Http:// Center for Education and Research in Information Assurance and Security Second Annual...

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du

Center for Education and Research inInformation Assurance and Security

Second Annual Research SymposiumApril 2002

The Changing Physician-Patient The Changing Physician-Patient Relationship: Critical Social Issues Relationship: Critical Social Issues in the Use of the Internet in Health in the Use of the Internet in Health

CareCareJames G. Anderson, Ph. D.

Dept. of Sociology & Anthropology Purdue University

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du


Second Annual Research Symposium - April 2002

Objectives:Objectives:

• To conduct computer assisted telephone interviews and Web based surveys of consumers and physicians in four countries: the US, UK Canada & Germany

• To determine patterns of use and barriers to the use of the Internet for health-related purposes

• To determine how the Internet is affecting the physician-patient relationship

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Introduction:Introduction:• 110 million Americans

used the Internet to obtain health-related information in 2002

• However, physicians Are skeptical of consumer use of the Internet and worry that patients who consult Web sites may not consult a doctor when serious health problems occur

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Factors increasing the demand for information and the push for Factors increasing the demand for information and the push for consumer self-relianceconsumer self-reliance

Information demand

InternetPhysicians

Consumerpower

Consumerknowledge

High consumer

expectations

Self-reliance

Increased ethical

and legal standards

General education

levelRelative riseof chronic

diseases

Consumerdissatisfaction

Explodingcosts

Increasedaccess to

information sources

„High-Tech“ medicine

Less timePoor IT skills

Market-oriented

health system

+-Self-

supportgroups

Reliance on physician

Consumerprotection

PreventiveMedicine

PatientEducationPrograms

InformationOverload

mass media

Fig. 1

increase

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



The Transformation of the Physician-Patient The Transformation of the Physician-Patient Relationship:Relationship:

• A shift in the role of patients from passive recipients of medical care to active consumers of health services

• Patients assume more responsibility for their health

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



The evolution of the patient-physician relationship:The evolution of the patient-physician relationship:

Take two in the morningand don’t ask questions

Holy land of the knowing

Hole of ignorance

Fig. 2a

physician patient

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du




Let me educate* you

*(ex ducere =to lead out) Hole of ignorance

Holy land of the knowing

Fig. 2b

physician patient

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du




emailS

elf-s

up

po

rt

Fig. 2c

physician patient

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du




Welcome!

Internetpatient education

Fig. 2d

physician patient

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Questions addressed in this Questions addressed in this study include:study include:

• How are consumers using the Internet for health-related purposes?

• What are the barriers to consumer use of the Internet?

• How is the Internet affecting the physician-patient relationship?

• What are the implications of the Internet for the future of physician-patient relationships?

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



U.S. Consumer SurveyU.S. Consumer Survey

• Sample:

• 3,000 random digit telephone number

• 186 adults interviewed

• 135 (73%) used the Internet

• 105 (78%) used the Internet for health–related purposes.

• Demographic Characteristics:

• 44% male

• 75% white

• Median education: some college/vocational training

• Average age: 42 years

• Median income: $35,000-$70,000

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Figure 1. Consumer Use of the Figure 1. Consumer Use of the Internet for Health-Related PurposesInternet for Health-Related Purposes

78%

17%

36%

9%2%

10% 12%2%

0%

20%

40%

60%

80%

100%

Information Clinical Trials LocateProviders

ProviderComm

On-line Records

ManageDisease

PurchaseSupplies

On-lineSupport

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Figure 2. Consumer Interest in Using the Figure 2. Consumer Interest in Using the Internet for Health-Related PurposesInternet for Health-Related Purposes

56%62%

22% 23%

0%

10%

20%

30%

40%

50%

60%

70%

Communicate withProviders

Manage ChronicDisease

On-line MedicalRecords

On-line Support

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Figure 3. Perceived Barriers to Figure 3. Perceived Barriers to Internet UseInternet Use

39%

13%

18%

29%26%

0%

10%

20%

30%

40%

50%

Threats toPrivacy

Unreliability Inaccuracy ProblemEvaluating

Quality

PhysicianDisapproval

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



U.S. Physician SurveyU.S. Physician Survey

• Harris Interactive Survey

• 400 practicing physicians

• 89% use the Internet

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Figure 4. Physician Use of the Internet Figure 4. Physician Use of the Internet for Professional Purposesfor Professional Purposes

90%78%

61%

45%

31%

0%

20%

40%

60%

80%

100%

ResearchClinicalMatters

Read J ournalArticles

Communicatewith

Colleagues

CME On-lineConferences

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Figure 5. Physician Use of Online Patient Figure 5. Physician Use of Online Patient ToolsTools

22%

11%

26%

5%

0%

10%

20%

30%

Electronic MedicalRecord

ElectronicPrescribing

Communicaiton withPatients

Remote DiseaseMonitoring

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Future ResearchFuture Research

• Conduct computer assisted telephone interviews and/or

Web-based surveys of consumers in several countries: the US, UK, Canada & Germany

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Future ResearchFuture Research

• Conduct Web-based surveys of physicians in several countries: the US, UK, Canada & Germany

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Implications for Practice: Looking Implications for Practice: Looking Toward the FutureToward the Future

• Potential benefits:– More cost-effective

health care– Reduced medical

errors– Better management of

chronic diseases– Greater patient

participation in health-care decisions

htt

p:/

/ww

w.c

eri

as.p

urd

ue.e

du



Implications for Practice: Looking Implications for Practice: Looking Toward the FutureToward the Future

• Barriers to overcome:– Encourage patients to

take responsibility for their own health care

– Facilitate patient ability to locate and interpret health information

– Ensure patient’s privacy and confidentiality

– Reduce physician resistance to patient use of the Internet

Http:// Center for Education and Research in Information Assurance and Security Second Annual...

Documents

Transcript of Http:// Center for Education and Research in Information Assurance and Security Second Annual...