The Department of Sociology and Anthropology, Tel Aviv University, P.O. Box 39040, Tel Aviv, 6997801, Israel.
Soc Sci Med. 2022 Jul;305:115038. doi: 10.1016/j.socscimed.2022.115038. Epub 2022 May 17.
The accessibility of information via the internet has radically altered the doctor-patient relationship. By means of in-depth interviews with Israeli physicians from four different specialties, this study explored how physicians cope with internet-informed patients, referred to as e-patients, and examined how they make sense of their new professional roles. Findings show that three types of boundaries in the doctor-patient relationship have been blurred by the emergence of the e-patient: the boundaries between doctors' and patients' knowledge, between doctors' authority and patients' autonomy, and between positivistic knowledge and humanistic knowledge. Each of these is a boundary between liberal and non-liberal values. Only the combination of all these components produces, according to the participants, a good doctor. I call this new phenomenon integrated medical expertise and explain how it diverges from previous notions of 'good doctoring'.
互联网信息的可及性彻底改变了医患关系。本研究通过对来自四个不同专业领域的以色列医生进行深入访谈，探讨了医生如何应对被称为电子患者的互联网知情患者，并考察了他们如何理解自己的新职业角色。研究结果表明，电子患者的出现使医患关系中的三种边界变得模糊：医生和患者知识之间的边界、医生权威和患者自主权之间的边界以及实证知识和人文知识之间的边界。这些边界中的每一个都是自由和非自由价值观之间的界限。只有所有这些组成部分的结合，才根据参与者的说法，产生了一个好医生。我将这种新现象称为综合医学专业知识，并解释它如何与之前的“好医生”观念有所不同。
