Abstract
Purpose. The purpose of this study was to assess the impact of the use of the Internet by the physicians and patients on patient-physician communication and medical decision making. This research explored the impact of the Internet on the redefined roles of the patient and the physician. Theoretical framework. Unlike the traditional model of health care, the new system of managed care encourages self-care so patients no longer solely rely on the physician for care and advice. This condition leads to patients taking a proactive role in their care. They are no longer passive participants while the doctor makes the medical decisions for them. Moreover, with the trend towards a consumer-driven health care market, many patients desire greater participation in medical decision making. Methodology. This study utilized a cross-sectional design that presents a snapshot of the relationship between physicians' Internet use and their relationship with their patients. The research method was a survey. Criteria-based sampling was used to select 200 physicians. In addition, five patients per physician were selected to be surveyed. One hundred and twenty-five of the 200 physicians completed their survey providing a 71 percent return rate. A total of 404 patients completed the patient survey. Results. Physicians who utilize the Internet to obtain medical information are more likely to involve their patients in decision making compared to physicians who are not Internet users. Furthermore, patients who use the Internet to obtain medical and health information are more likely to communicate with their physician than other patients are. Patients who use the Internet were found to have higher levels of communication with their primary care physicians. Additionally, patients who use the Internet to obtain medical information are more confident to take an active role in their own medical care. Conclusion. Implications of this study for physicians suggest that some patients are more active in fulfilling their health care needs and, therefore, should be encouraged to participate in medical decision making. Likewise, for patients, the Internet may be used for obtaining medical information in addition to consulting with the physician. Recommendations for future research include: (1) Examining patients who use the Internet and if they have higher levels of satisfaction with their health care, (2) Assessing if patients who have higher levels of communication with their physician are more compliant with their health care treatment regimes, (3) Evaluating the quality care delivered by physicians who incorporate the use of the Internet in their medical practice.