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“You become a slightly better doctor”: Doctors adopting integrated medical expertise through interactions with E-patients

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  • Shachar, Leeor

Abstract

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’.

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  • Shachar, Leeor, 2022. "“You become a slightly better doctor”: Doctors adopting integrated medical expertise through interactions with E-patients," Social Science & Medicine, Elsevier, vol. 305(C).
    • Handle: RePEc:eee:socmed:v:305:y:2022:i:c:s0277953622003446
    DOI: 10.1016/j.socscimed.2022.115038
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    1. Xyrichis, Andreas & Lowton, Karen & Rafferty, Anne Marie, 2017. "Accomplishing professional jurisdiction in intensive care: An ethnographic study of three units," Social Science & Medicine, Elsevier, vol. 181(C), pages 102-111.
    2. Fiske, Amelia & Buyx, Alena & Prainsack, Barbara, 2020. "The double-edged sword of digital self-care: Physician perspectives from Northern Germany," Social Science & Medicine, Elsevier, vol. 260(C).
    3. Goldenberg, Maya J., 2006. "On evidence and evidence-based medicine: Lessons from the philosophy of science," Social Science & Medicine, Elsevier, vol. 62(11), pages 2621-2632, June.
    4. Drennan, Vari M. & Gabe, Jonathon & Halter, Mary & de Lusignan, Simon & Levenson, Ros, 2017. "Physician associates in primary health care in England: A challenge to professional boundaries?," Social Science & Medicine, Elsevier, vol. 181(C), pages 9-16.
    5. Tate, Alexandra, 2020. "Invoking death: How oncologists discuss a deadly outcome," Social Science & Medicine, Elsevier, vol. 246(C).
    6. Mizrachi, Nissim & Shuval, Judith T., 2005. "Between formal and enacted policy: changing the contours of boundaries," Social Science & Medicine, Elsevier, vol. 60(7), pages 1649-1660, April.
    7. Heritage, John & McArthur, Amanda, 2019. "The diagnostic moment: A study in US primary care," Social Science & Medicine, Elsevier, vol. 228(C), pages 262-271.
    8. Ziebland, Sue, 2004. "The importance of being expert: the quest for cancer information on the Internet," Social Science & Medicine, Elsevier, vol. 59(9), pages 1783-1793, November.
    9. Deml, Michael J. & Buhl, Andrea & Notter, Julia & Kliem, Paulina & Huber, Benedikt M. & Pfeiffer, Constanze & Burton-Jeangros, Claudine & Tarr, Philip E., 2020. "‘Problem patients and physicians’ failures': What it means for doctors to counsel vaccine hesitant patients in Switzerland," Social Science & Medicine, Elsevier, vol. 255(C).
    10. Lupton, Deborah, 1997. "Consumerism, reflexivity and the medical encounter," Social Science & Medicine, Elsevier, vol. 45(3), pages 373-381, August.
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