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

Hege K. Andreassen

Norwegian Centre for Telemedicine, Tromsø, Norway

Marianne Trondsen

Norwegian Centre for Telemedicine, Tromsø, Norway

Per Egil Kummervold

Norwegian Centre for Telemedicine, Tromsø, Norway

Deede Gammon

eHealth Consumer Program at the Norwegian Centre for Telemedicine, Tromsø, Norway

Per Hjortdahl

University of Oslo, Norway

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.

Key Words: information and communication technology • e-mail • trust • doctor-patient interaction • doctor-patient relationship

Qualitative Health Research, Vol. 16, No. 2, 238-248 (2006)
DOI: 10.1177/1049732305284667


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