Patient Perspectives on Online Health Information and Communication With Doctors: A Qualitative Study of Patients 50 Years Old and Over
Open accessAbstract
BACKGROUND: As health care systems around the world shift toward models that emphasize self-care management, there is increasing pressure for patients to obtain health information online. It is critical that patients are able to identify potential problems with using the Internet to diagnose and treat a health issue and that they feel comfortable communicating with their doctor about the health information they acquire from the Internet. OBJECTIVE: Our aim was to examine patient-identified (1) problems with using the Internet to identify and treat a health issue, (2) barriers to communication with a doctor about online health information seeking, and (3) facilitators of communication with a doctor about patient searches for health information on the Internet. METHODS: For this qualitative exploratory study, semistructured interviews were conducted with a sample of 56 adults age 50 years old and over. General concerns regarding use of the Internet to diagnose and treat a health issue were examined separately for participants based on whether they had ever discussed health information obtained through the Internet with a doctor. Discussions about barriers to and facilitators of communication about patient searches for health information on the Internet with a doctor were analyzed using thematic analysis. RESULTS: Six higher-level general concerns emerged: (1) limitations in own ability, (2) credibility/limitations of online information, (3) anxiety, (4) time consumption, (5) conflict, and (6) non-physical harm. The most prevalent concern raised by participants who communicated with a doctor about their online health information seeking related to the credibility or limitations in online information. Participants who had never communicated with a doctor about their online health information seeking most commonly reported concerns about non-physical harm. Four barriers to communication emerged: (1) concerns about embarrassment, (2) concerns that the doctor doesn't want to hear about it, (3) belief that there is no need to bring it up, and (4) forgetting to bring it up. Facilitators of communication included: (1) having a family member present at doctor visits, (2) doctor-initiated inquiries, and (3) encountering an advertisement that suggested talking with a doctor. CONCLUSIONS: Overall, participants displayed awareness of potential problems related to online health information seeking. Findings from this study point to a set of barriers as well as facilitators of communication about online health information seeking between patients and doctors. This study highlights the need for enhanced patient communication skills, eHealth literacy assessments that are accompanied by targeted resources pointing individuals to high-quality credible online health information, and the need to remind patients of the importance of consulting a medical professional when they use online health resources to diagnose and treat a health issue.
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Contradictory information could result in additional questions arising about health and trigger a seemingly endless cycle of information seeking.
“Contradictory information could result in additional questions arising about health and trigger a seemingly endless cycle of information seeking [38, 39].”
Searching for health information online demands time, energy, and physical effort, especially for those not as familiar with technology.
“Searching for health information online demands time, energy, and physical effort, especially for those not as familiar with technology [38, 39, 51].”
There were reported concerns about the credibility, limitation and trustworthiness of online information.
“There were reported concerns about the credibility, limitation and trustworthiness of online information [39, 51].”
Other reasons for patients not discussing online health information research included feeling embarrassed and not wanting to be seen negatively.
“Other reasons for patients not discussing online health information research included feeling embarrassed and not wanting to be seen negatively [27, 32, 39]”
Patients felt that physicians would not want patients to show them how to do their jobs.
“In particular, it was found patients felt that physicians would not want patients to show them how to do their jobs [39].”
Patients hoped for acknowledgement of their efforts to participate in self-care.
“Patients also hoped for acknowledgement of their efforts to participate in self-care [39].”
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Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Basics of Qualitative Research: Grounded Theory Procedures and Techniques.
Ellis, C., Strauss, A., & Corbin, J. M. (1992) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2074814 · Cited by 29,279 · see citing works
The qualitative content analysis process
Elo, S., & Kyngäs, H. (2008) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04569.x · Cited by 22,617 · see citing works
Basics of Qualitative Research: Grounded Theory Procedures and Techniques
Long, D. R., Strauss, A., & Corbin, J. M. (1993) · Modern Language Journal · doi:10.2307/328955 · Cited by 17,612 · see citing works
Digital Natives, Digital Immigrants Part 1
Prensky, M. (2001) · On the Horizon · doi:10.1108/10748120110424816 · Cited by 11,104 · see citing works
Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60240-2 · Cited by 6,972 · see citing works
Mayring, P. (2008) · Forum qualitative Sozialforschung · doi:10.17169/fqs-1.2.1089 · Cited by 6,273 · see citing works
eHealth Literacy: Essential Skills for Consumer Health in a Networked World.
Norman, C. D., & Skinner, H. A. (2006) · Journal of Medical Internet Research · doi:10.2196/jmir.8.2.e9 · Cited by 2,643 · see citing works
Eysenbach, G., Powell, J., Kuss, O., & Sa, E.-R. (2002) · JAMA · doi:10.1001/jama.287.20.2691 · Cited by 1,871 · see citing works
Hesse, B. W., Nelson, D. E., Kreps, G. L., Croyle, R. T., Arora, N. K., Rimer, B. K., & Viswanath, K. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.22.2618 · Cited by 1,523 · see citing works
Communication and Uncertainty Management
Brashers, D. E. (2001) · Journal of Communication · doi:10.1111/j.1460-2466.2001.tb02892.x · Cited by 1,407 · see citing works
A Companion to Qualitative Research
Schofield, P. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2005.03486_1.x · Cited by 1,362 · see citing works
Sandelowski, M. (2000) · Research in Nursing & Health · doi:10.1002/1098-240x(200006)23:3 · Cited by 1,357 · see citing works
eHealth Literacy: Extending the Digital Divide to the Realm of Health Information
Neter, E., & Brainin, E. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1619 · Cited by 863 · see citing works
Patient empowerment: myths and misconceptions
Anderson, R. M., & Funnell, M. M. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2009.07.025 · Cited by 846 · see citing works
Patient empowerment in theory and practice: Polysemy or cacophony?
Aujoulat, I., D’Hoore, W., & Deccache, A. (2006) · Patient Education and Counseling · doi:10.1016/j.pec.2006.09.008 · Cited by 717 · see citing works
Sandelowski, M., Voils, C. I., & Knafl, G. J. (2009) · Journal of Mixed Methods Research · doi:10.1177/1558689809334210 · Cited by 700 · see citing works
Dissemination of health information through social networks: Twitter and antibiotics
Scanfeld, D., Scanfeld, V., & Larson, E. (2010) · American Journal of Infection Control · doi:10.1016/j.ajic.2009.11.004 · Cited by 699 · see citing works
Information Seeking and Avoiding in Health Contexts
Brashers, D. E., Goldsmith, D. J., & Hsieh, E. (2002) · Human Communication Research · doi:10.1111/j.1468-2958.2002.tb00807.x · Cited by 642 · see citing works
Antheunis, M. L., Tates, K., & Nieboer, T. E. (2013) · Patient Education and Counseling · doi:10.1016/j.pec.2013.06.020 · Cited by 632 · see citing works
Ward, B. W., & Schiller, J. S. (2013) · Preventing Chronic Disease · doi:10.5888/pcd10.120203 · Cited by 578 · see citing works
Cyberchondria: towards a better understanding of excessive health-related internet use
Starcevic, V., & Berle, D. (2013) · Expert Review of Neurotherapeutics · doi:10.1586/ern.12.162 · Cited by 541 · see citing works
The Association Between Age and Health Literacy Among Elderly Persons
Baker, D. W., Gazmararian, J. A., Sudano, J. J., & Patterson, M. B. (2000) · The Journals of Gerontology Series B · doi:10.1093/geronb/55.6.s368 · Cited by 464 · 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
Arnhold, M., Quade, M., & Kirch, W. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2968 · Cited by 417 · see citing works
Effects of Online Health Sources on Credibility and Behavioral Intentions
Hu, Y., & Sundar, S. S. (2009) · Communication Research · doi:10.1177/0093650209351512 · Cited by 414 · see citing works
Acceptance and use of health information technology by community-dwelling elders
Fischer, S. H., David, D., Crotty, B. H., Dierks, M., & Safran, C. (2014) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2014.06.005 · Cited by 376 · see citing works
eHealth Literacy Among College Students: A Systematic Review With Implications for eHealth Education
Stellefson, M., Hanik, B., Chaney, B. H., Chaney, D. J., Tennant, B., & Chavarria, E. A. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1703 · Cited by 366 · see citing works
eHealth Literacy 2.0: Problems and Opportunities With an Evolving Concept
Norman, C. D. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.2035 · Cited by 297 · see citing works
Are Physicians Ready for Patients With Internet-Based Health Information?
Ahmad, F., Hudak, P. L., Bercovitz, K., Hollenberg, E., & Levinson, W. (2006) · Journal of Medical Internet Research · doi:10.2196/jmir.8.3.e22 · Cited by 283 · see citing works
Schoen, C., Osborn, R., Squires, D. A., & Doty, M. M. (2013) · Health Affairs · doi:10.1377/hlthaff.2013.0879 · Cited by 256 · see citing works
Online Health Information Seeking
Miller, L. M. S., & Bell, R. A. (2011) · Journal of Aging and Health · doi:10.1177/0898264311428167 · Cited by 248 · see citing works
Effects of an eHealth Literacy Intervention for Older Adults
Xie, B. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1880 · Cited by 223 · see citing works
Beisecker, A. E. (1988) · The Gerontologist · doi:10.1093/geront/28.3.330 · Cited by 194 · see citing works
Hart, A., Henwood, F., & Wyatt, S. (2004) · Journal of Medical Internet Research · doi:10.2196/jmir.6.3.e36 · Cited by 193 · see citing works
Zulman, D. M., Kirch, M., Zheng, K., & An, L. C. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1552 · Cited by 189 · see citing works
Fiksdal, A. S., Kumbamu, A., Jadhav, A. S., Cocos, C., Nelsen, L. A., Pathak, J., & McCormick, J. B. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3341 · Cited by 189 · cited 1× · see citing works
“In support of earlier calls for research that enhances understandings of patients’perspectives regarding online health information seeking [30,41-44], this exploratory study examines perspectives from a sample of patients 50 years old and over about using the Internet to identify and treat a health…”
A Framework for Characterizing eHealth Literacy Demands and Barriers
Chan, C., & Kaufman, D. R. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1750 · Cited by 189 · see citing works
Denton, F. T., & Spencer, B. G. (2010) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980809990390 · Cited by 176 · see citing works
Reve, E. V. H., Silveira, P., Daniel, F., Casati, F., & de Bruin, E. D. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3055 · Cited by 164 · see citing works
Informed Patients and the Internet
Kivits, J. (2006) · Journal of Health Psychology · doi:10.1177/1359105306061186 · Cited by 162 · see citing works
A Normative Approach to the Study of Uncertainty and Communication
Goldsmith, D. J. (2001) · Journal of Communication · doi:10.1111/j.1460-2466.2001.tb02894.x · Cited by 152 · see citing works
Nijland, N., van Gemert-Pijnen, J., Boer, H., Steehouder, M. F., & Seydel, E. R. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.957 · Cited by 150 · see citing works
Parents Seeking Health-Related Information on the Internet: Cross-Sectional Study
Bianco, A., Zucco, R., Nobile, C. G. A., Pileggi, C., & Pavía, M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2752 · Cited by 144 · see citing works
Kripalani, S. B., Gatti, M. E., & Jacobson, T. A. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.04.030 · Cited by 141 · see citing works
van der Vaart, R., Drossaert, C. H. C., de Heus, M., Taal, E., & van de Laar, M. A. F. J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2428 · Cited by 128 · see citing works
Internet health information seeking is a team sport: Analysis of the Pew Internet Survey
Sadasivam, R. S., Kinney, R. L., Lemon, S. C., Shimada, S. L., Allison, J. J., & Houston, T. K. (2012) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2012.09.008 · Cited by 119 · see citing works
Youth Mental Health Interventions via Mobile Phones: A Scoping Review
Seko, Y., Kidd, S. A., Wiljer, D., & McKenzie, K. J. (2014) · Cyberpsychology Behavior and Social Networking · doi:10.1089/cyber.2014.0078 · Cited by 117 · see citing works
Robertson, N. L., Polonsky, M. J., & McQuilken, L. (2014) · Australasian Marketing Journal (AMJ) · doi:10.1016/j.ausmj.2014.08.009 · Cited by 113 · see citing works
Anderson, J. G. (2004) · Social Science Computer Review · doi:10.1177/0894439303262671 · Cited by 112 · see citing works
Urowitz, S., Wiljer, D., Dupak, K., Kuehner, Z., Leonard, K. J., Lovrics, E., Picton, P. E., Seto, E., & Cafazzo, J. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2265 · Cited by 108 · see citing works
Lee, Y. J., Boden-Albala, B. M., Larson, E., Wilcox, A. B., & Henry, S. B. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3499 · Cited by 107 · see citing works
Effect of Health Literacy on Drug Adherence in Patients with Heart Failure
Noureldin, M. G., Plake, K. S. I., Morrow, D. G., Tu, W., Wu, J., & Murray, M. D. (2012) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1002/j.1875-9114.2012.01109.x · Cited by 105 · see citing works
Gutiérrez, N., Kindratt, T. B., Pagels, P., Foster, B., & Gimpel, N. E. (2013) · Journal of Community Health · doi:10.1007/s10900-013-9742-5 · Cited by 104 · see citing works
Experiences with web search on medical concerns and self diagnosis.
(2009) · PubMed Central · Cited by 99 · see citing works
Gondy Leroy, A., Endicott, J. E., Kauchak, D., Mouradi, O., & Just, M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2569 · Cited by 86 · see citing works
The South Australia Health Chronic Disease Self-Management Internet Trial
Lorig, K. R., Ritter, P. L., Plant, K., Laurent, D. D., Kelly, P., & Rowe, S. (2012) · Health Education & Behavior · doi:10.1177/1090198112436969 · Cited by 85 · see citing works
Lau, F., Price, M., & Keshavjee, K. (2011) · Healthcare Quarterly · doi:10.12927/hcq.2011.22157 · Cited by 83 · see citing works
Barriers to Specialty Care and Specialty Referral Completion in the Community Health Center Setting
Zuckerman, K. E., Perrin, J. M., Hobrecker, K., & Donelan, K. (2012) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2012.07.022 · Cited by 77 · see citing works
England-Kennedy, E. S., & Horton, S. B. (2011) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.07.006 · Cited by 76 · see citing works
Older Adult Experience of Online Diagnosis: Results From a Scenario-Based Think-Aloud Protocol
Luger, T. M., Houston, T. K., & Suls, J. M. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2924 · Cited by 73 · see citing works
Goto, A., Rudd, R. E., Lai, A. Y., et al. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-129 · Cited by 71 · see citing works
Ellis, L. A., Collin, P. J., Davenport, T. A., Hurley, P. J., Burns, J. M., & Hickie, I. B. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2291 · Cited by 70 · see citing works
Cyberchondria: too much information for the health anxious patient?
Loos, A. (2013) · Journal of Consumer Health On the Internet · doi:10.1080/15398285.2013.833452 · Cited by 68 · see citing works
Hewitt‐Taylor, J., & Bond, C. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2068 · Cited by 58 · see citing works
Marrie, R. A., Salter, A. R., Tyry, T. M., Fox, R. J., & Cutter, G. (2014) · Interactive Journal of Medical Research · doi:10.2196/ijmr.2993 · Cited by 57 · see citing works
New elements for informed decision making: A qualitative study of older adults’ views
Price, E. L., Merrell, S. B., Kuby, A. M., Levinson, W. S., & Braddock, C. H. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.06.006 · Cited by 52 · see citing works
Lewis, N., Gray, S., Freres, D. R., & Hornik, R. (2009) · Health Communication · doi:10.1080/10410230903264030 · Cited by 49 · see citing works
Cristancho‐Lacroix, V., Moulin, F., Wrobel, J., Batrancourt, B. M., Plichart, M., de Rotrou, J., Cantegreil, I., & Rigaud, A. (2014) · JMIR Research Protocols · doi:10.2196/resprot.3607 · Cited by 48 · see citing works
Pathways towards chronic care-focused healthcare systems: Evidence from Spain
García‐Goñi, M., Hernández‐Quevedo, C., Nuño-Solínis, R., & Paolucci, F. (2012) · Health Policy · doi:10.1016/j.healthpol.2012.09.014 · Cited by 48 · see citing works
Hospice Nurse Communication with Patients with Cancer and their Family Caregivers
Ellington, L., Reblin, M., Clayton, M. F., Berry, P. H., & Mooney, K. (2012) · Journal of Palliative Medicine · doi:10.1089/jpm.2011.0287 · Cited by 47 · see citing works
Patient Knowledge and Understanding of Radiation From Diagnostic Imaging
Busey, J. M., Soine, L. A., Yager, J. R., et al. (2012) · JAMA Internal Medicine · doi:10.1001/2013.jamainternmed.1013 · Cited by 46 · see citing works
Further examination of the impact of patient participation on physicians’ communication style
Cegala, D. J., Chisolm, D. J., & Nwomeh, B. C. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.03.022 · Cited by 43 · see citing works
Freedom or Folly? Canadians and the Consumption of Online Health Information
Hirji, F. (2004) · Information Communication & Society · doi:10.1080/1369118042000305593 · Cited by 41 · see citing works
Assessing the eHealth Literacy Skills of Older Adults: A Preliminary Study
Manafò, E., & Wong, S. S.-L. (2012) · Journal of Consumer Health on the Internet · doi:10.1080/15398285.2012.701163 · Cited by 40 · see citing works
A communication skills intervention for parents of pediatric surgery patients
Cegala, D. J., Chisolm, D. J., & Nwomeh, B. C. (2013) · Patient Education and Counseling · doi:10.1016/j.pec.2013.03.015 · Cited by 33 · see citing works
Handbook of Communication in Oncology and Palliative Care
(2010) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199238361.001.0001 · Cited by 16 · see citing works
Eysenbach, G. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3358 · Cited by 13 · see citing works
Sadasivam, R. S., Allison, J. J., Ray, M. N., Ford, D. E., & Houston, T. K. (2012) · PubMed Central · Cited by 11 · see citing works
Salgado, M. V., Mejía, R. M., Kaplan, C. P., et al. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2528 · Cited by 10 · see citing works
Caring for People with Multiple Chronic Conditions: A Necessary Intervention in Ontario
Mery, G., Wodchis, W. P., Bierman, A. S., et al. (2013) · TSpace (University of Toronto) · Cited by 9 · see citing works
Enhancing cancer patients' participation in medical consultations
Cegala, D. J., & Eisenberg, D. (2010) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199238361.003.0008 · Cited by 4 · see citing works
Cutrona, S. L., Roblin, D., Wagner, J. D., et al. (2013) · Clinical Medicine & Research · doi:10.3121/cmr.2013.1176.a2-3 · Cited by 3 · see citing works
Yeh, W.-Y. (2014) · Gerontechnology · doi:10.4017/gt.2014.13.02.393.00 · Cited by 2 · see citing works
Begum, S. A., Hasan, M. J., Sharmeen, A., et al. (2013) · Community Based Medical Journal · doi:10.3329/cbmj.v2i1.14176 · Cited by 2 · see citing works
Cutrona, S. L., Field, T. S., Williams, A., et al. (2012) · Clinical Medicine & Research · doi:10.3121/cmr.2012.1100.cb8-04 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [76]Lau F Price M Keshavjee K From benefits evaluation to clinical adoption: Making sense of health information system success in Canada hcq 2011 1 27 14 1 39 45 10.12927/hcq.2011.22157 21301238 · DOI
- [77]Lewis N Gray SW Freres DR Hornik RC Examining cross-source engagement with cancer-related information and its impact on doctor-patient relations Health Commun 2009 12 24 8 723 34 10.1080/10410230903264030 20183381 20183381 PMC2950967 · DOI
Cited by
Sorted by citations
Internet Health Information Seeking and the Patient-Physician Relationship: A Systematic Review
Tan, S. S.-L., & Goonawardene, N. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.5729 · Cited by 1,101 · see citing works
Trust and Credibility in Web-Based Health Information: A Review and Agenda for Future Research
Sbaffi, L., & Rowley, J. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7579 · Cited by 537 · see citing works
Townsend, A., Leese, J., Adam, P., McDonald, M., Li, L. C., Kerr, S., & Backman, C. L. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3792 · Cited by 106 · see citing works
Farnood, A., Johnston, B., & Mair, F. S. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-01243-6 · Cited by 100 · see citing works
Pushparajah, D. S., Manning, E., Michels, E., & Arnaudeau-Bégard, C. (2018) · Therapeutic Innovation & Regulatory Science · doi:10.1177/2168479017738723 · Cited by 58 · see citing works
Health Information–seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort
Khoong, E. C., Le, G. M., Hoskote, M., Rivadeneira, N. A., Hiatt, R. A., & Sarkar, U. (2019) · Medical Care · doi:10.1097/mlr.0000000000001050 · Cited by 39 · see citing works
- Authors
- Silver, M. P.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Silver, Michelle Pannor
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2015-01-13
- Volume
- 17
- Issue
- 1
- Pages
- e19
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC4319073
- OpenAlex
- W2074782377
- Cited by
- 224
- References
- 86
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 26 · 2023: 11 · 2022: 11 · 2021: 25 · 2020: 36 · 2019: 34 · 2018: 18 · 2017: 23 · 2016: 15 · 2015: 4 · 2012: 1
- FWCI
- 36.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- University of Toronto
- University of Toronto Scarborough
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Physical Sciences › Computer Science › Information Systems › Information Retrieval and Search Behavior
- Keywords
- online health information seeking, older adults, patient-physician communication, communication barriers, digital health literacy, self-diagnosis, patient concerns, embarrassment
- MeSH terms
- Aged, Attitude to Computers, Attitude to Health, Communication, Female, Humans, Interviews as Topic, Male, Middle Aged, Physician-Patient Relations, Physicians, Self Care, Internet, Qualitative Research, Consumer Health Information, Information Seeking Behavior
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