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Qualitative study : patients’ enduring concerns about discussing internet use in general practice consultations

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Cuteanu, Anita, Seguin, Maureen, Ziebland, Sue, Pope, Catherine, Leydon, Geraldine, Barnes, Rebecca, Murray, Elizabeth, Atherton, Helen and Stevenson, Fiona A. (2021) Qualitative study : patients’ enduring concerns about discussing internet use in general practice consultations. BMJ Open, 11 (4). e047508. doi:10.1136/bmjopen-2020-047508

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Official URL: http://dx.doi.org/10.1136/bmjopen-2020-047508

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Abstract

Objectives: To examine patients’ accounts of their use of the internet before seeing a general practitioner (GP) using thematic analysis of semistructured interviews. Design: Qualitative semistructured interview study with transcripts analysed thematically. Setting: Primary care patients consulting with 10 GPs working at 7 GP practices of varying sizes and at a range of locations around London and the Southeast of England. Participants: 28 adult patients: 16 women and 12 men ranging in age from 18 to 75 from a range of self-defined ethnic backgrounds. Participants were selected based on instances when the patients reported having used the internet before the consultation, when patients referred to the internet in the consultation or when the physician used the internet or made reference to it during the consultation. Results: Patients report that they can find health information online that they believe is reliable and helpful for both themselves and their GP. However, they report uncertainty about how to share internet-based findings and reluctance to disclose their efforts at researching health issues online for fear of appearing disrespectful or interfering with the flow of the consultation. Conclusions: Despite the democratisation of access to information about health due via the internet, patients continue to experience their use of the internet for health information as a sensitive and potentially problematic topic. The onus may well be on GPs to raise the likelihood (without judgement) that patients will have looked things up before consulting and invite them to talk about what they found.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Physician and patient, Health -- Computer network resources, Internet -- Health aspects , Internet in medicine, Medicine -- Computer network resources
Journal or Publication Title: BMJ Open
Publisher: BMJ Publishing Group
ISSN: 2044-6055
Official Date: 28 April 2021
Dates:
DateEvent
28 April 2021Published
12 April 2021Accepted
Volume: 11
Number: 4
Article Number: e047508
DOI: 10.1136/bmjopen-2020-047508
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): ** Embargo end date: 28-04-2021 ** From BMJ via Jisc Publications Router ** History: received 05-12-2020; rev-recd 24-03-2021; ppub 04-2021; accepted 12-04-2021; epub 28-04-2021. ** Licence for this article starting on 28-04-2021: https://creativecommons.org/licenses/by/4.0/
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
284National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDLaidlaw Foundationhttp://dx.doi.org/10.13039/501100003249
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