Internet Usage and Patient's Trust in Physician During Diagnoses: A Knowledge Power Perspective
Internet Usage and Patient's Trust in Physician During Diagnoses: A Knowledge Power Perspective
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诊断过程中互联网的使用和患者对医生的信任：知识力量的视角
DOI：
10.1002/asi.23920
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发表时间：
2018
影响因子：
3.5
通讯作者：
Lu T
中科院分区：
文献类型：
--
作者：
Lu Tian;Xu Yunjie;Wallace Scott;Lu T
患者在互联网上搜索疾病信息是否会影响他们对医生的信任？本研究提出了一个知识力量视角的研究模型，即网络搜索影响患者对自身知识水平的感知。我们对400多名受试者的实证研究表明，对于在线搜索疾病信息的患者，他们的自我诊断期望与医生诊断之间的不一致降低了他们对医生的信任。对于那些花更多时间在网络搜索上的人来说，这种影响更强。慢性疾病患者受不一致的影响较小，具有较高专业地位的医生的患者也是如此。本研究还发现，医生在诊断过程中的互动质量-他们与患者的沟通程度-仍然在获得患者信任方面起着主导作用。这一发现表明，即使在高科技时代，高度接触仍然是医患信任的重要因素。
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.