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Clinician-Patient Dialogue About Internet Health Information: Legitimating Patients Through Communication
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Legitimation and Internet information 1
Abstract
The importance of the Internet to patients seeking health information has been well established. Although it is understood that communication about Internet information occurs in medical encounters, research has been limited about the actual occurrence of talk between clinicians and patients about health information that the patient has found on the Internet. We conducted a study to examine patients’ experiences talking to their clinicians about Internet health information. The study sample (n=920) was recruited from Internet health message boards to participate in an online survey. Participants in the study sample reported that they had researched their or their loved one’s health on the Internet within the last year and had talked with a clinician about that information. Participants completed a 30-item survey, including questions focusing on participants’ recent, recalled encounters with a clinician. There was no difference between male and female clinicians’ use of legitimation behaviors or between male and female patients’ perceptions of such behaviors. A small correlation was found behind patient/clinician familiarity and legitimation behaviors. Legitimation was significantly associated with patient satisfaction ratings. Interestingly, patient satisfaction ratings were relatively low. A second patient outcome, change in concern, was also associated with the degree to which the patient felt legitimated by the clinician. An understanding of the occurrence of clinician-patient talk about Internet health information and its relationship to patient outcomes is important for practicing clinicians as well as medical educators who seek to better understand, and thus improve, the communicative nature of the medical encounter.
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Legitimation and Internet information 1
Abstract
The importance of the Internet to patients seeking health information has been well
established. Although it is understood that communication about Internet information
occurs in medical encounters, research has been limited about the actual occurrence of
talk between clinicians and patients about health information that the patient has found on
the Internet. We conducted a study to examine patients’ experiences talking to their
clinicians about Internet health information.
The study sample (n=920) was recruited from Internet health message boards to
participate in an online survey. Participants in the study sample reported that they had
researched their or their loved one’s health on the Internet within the last year and had
talked with a clinician about that information. Participants completed a 30-item survey,
including questions focusing on participants’ recent, recalled encounters with a clinician.
There was no difference between male and female clinicians’ use of legitimation
behaviors or between male and female patients’ perceptions of such behaviors. A small
correlation was found behind patient/clinician familiarity and legitimation behaviors.
Legitimation was significantly associated with patient satisfaction ratings. Interestingly,
patient satisfaction ratings were relatively low. A second patient outcome, change in
concern, was also associated with the degree to which the patient felt legitimated by the
clinician.
An understanding of the occurrence of clinician-patient talk about Internet health
information and its relationship to patient outcomes is important for practicing clinicians
as well as medical educators who seek to better understand, and thus improve, the
communicative nature of the medical encounter.
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