The impact of the Internet on patient's welfare is controversial (Wehbe, Curcio, Gajjar, The Physician‐Patient Relationship in the Internet Age. More and more in my work as a university psychiatrist, I find students turning to the vast “expertise” of the web for advice. In the "Internet Age," physicians and patients have unique technological resources available to improve the patient physician relationship. How they both utilize.
In addition, hospitals are working towards specialized diagnosis and treatments for high complexity diseases and investing heavily in new technologies. In the future, always bearing in mind the role of personalized assistance and the supply of specific services, hospitals will be better prepared to serve patients in a holistic manner.
The hospitals of the future should be better able to allocate human and technological resources to biological, psychological, and social care. According to Hummelthe intensive use of ICT will change the role of clinical staff doctors, nurses, physiotherapists, and others who will no longer perform mechanical tasks to take care of patients; instead, they will mainly offer emotional and psychological support.
On the other hand, Hay, Cadigan, and Khanna claim that there remains an expectation of future hospitals having an increasing combination of technology and alternative therapies, and thus a path to prioritizing humanizing roles. Environmental and psychosocial activities and a fusion of Eastern with Western medicine will also contribute to a healing process towards quality of life improvement. According to a survey by the World Health Organization WHOBrazil is the second largest producer of medical technology in emerging countries, second only to China.
The document released by the WHO in September,points to a greater participation of the emerging markets in medical technology. However, the medical equipment industry remains concentrated in developed countries.The Doctor-Patient Relationship with Abraham Verghese
Next, come Japan and Germany which account respectively for Even so, the early investment results show a scenario allowing an optimistic view of the sector WHO, The sector employs about one million people WHO, As reported by Seckinpatients are dissatisfied with their doctor—patient relationship.
These stated factors, coupled with concerns on medical care expenditure increase and the emergence of conflicting issues between users and healthcare service providers have generated renewed interest in studies and reflections on the doctor—patient relationship.
In this context, particularly the changing dynamics of performance in the doctor—patient relationship, this article aims to identify and analyze the impact of Internet use, particularly on the human side of that relationship.
The discussion is relevant to the presence of new technologies influencing the quality of care and debates about the role of the physician in the current working environment. Most Internet searches performed by patients before their clinic appointment are directed to specific clinical conditions.
Information is sought with the objective of dealing independently with their own medical care, thereby being able to decide whether there is a need for professional help or not, and in some cases, overcoming reluctance to disclose personal matters.
Searches may continue even after the appointment because of a lack of satisfaction with the most recent medical consultation or even to confirm the validity of what they have been told by their doctor. Major approaches to the doctor—patient relationship The role of medicine in the second half of this century has been re-analyzed within several perspectives.
He emphasized the need for medicine to recover the subjective elements of communication between doctor and patient that were improperly assumed by psychoanalysis and left aside by medicine, thus pursuing a path exclusively based on technical instrumentation and data objectivity. Gregory Bateson, Watzlawick, and Jackson Watzlawick et al.
Most of these studies are based on the work of Donabedian, who in the early s published several volumes and articles on this issue Donabedian, A survey by Boltanski dealt with doctor—patient communication in various regions of France. Boltanski discusses the differences between scientific-medical knowledge and family-medical knowledge and relates these differences to the doctor—patient relationship. Another perspective presented by Russ et al. Among Brazilian authors, such as SallesSucupiraCoelho Filhoit is possible to observe that arguments related to this issue are discussed again; however, these have been in the form of essays presenting opinions or declaring theoretical inspirations.
Two works stand out as being based on a systematic analysis to a large extent. At the time the study was conducted, the Brazilian population was served primarily by three systems operating in parallel: This research, in the view of the consumer, took into consideration physical conditions, accessibility, efficiency, professional availability, and medicines.
This was evidence that these three big providers had different models for health care, which were recognized by the public, thus providing an option for them to choose the most suitable model to their needs in their search for care services, including relational dimension aspects.
Talking through time: Trends in communication and the evolving patient-physician relationship
He interviewed doctors with extensive clinical practice to examine the way they included technology in their professional activities. However, parallel to this social transformation, we can observe the valuing of science and the intellectualization of knowledge. Medicine would have gone through the universalization of its actions, having patients as the object of their cognition, and in such circumstances, social differences would be left aside, giving priority to the object of scientific wisdom.
In such conditions, the medical process is configured as a repetitive act of knowledge enabled by science, having thus entered the world of serial production, a factor which marks the industrial technology society Goodman, Confidence in the doctor—patient relationship The focus of power in health care is shifting: A number of studies focus on whether the Internet can actually empower patients and enrich the patient-doctor relationship Shoor and Lorig, ; Sinclair, Trust has been described as one of the scarcest medical products Attfield et al.
However, with the arrival of the information age, patients came under the influence of the digital revolution.
The immediate reaction has been that confidence in the doctor is replaced by skepticism and discouragement. Patients search on medical websites and then consult their doctors armed with that information.
Grosseman and Stollhowever, warn that a large resistance from healthcare professionals has been noticed against the modification of the doctor—patient relationship dynamics in the age of information, owing to a bigger concern on the inconsistent and seldom reliable medical information on the Internet, the waste of the human factor, and the problematic perception of the informed patient. Contribution of ICT in the Medical Field In a complex universe formed by multiple and diversified organizations, ICTs have become competitively instrumental in driving and positioning virtually any organization, often transforming the reality and essence of the business itself.
Given the enormous potential, organizations are leading the development and application of ICTs, either through the optimization of internal works or by inducing changes at the business level, thereby capitalizing on ICT developments in order for them to become more dynamic and better qualified to innovation in response to market changes Hummel, Propelled at first through successive technological advances, in terms of equipment and software, then through an increasing recognition of its potential, ICTs have emerged from the gloomy condition of doing mainly automation tasks in organizations, in order to make an up-to-date assessment Hummel, as a determining factor for competitive positioning.
ICTs are the bedrock of contemporary organization. Currently, it is almost impossible to conceptualize an organization that does not use ICT; it would not be excessive to say that the effects of ICT have been and certainly will continue to be fully integrated in organizations Valle,whether from the point of view of incorporating these technologies into the value chain of the enterprise or from the point of view of establishing a competitive advantage.
As an important catalyst for change in the manner that work is performed, information technologies also play a key role in the health sector Hummel, As a whole, the advent of the Internet has led this industry to exploit ICTs in order to improve patient care in hospitals, increase the commercial effectiveness of institutions, and optimize communication between the various players in the sector MacGregor et al. As MacGregor et al. For instance, Akersson et al. Perhaps the most notable change is the evolving role and expectations of the public regarding patient care.
According to a survey by the Pew Research Center, 72 percent of adult Internet users say they have searched online for information on a range of health issues, most frequently about specific diseases and treatments. No longer seeking unquestionable paternal guidance, patients expect to play an active role in their care, particularly in the form of shared decision making.
Although social media may have yet to find a role in direct patient care, numerous surgeons have forged a professional online presence to provide patient education to the general public as well as emotional support to patients at large. Surgeons are making this type of contact with patients through blog posts, Facebook pages, YouTube videos, tweets, and tweetchats. Attai considers social media to be a powerful tool for providing patients with education, support, and guidance.
She also has discovered that social media offers an unprecedented opportunity to learn from her patients.
The patient physician relationship in the Internet age: future prospects and the research agenda.
Attai, March 19, Patients did not communicate with the traditional surgeon; they experienced him gender intentionalleft only to wonder in awe. Lack of access to medical information compounded by reverence for the dedication and expertise of the surgeon seemingly obviated the need for patients to understand the profound effects of their disease on their own experiences.
For instance, the importance of patient-centeredness is underscored by a multitude of new regulatory policies requiring physicians to divulge practice outcomes and patient satisfaction scores. Thus, it is ironic that the same forces that have served to humanize surgeons are, in a sense, dehumanizing our patients.