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dc.contributor.authorNassehi, Damoun
dc.contributor.authorGripsrud, Birgitta Haga
dc.contributor.authorRamvi, Ellen
dc.date.accessioned2024-05-31T11:51:10Z
dc.date.available2024-05-31T11:51:10Z
dc.date.created2024-05-15T20:41:28Z
dc.date.issued2024
dc.identifier.citationNassehi, D., Gripsrud, B. H., & Ramvi, E. (2024). Theoretical Perspectives Underpinning Research on the Physician-Patient Relationship in a Digital Health Practice: Scoping Review. Interactive Journal of Medical Research, 13(1), e47280.en_US
dc.identifier.issn1929-073X
dc.identifier.urihttps://hdl.handle.net/11250/3132124
dc.description.abstractBackground: The advent of digital health technologies has transformed the landscape of health care, influencing the dynamics of the physician-patient relationship. Although these technologies offer potential benefits, they also introduce challenges and complexities that require ethical consideration. Objective: This scoping review aims to investigate the effects of digital health technologies, such as digital messaging, telemedicine, and electronic health records, on the physician-patient relationship. To understand the complex consequences of these tools within health care, it contrasts the findings of studies that use various theoretical frameworks and concepts with studies grounded in relational ethics. Methods: Using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines, we conducted a scoping review. Data were retrieved through keyword searches on MEDLINE/PubMed, Embase, IEEE Xplore, and Cochrane. We screened 427 original peer-reviewed research papers published in English-language journals between 2010 and 2021. A total of 73 papers were assessed for eligibility, and 10 of these were included in the review. The data were summarized through a narrative synthesis of the findings. Results: Digital health technologies enhance communication, improve health care delivery efficiency, and empower patients, leading to shifts in power dynamics in the physician-patient relationship. They also potentially reinforce inequities in health care access due to variations in technology literacy among patients and lead to decreases in patient satisfaction due to the impersonal nature of digital interactions. Studies applying a relational ethics framework have revealed the nuanced impacts of digital health technologies on the physician-patient relationship, highlighting shifts toward more collaborative and reciprocal care. These studies have also explored transitions from traditional hierarchical relationships to mutual engagement, capturing the complexities of power dynamics and vulnerabilities. Other theoretical frameworks, such as patient-centered care, and concepts, such as patient empowerment, were also valuable for understanding these interactions in the context of digital health. Conclusions: The shift from hierarchical to collaborative models in the physician-patient relationship not only underscores the empowering potential of digital tools but also presents new challenges and reinforces existing ones. Along with applications for various theoretical frameworks and concepts, this review highlights the unique comprehensiveness of a relational ethics perspective, which could provide a more nuanced understanding of trust, empathy, and power dynamics in the context of digital health. The adoption of relational ethics in empirical research may offer richer insights into the real-life complexities of the physician-patient relationship, as mediated by digital technologies.en_US
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectdigital helseen_US
dc.titleTheoretical Perspectives Underpinning Research on the Physician-Patient Relationship in a Digital Health Practice: Scoping Reviewen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder©Damoun Nassehi, Birgitta Haga Gripsrud, Ellen Ramvien_US
dc.subject.nsiVDP::Medisinske Fag: 700en_US
dc.source.volume13en_US
dc.source.journalInteractive Journal of Medical Researchen_US
dc.identifier.doi10.2196/47280
dc.identifier.cristin2269017
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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