians. We used a self-administered questionnaire about physician perception on the use of the Internet by patients and about whether that use interferes with the doctor–patient relationship. Of 116 physicians responding, 85.3% reported that their patients accessed the Internet and that 92% used that information in a following visit. When a patient seeks information on the Internet, the medical visit takes longer, according to 46.6% of the respondents, and 42.2% stated that patients brought information that was not known by the doctors themselves. Overall, 56.9% of the physicians thought that the Internet helped the doctor–patient relationship, 27.6% thought it interfered with the relationship, and 15.5% believed that the Internet had a negative impact.DOI: 10.5585/rgss.v2i1.53

• Referencias bibliográficas
  • Akersson, K., Saveman, B. I., & Nilssom, G. (2007). Healthcare consumers’ experiences of information communication technology: A summary...
  • Andreassen, H. K., Trondsen, M., Kummervold, P. E., Gammon, D., & Hjortdahl, P. (2006). Patients who use e-mediated communication with...
  • Attfield, S., Adams, A., Blandford, A. (2006). Patient information needs: pre and post consultation. Health Informatics Journal 12, 165–177.
  • Boltanski, L. (1979). As Classes Sociais e o Corpo. Rio de Janeiro: Edições Graal.
  • Branch, W. T., Arky, R. A., Woo, B., Stoeckle, J. D., Levy, D. B. & Taylor, W. C. (1991). Teaching medicine as a human experience: A patient–doctor...
  • Coelho Filho, J. M. (2007). Relação médico–paciente: a essência perdida. Interface – Comunicação, Saúde, Educação, vol.11, nº.23, septiembre-diciembre,...
  • Donabedian, A. (2007). La Qualita dell’Assistenza Sanitaria. Roma: NI.
  • El Sayed, H., Westrup, C. (2003). Egypt and ICTs: How ICTs bring national initiatives, global organizations and local companies together....
  • European Commission. (2007). eHealth – Priorities and Strategies in European Countries. Luxembourg: Office for Official Publications of the...
  • Fox, S. & Rainie, L. (2002). Pew Internet and American Life Project. “Vital Decisions”, Summary of Findings, and Part Six: Impact, Washington,...
  • Gauld, R., Willians, S. (2009). Use of the Internet for health information: a study of Australians and New Zealanders. Inform Health Soc Care,...
  • Giveon, S., Yaphe, J., Igal Hekselman, I., Mahamid, S., Hermoni, D. (2009). The e-Patient: a survey of Israeli primary care physicians’ responses...
  • Godfrey, M. & Johnson, O. (2008). Digital circles of support: meeting the information needs of older adults. Comput Hum Behav 25, 633–642.
  • Goodman, K. W. (2010). Ethics, information technology, and public health: new challenges for the clinician–patient relationship. In: Symposium...
  • Groesbeck, C. J. (1983). A imagem arquetípica do médico ferido. Junguiana – Revista da Sociedade Brasileira de Psicologia Analítica 1, 72–96.
  • Grosseman, S., & Stoll, C. (2008). O ensino–aprendizagem da relação médico–paciente: estudo de caso com estudantes do último semestre...
  • Grossman, J. M, Zayas-Cabán, T., & Kemper, N. (2009). Information gap: can health insurer personal health records meet patients’ and physicians’needs?...
  • Guggenbuhl-Craig, A. (1983). Al di Sopra del Malato e della Malattia.Milano: Raffaello Cortina Editore.
  • Hummel, G. S. (2006). eHelth: o iluminismo digital chega a saúde. São Paulo: STS.
  • _______, G. S. (2008). ePatient: A odisseia digital do paciente em busca da saúde. São Paulo: STS.
  • Hay, M. C., Cadigan, R. J., Khanna, D. et al. (2009). Prepared patients: Internet information seeking by new rheumatology patients. Arthritis...
  • Health and Age, (2011). “Europeans require more health information: Survey results from Europe.” Retrieved February 8, 2012, from www.healthandage.com.
  • Herrera, C., Campero, L., Caballero, M., & Kendall, T. (2008). Relationship between physicians and HIV patients: influence on adherence...
  • Ho, K., Lauscher, H. N., Best, A., Walsh, G., Jarvis-Selinger, S., Fedeles, & M., Chockalingam, A. (2004). Dissecting technology-enabled...
  • Jaspers, K. (1958/1991). Il Medico nell’Età della Tecnica. Milano: Raffaello Cortina Editore. [ed.orig.: Der Arzt im technischen Zeitalter,...
  • Kim, J. & Kim, S. (2009). Physicians’ perception of the effects of Internet health information on the doctor–patient relationship. Inform...
  • Kivits, J. (2009). Everyday health and the Internet: A mediated health perspective on health information seeking. Sociol Health Illn. 31(3),...
  • Lougheed, T. (2004). Wireless points the way in Africa. Appropriate Technology, 31, (3), 50.
  • MacGregor, R. C., Hyland, P. N., & Harvie, C. (2010). Associations between driving forces to adopt ICT and benefits derived from that...
  • Madeira W. (2006). Navegar é Preciso: avaliação de impactos do uso da Internet na relação médico–paciente. [Dissertação de Mestrado]. Faculdade...
  • Marsiglia, I. (2006). Impacto de la tecnologia médica sobre la historia clínica y la relación médico–paciente. Gac Méd Caracas, 114, (3),...
  • Medicare.gov. (2007). National Health Expenditure 2008–2018, Forecast summary. Retrieved April 8, 2012 from http://www.cms.hhs.gov/NationalHealthExpendData/downloads/proj2008.pdf.
  • Melamud, A., Puiggari, J., Goldfarb, G., Cairoli, H., & Otero, P. (2007). Información sobre salud em internet: su empleo por pediatras...
  • Menachemi, N., Burkhardt, J., Shewchuk, R., Burke, D., & Brooks, G. (2006). Hospital information technology and positive financial performance:...
  • Montana, S. B., Montana, G. L., & Moshavi, D. (2012). A knowledge-based view of improving the physician–patient relationship . Academy...
  • OECD, OECD Health Data 2008. Retrieved April 13, 2012, from http://ec.europa.eu/health/ph_information/dissemination/echi/echi_25_en.pdf.
  • Pereira Neto, A. F., & Guilam M. C. R. (2008). The Internet, expert patients and medical practice: An analysis of the literature. Interface...
  • Ray, S., & Mukherjee, A. (2007). Development of a framework towards successful implementation of E-governance initiatives in health sector...
  • Russ, H., Giveon, S. M., Catarivas, M. G., & Yaphe, J. (2011). The effect of the internet on the patient–doctor relationship from the...
  • Salles, A. A. (2010). Transformações na relação médico–paciente na era da informatização. Revista Bioética. 18, (1), 49–60.
  • Seckin, G. (2010). Patients as information managers: the Internet for successful self-health care & illness management. Open Longevity...
  • Seppilli, T. & Caprara, A. (1997). Il Rapporto Medico–Paziente: Un Approccio Antropologico, Corso di Formazione Specifica in Medicina...
  • Siempos I, I., Spanos, A., Issaris, E. A., Rafailidis, P. I., & Falagas, M. E. (2008). Nonphysicians may reach correct diagnoses by using...
  • Smith, R. (2001). Why are doctors so unhappy? BMJ 322, 1073–1074.
  • Sobes, J. J. M., Santacreu, G. L., Martínez, S. L., &bRemón, C. A. (2009). Uso de internet por médicos de primaria y hospitales y percepción...
  • Sucupira, A. C. S. L. (1982). Relações Médico–Paciente nas Instituições de Saúde Brasileiras. Dissertação de Mestrado, São Paulo: Faculdade...
  • Taha, J., Sharit, J., & Czaja, S. (2009). Use of and satisfaction with sources of health information among older internet users and nonusers....
  • Tang, H., & Ng, J. H. (2006). Googling for a diagnosis: use of Google as a diagnostic aid: internet-based study. Br Med J, 333, (7579),...
  • Usherwood, T. (1993). Subjective and behavioural evaluation of the teaching of patient interview skills. Medical Education 27, 41–47.
  • Valle, A. B. et. al., (2010). Sistemas de informações gerenciais em organizações de saúde. Rio de Janeiro: FGV.
  • Walker, J. M., & Carayon, P. (2009). From tasks to processes: the case for changing health information technology to improve health care....
  • Watzlawick, P., Helmick, J. B., & Jackson, D. D. (1972). Une Logique de la Communication. Paris: Éditions du Seuil.
  • WHO (World Health Organization) (2010). Doctor–Patient Interaction and Communication. Geneva: Division of Mental Health. WHO.