Patient-Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services.

ABSTRACT

BACKGROUND: In recent years, China has witnessed a surge in medical disputes, including many widely reported violent riots, attacks, and protests in hospitals. Asymmetric information between patient and physicians is one of the most critical enablers in this phenomenon, but the Web has become the primary resource for Chinese Internet applications to learn about health information and could potentially play a role in this pathway to patient-physician interaction and patient-physician trust. While considerable attention has been paid in some countries, there are few researches about China's situation for this issue. The purpose of this quantitative study was to examine the influence of online health information and the online guidance of doctors in patient health information literacy on patient-physician interaction and patient-physician trust in China. METHODS: A web-based survey was conducted to collect data from online applications with health problems. A structural equation modeling was used to analyze the data to test the hypotheses. A total of 446 participants from the Tongji Hospital in Wuhan and Huazhong University of Science and Technology hospital participated in the study. RESULTS: Our analysis shows that the usefulness of online health information and the online guidance of doctors both significantly influence the trust of the patient toward physicians and interaction with physicians. Furthermore, the patient-physician interaction also has a significant impact on the patient-physician trust. CONCLUSIONS: There are many studies on the influence of online health information on the doctor-patient relationship, whereas a little research has examined this relationship between health information online support from doctors and patient-physician interaction by quantitative empirical analysis. This study also explores the online guidance role of doctors and whether doctor-patient communication will affect the trust of doctors and patients. The practical implications of this study include an improved understanding of the function of online health information and potential impacts regarding the interaction with physicians and trust toward physicians that can be used to resolve conflicts between doctors and patients.