The impact of eHealth on relationships and trust in primary care: a review of reviews

Abstract Background Given the increasing integration of digital health technologies in team-based primary care, this review aimed at understanding the impact of eHealth on patient-provider and provider-provider relationships. Methods A review of reviews was conducted on three databases to identify p...

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Main Authors: Meena Ramachandran, Christopher Brinton, David Wiljer, Ross Upshur, Carolyn Steele Gray
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Primary Care
Subjects:
Online Access:https://doi.org/10.1186/s12875-023-02176-5
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author Meena Ramachandran
Christopher Brinton
David Wiljer
Ross Upshur
Carolyn Steele Gray
author_facet Meena Ramachandran
Christopher Brinton
David Wiljer
Ross Upshur
Carolyn Steele Gray
author_sort Meena Ramachandran
collection DOAJ
description Abstract Background Given the increasing integration of digital health technologies in team-based primary care, this review aimed at understanding the impact of eHealth on patient-provider and provider-provider relationships. Methods A review of reviews was conducted on three databases to identify papers published in English from 2008 onwards. The impact of different types of eHealth on relationships and trust and the factors influencing the impact were thematically analyzed. Results A total of 79 reviews were included. Patient-provider relationships were discussed more frequently as compared to provider-provider relationships. Communication systems like telemedicine were the most discussed type of technology. eHealth was found to have both positive and negative impacts on relationships and/or trust. This impact was influenced by a range of patient-related, provider-related, technology-related, and organizational factors, such as patient sociodemographics, provider communication skills, technology design, and organizational technology implementation, respectively. Conclusions Recommendations are provided for effective and equitable technology selection, application, and training to optimize the impact of eHealth on relationships and trust. The review findings can inform providers’ and policymakers’ decision-making around the use of eHealth in primary care delivery to facilitate relationship-building.
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spelling doaj.art-894944ff40a147e8ac2871f8bc4d1c2b2023-11-05T12:25:36ZengBMCBMC Primary Care2731-45532023-11-0124113310.1186/s12875-023-02176-5The impact of eHealth on relationships and trust in primary care: a review of reviewsMeena Ramachandran0Christopher Brinton1David Wiljer2Ross Upshur3Carolyn Steele Gray4Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai HealthBridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai HealthEducation Technology Innovation, University Health NetworkBridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai HealthBridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai HealthAbstract Background Given the increasing integration of digital health technologies in team-based primary care, this review aimed at understanding the impact of eHealth on patient-provider and provider-provider relationships. Methods A review of reviews was conducted on three databases to identify papers published in English from 2008 onwards. The impact of different types of eHealth on relationships and trust and the factors influencing the impact were thematically analyzed. Results A total of 79 reviews were included. Patient-provider relationships were discussed more frequently as compared to provider-provider relationships. Communication systems like telemedicine were the most discussed type of technology. eHealth was found to have both positive and negative impacts on relationships and/or trust. This impact was influenced by a range of patient-related, provider-related, technology-related, and organizational factors, such as patient sociodemographics, provider communication skills, technology design, and organizational technology implementation, respectively. Conclusions Recommendations are provided for effective and equitable technology selection, application, and training to optimize the impact of eHealth on relationships and trust. The review findings can inform providers’ and policymakers’ decision-making around the use of eHealth in primary care delivery to facilitate relationship-building.https://doi.org/10.1186/s12875-023-02176-5eHealthTechnologyPrimary careRelationshipsTrust
spellingShingle Meena Ramachandran
Christopher Brinton
David Wiljer
Ross Upshur
Carolyn Steele Gray
The impact of eHealth on relationships and trust in primary care: a review of reviews
BMC Primary Care
eHealth
Technology
Primary care
Relationships
Trust
title The impact of eHealth on relationships and trust in primary care: a review of reviews
title_full The impact of eHealth on relationships and trust in primary care: a review of reviews
title_fullStr The impact of eHealth on relationships and trust in primary care: a review of reviews
title_full_unstemmed The impact of eHealth on relationships and trust in primary care: a review of reviews
title_short The impact of eHealth on relationships and trust in primary care: a review of reviews
title_sort impact of ehealth on relationships and trust in primary care a review of reviews
topic eHealth
Technology
Primary care
Relationships
Trust
url https://doi.org/10.1186/s12875-023-02176-5
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