For what purpose and reasons do doctors use the Internet: A systematic review
Abstract
Objectives To determine doctors' reasons for using the Internet, and the factors that influence their usage.Data sources A systematic review of 38 studies, from 1994 to 2004, describing surveys of doctors' Internet usage.Results All of the studies were in the developed world, primarily in North America. Approximately 60-70% of doctors have access to the Internet, but in several studies access is more than 90%. Access is steadily increasing. Most Internet activity focuses on email and searching in journals and databases, but there is a very wide range of activities. Professional email with colleagues and patients is low, but increasing. The major factors discouraging usage are time, workload and cost, while too much information, liability issues and lack of skills also feature as discouraging factors. Factors encouraging use are unclear, but overall patient satisfaction and belief in improved service delivery, time saving and demand from patients are factors. There is a trend that males use the Internet more than females, young more than old, and specialists more than generalists, but these differences are not across the board, and show variations between studies.Conclusion In spite of the limitations, it is clear that doctors are highly connected to the Internet, and their professional usage is increasing. Factors encouraging and discouraging usage are more complex than simple connectivity. Usage differences between demographic groups do exist, but are equalising. More and consistent research is required in this area.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Previous research has shown that the correlation of Internet affinity and Internet usage of physicians based on general demographic data such as age is continuously decreasing.
“As previous research has shown that the correlation of Internet affinity and Internet usage of physicians based on general demographic data such as age is continuously decreasing [8-10], we argue that motive research might prove a useful technique for increasing our understanding of physicians’ professional Internet use and related variables.”
Cites
Perceived usefulness, perceived ease of use, and user acceptance of information technology
Davis, F. D. (1989) · MIS Quarterly · doi:10.2307/249008 · Cited by 68,483 · see citing works
User Acceptance of Information Technology: Toward A Unified View1
Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003) · MIS Quarterly · doi:10.2307/30036540 · Cited by 45,035 · see citing works
Rogers, E. M., Singhal, A., & Quinlan, M. M. (2019) · Routledge eBooks · doi:10.4324/9780203710753-35 · Cited by 37,557 · see citing works
User Acceptance of Computer Technology: A Comparison of Two Theoretical Models
Davis, F. D., Bagozzi, R. P., & Warshaw, P. R. (1989) · Management Science · doi:10.1287/mnsc.35.8.982 · Cited by 25,709 · see citing works
A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies
Venkatesh, V., & Davis, F. D. (2000) · Management Science · doi:10.1287/mnsc.46.2.186.11926 · Cited by 23,066 · see citing works
Valente, T. W. (2003) · Genetics in Medicine · doi:10.1097/01.gim.0000061743.67794.c4 · Cited by 20,555 · see citing works
Perceived Usefulness, Ease of Use, and Usage of Information Technology: A Replication
Adams, D. A., Nelson, R. R., & Todd, P. A. (1992) · MIS Quarterly · doi:10.2307/249577 · Cited by 3,084 · see citing works
Response rates to mail surveys published in medical journals
Asch, D. A., Jedrziewski, M. K., & Christakis, N. A. (1997) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(97)00126-1 · Cited by 2,110 · see citing works
Personal Computing Acceptance Factors in Small Firms: A Structural Equation Model1
Igbaria, M., Zinatelli, N., Cragg, P. B., & Cavaye, A. (1997) · MIS Quarterly · doi:10.2307/249498 · Cited by 1,668 · see citing works
Use of the Internet and E-mail for Health Care Information: Results From a National Survey
Baker, L., Wagner, T. H., Singer, S., & Bundorf, M. K. (2003) · JAMA · doi:10.1001/jama.289.18.2400 · Cited by 1,129 · see citing works
Chau, P. Y. K., & Hu, P. J. (2002) · Information & Management · doi:10.1016/s0378-7206(01)00098-2 · Cited by 1,098 · see citing works
Reported response rates to mailed physician questionnaires.
Cummings, S., Konrad, T., & Savitz, L. (2020) · PubMed · doi:10.17615/e1d3-9q29 · Cited by 687 · see citing works
Proceedings of the 57th Hawaii International Conference on System Sciences
(2024) · Hawaii International Conference on System Sciences (HICSS) · doi:10.24251/hicss.2024.000 · Cited by 649 · see citing works
Murray, E., Lo, B., Pollack, L. M., Donelan, K., Catania, J., Lee, K. C. L., Zapert, K., & Turner, R. (2003) · Journal of Medical Internet Research · doi:10.2196/jmir.5.3.e17 · Cited by 462 · see citing works
Rector, A. L. (2003) · Cited by 311 · see citing works
Diffusion Theory and Instructional Technology
Surry, D. W., & Surry, D. W. (1997) · Cited by 254 · see citing works
Physicians' Internet information-seeking behaviors
Bennett, N. L., Casebeer, L. L., Kristofco, R. E., & Strasser, S. M. (2004) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.1340240106 · Cited by 237 · see citing works
Physician internet medical information seeking and on-line continuing education use patterns
Casebeer, L. L., Bennett, N. L., Kristofco, R. E., Carillo, A., & Centor, R. M. (2002) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.1340220105 · Cited by 193 · see citing works
The Origin, Content, and Workload of E-mail Consultations
Borowitz, S. M. (1998) · JAMA · doi:10.1001/jama.280.15.1321 · Cited by 178 · see citing works
Enhancing Doctor-Patient Communication Using Email: A Pilot Study
Leong, S. L., Gingrich, D., Lewis, P. R., Mauger, D. T., & George, J. H. (2005) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.18.3.180 · Cited by 173 · see citing works
Moyer, C. A., Stern, D. T., Dobias, K. S., Cox, D. T., & Katz, S. J. (2002) · PubMed · Cited by 157 · see citing works
Information technologies: when will they make it into physicians' black bags?
Audet, A., Doty, M. M., Peugh, J., Shamasdin, J., Zapert, K., & Schoenbaum, S. C. (2004) · PubMed Central · Cited by 153 · see citing works
Roberts, P., & Henderson, R. D. (2000) · Interacting with Computers · doi:10.1016/s0953-5438(98)00068-x · Cited by 137 · see citing works
Do Clinicians Use Online Evidence to Support Patient Care? A Study of 55,000 Clinicians
Westbrook, J. I. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1385 · Cited by 127 · see citing works
Use of the Web for Medical Information by a Gastroenterology Clinic Population
O’Connor, J. B. (2000) · JAMA · doi:10.1001/jama.284.15.1962 · Cited by 118 · see citing works
Short, D., Frischer, M., & Bashford, J. (2004) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2004.02.001 · Cited by 110 · see citing works
Parent and Physician Attitudes Regarding Electronic Communication in Pediatric Practices
Kleiner, K. D., Akers, R., Burke, B. L., & Werner, E. J. (2002) · PEDIATRICS · doi:10.1542/peds.109.5.740 · Cited by 107 · see citing works
General practitioners’ use of online evidence during consultations
Magrabi, F., Coiera, E. W., Westbrook, J. I., Gosling, A. S., & Vickland, V. (2004) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2004.10.003 · Cited by 102 · see citing works
Physicians’ use of and attitudes toward electronic mail for patient communication
Gaster, B., Knight, C. L., DeWitt, D. E., Sheffield, J. V. L., Assefi, N. P., & Buchwald, D. (2003) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2003.20627.x · Cited by 102 · see citing works
Melanoma Information on the Internet: Often Incomplete--A Public Health Opportunity?
Bichakjian, C. K. (2002) · Journal of Clinical Oncology · doi:10.1200/jco.20.1.134 · Cited by 95 · see citing works
Parent and physician attitudes regarding electronic communication in pediatric practices.
Kleiner, Akers, Burke, & Werner, R. (2002) · PEDIATRICS · Cited by 94 · see citing works
Opportunities to enhance patient and physician e-mail contact
Hobbs, J., Wald, J. S., Jagannath, Y., Kittler, A. F., Pizziferri, L., Volk, L. A., Blackford Middleton, A., & Bates, D. W. (2003) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(03)00007-8 · Cited by 87 · see citing works
Variation in the use of online clinical evidence: a qualitative analysis
Gosling, A. S., Westbrook, J. I., & Coiera, E. W. (2003) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(02)00046-1 · Cited by 84 · see citing works
Experiences of Physicians Who Frequently Use E-Mail With Patients
Houston, T. K., Sands, D. Z., Nash, B. R., & Ford, D. E. (2003) · Health Communication · doi:10.1207/s15327027hc1504_08 · Cited by 83 · see citing works
Doctors on-line: using diffusion of innovations theory to understand internet use.
Chew, F., Grant, W. D., & Tote, R. (2004) · PubMed · Cited by 80 · see citing works
Physician use of IT: results from the Deloitte Research Survey.
Miller, R. H., Hillman, J. M., & Given, R. S. (2004) · PubMed · Cited by 79 · see citing works
Stille, C. J., Primack, W. A., & Savageau, J. A. (2003) · PEDIATRICS · doi:10.1542/peds.112.6.1314 · Cited by 78 · see citing works
Recent Advances: Medical informatics
Coiera, E. W. (1995) · BMJ · doi:10.1136/bmj.310.6991.1381 · Cited by 74 · see citing works
Telemedicine adoption by different groups of physicians
Croteau, A., & Vieru, D. (2003) · Hawaii International Conference on System Sciences (HICSS) · doi:10.1109/hicss.2002.994121 · Cited by 73 · see citing works
General practitioners' use of evidence databases
Young, J. M., & Ward, J. (1999) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1999.tb126881.x · Cited by 70 · see citing works
Impact of the Internet on Primary Care Staff in Glasgow
Wilson, S. M. (1999) · Journal of Medical Internet Research · doi:10.2196/jmir.1.2.e7 · Cited by 69 · see citing works
Lacher, D. A., Nelson, E., Bylsma, W. H., et al. (2000) · PubMed · Cited by 63 · see citing works
Minishi-Majanja, M. K., & Kiplang’at, J. (2013) · South African Journal of Libraries and Information Science · doi:10.7553/71-3-586 · Cited by 56 · see citing works
Use of the internet by medical doctors in Switzerland
Grütter, R., & Fischer, J. (2001) · Swiss Medical Weekly · doi:10.4414/smw.2001.09719 · Cited by 54 · see citing works
Current state of information technology use in a US primary care practice-based research network
Andrews, J. E., Pearce, K. A., Sydney, C., et al. (2004) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v12i1.103 · Cited by 46 · see citing works
Computer-using patients want Internet services from family physicians.
Grover, F. L., Wu, H. D., Blanford, C., Holcomb, S., & Tidler, D. (2002) · PubMed · Cited by 43 · see citing works
Primary care physicians and their information-seeking behaviour
Nylenna, O. G. A. M. (2000) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430050202488 · Cited by 41 · see citing works
Matsuishi, R. K. (1992) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1992.0250 · Cited by 40 · see citing works
Health and the Internet--changing boundaries in primary care
Malone, M. (2004) · Family Practice · doi:10.1093/fampra/cmh215 · Cited by 38 · see citing works
Awareness of Sources of Peer-Reviewed Research Evidence on the Internet
Sigouin, C. S. (2002) · JAMA · doi:10.1001/jama.287.21.2867 · Cited by 35 · see citing works
Internet use amongst New Zealand general practitioners.
Eberhart-Phillips, J., Hall, K., Herbison, P., et al. (2000) · PubMed · Cited by 32 · see citing works
More hours, more tired, more to do: results from the CMA's 2002 Physician Resource Questionnaire.
Martin, S. (2002) · PubMed · Cited by 30 · see citing works
Computer Use among Community-Based Primary Care Physician Preceptors
Carney, P. A., Poor, D. A., Schifferdecker, K. E., et al. (2004) · Academic Medicine · doi:10.1097/00001888-200406000-00017 · Cited by 28 · see citing works
E-mail consultation: clinical, financial, legal, and ethical implications
Weiss, N. (2004) · Surgical Neurology · doi:10.1016/j.surneu.2003.09.029 · Cited by 27 · see citing works
The internet and mental health practice
Christensen, H. M., & Griffiths, K. (2003) · Evidence-Based Mental Health · doi:10.1136/ebmh.6.3.66 · Cited by 27 · see citing works
From theory to practice: identifying authentic opinion leaders to improve care.
Collins, B. A., Hawks, J. W., & Davis, R. (2000) · PubMed · Cited by 26 · see citing works
Information superhighway or billboards by the roadside? An analysis of hospital web sites
Zingmond, D. S. (2001) · Western Journal of Medicine · doi:10.1136/ewjm.175.6.385 · Cited by 25 · see citing works
Use of the Internet as a medical resource by rural physicians.
Kalsman, M. W., & Acosta, D. A. (2001) · PubMed · Cited by 25 · see citing works
Use of the Internet among dermatologists in the United Kingdom, Sweden and Norway
Gjersvik, P. J., Nylenna, M., & Aasland, O. G. (2002) · Dermatology Online Journal · doi:10.5070/d30jf6505r · Cited by 24 · see citing works
Are Spanish physicians ready to take advantage of the Internet?
Lorenzo, S., & Mira, J. J. (2004) · PubMed · Cited by 24 · see citing works
Use of systematic reviews of randomised trials by Australian neonatologists and obstetricians
Long, E. (1998) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1998.tb126821.x · Cited by 23 · see citing works
Use of systematic reviews of randomised trials by Australian neonatologists and obstetricians
Jordens, C. F. C., Hawe, P., Irwig, L., Henderson-Smart, D. J., Donoghue, D. A., Fraser, I. S., Ryan, M., & Gabb, R. G. (1998) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1998.tb140159.x · Cited by 21 · see citing works
Freed, D. H. (2003) · The Health Care Manager · doi:10.1097/00126450-200307000-00012 · Cited by 20 · see citing works
Proposed Curricular Objectives to Teach Physicians Competence in Using the World Wide Web
McGowan, J. J., & Berner, E. S. (2004) · Academic Medicine · doi:10.1097/00001888-200403000-00007 · Cited by 18 · see citing works
Moffat, M. O., Moffat, K. J., & Cano, V. (2001) · PubMed · Cited by 18 · see citing works
Bell, D. S., Daly, D. M., & Robinson, P. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1341 · Cited by 17 · see citing works
The diffusion of an evidence-based disease guidance system for managing stroke
Lau, F., Penn, A., Wilson, D., Noseworthy, T., Vincent, D., & Doze, S. (1998) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(98)00108-7 · Cited by 14 · see citing works
Kiplang’at, J., & Majanja, M. K. M. (2005) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.5000196 · Cited by 13 · see citing works
Nesbitt, T. S., Jerant, A. F., & Balsbaugh, T. A. (2002) · PubMed · Cited by 12 · see citing works
What Makes a Good Prevalence Survey?
Williams, H. C. (2014) · doi:10.1002/9781118357606.ch13 · Cited by 11 · see citing works
Fee-for-service v. salary: the debate is heating up.
Martin, S. (2003) · PubMed · Cited by 10 · see citing works
Internet Use by Physicians and Its Impact on Medical Practice—An Exploratory Study
Kwon, I. G., & Xie, H. Y. (2003) · Health Marketing Quarterly · doi:10.1300/j026v21n01_02 · Cited by 10 · see citing works
"Is everyone as tired as I am?" The CMA's physician survey results, 1999.
Martin, S. (1999) · PubMed · Cited by 9 · see citing works
Physicians' Internet activities and their perceived coping with the medical information.
Nylenna, M., & Og, A. (2000) · PubMed · Cited by 7 · see citing works
“Freedom 55” closer to age 65 for physicians
Martin, S. (2000) · Europe PMC (PubMed Central) · Cited by 5 · see citing works
With CME, time is not on MDs' side
Martin, S. (1999) · Europe PMC (PubMed Central) · Cited by 4 · see citing works
Martin, S. (2002) · PubMed · Cited by 3 · see citing works
Interest in alternative forms of payment on the rise: CMA survey
Martin, S. (2001) · Europe PMC (PubMed Central) · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Junior physician's use of Web 2.0 for information seeking and medical education: a qualitative study
Hughes, B., Joshi, I., Lemonde, H., & Wareham, J. (2009) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2009.04.008 · Cited by 217 · see citing works
Kritz, M., Gschwandtner, M., Stefanov, V., Hanbury, A., & Samwald, M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2436 · Cited by 84 · see citing works
Usher, W. (2011) · Social Work in Health Care · doi:10.1080/00981389.2010.534317 · Cited by 41 · see citing works
Usher, W. T. (2012) · Australian Journal of Primary Health · doi:10.1071/py10084 · Cited by 37 · see citing works
Moick, M., & Terlutter, R. (2012) · Medicine 2.0 · doi:10.2196/med20.1996 · Cited by 37 · see citing works
eHealth usage patterns of European general practitioners: A five-year (2002–2007) comparative study
Ortega Egea, J. M., González, M. V. R., & Menéndez, M. R. (2010) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2010.05.003 · Cited by 31 · see citing works
- Authors
- Masters, K.
- Affiliations
- University of Cape Town (ZA)
- Corresponding author
- Masters, Ken
- ORCID
- Masters, Ken
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2008-01
- Volume
- 77
- Issue
- 1
- Pages
- 4-16
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W2166779870
- Cited by
- 151
- References
- 78
- Citations by year
- 2026: 1 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 16 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 6 · 2016: 8 · 2015: 8 · 2014: 13 · 2013: 15 · 2012: 15
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- barriers to internet use, enabling factors, patient satisfaction, medical liability
- MeSH terms
- Humans, Physicians, South Africa, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review