Patients Who Use E-Mediated Communication With Their Doctor: New Constructions of Trust in the Patient-Doctor Relationship

TLDR

The introduction of ICT into patient‑doctor interactions marks a major shift in modern health care, altering the context of their relationship. Qualitative data from Norwegian patients show that ICT use and trust mutually influence each other, with trust constructions shaped by societal mechanisms, highlighting both potential benefits and concerns as technology becomes more integrated.

Abstract

The introduction of information and communication technology (ICT) into the patient-doctor relationship represents a significant change in modern health care. Communication via computers—e-mediated communication—is affecting the context of patient-doctor interaction, touching core elements of the relationship. Based on data from a qualitative study conducted among Norwegian patients who had used ICT to communicate with their doctors, the authors argue that patients’ use of ICT and the element of trust in the patient-doctor relationship influence each other. Furthermore, they contend that patients’ constructions of trust in this relationship can be understood in light of basic mechanisms in modern society. The study sheds light on some potential concerns and benefits as communication technology increasingly is integrated into the patient-doctor relationship.