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J R Soc Med 2008;101:501-506
doi:10.1258/jrsm.2008.080156
© 2008 Royal Society of Medicine

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eHealth as a challenge to ‘expert’ power: a focus group study of internet use for health information and management

Louise S Donnelly1 Rachel L Shaw1   Olga BA van den Akker2

1 School of Life & Health Sciences, Aston University Birmingham B4 7ET, UK
2 Department of Psychology, School of Health & Social Sciences, Middlesex University London EN3 4SA, UK

Correspondence to: Louise S Donnelly donnells{at}aston.ac.uk

Objective To investigate current use of the internet and eHealth amongst adults.

Design Focus groups were conducted to explore participants' attitudes to and reasons for health internet use.

Main outcome measures The focus group data were analysed and interpreted using thematic analysis.

Results Three superordinate themes exploring eHealth behaviours were identified: decline in expert authority, pervasiveness of health information on the internet and empowerment. Results showed participants enjoyed the immediate benefits of eHealth information and felt empowered by increased knowledge, but they would be reluctant to lose face-to-face consultations with their GP.

Conclusions Our findings illustrate changes in patient identity and a decline in expert authority with ramifications for the practitioner–patient relationship and subsequent implications for health management more generally.


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