1. Moshe Leshno יחסי רופא חולה בעידן המקוון

2. The Impact of health Information on the Internet on the Physician-Patient Relationship Source: Murray E. et al, Archives of Internal Medicine 2003, 163:1727–1734

3. Google search engine results in the display of a mere 2,610,000 sources of information. Even narrowing this down to ‘‘Irritable bowel syndrome’’ and ‘‘Patient Information’’ still leaves 49,200 pages. Google search engine results in the display of a mere 2,610,000 sources of information. Even narrowing this down to ‘‘Irritable bowel syndrome’’ and ‘‘Patient Information’’ still leaves 49,200 pages.

4. Four Models of the Physician- Patient Relationship Source: Emanual EJ and Emanual LL, JAMA 1992; 267(16) 2221-226 Informative –Focuses on the facts; eschews moral judgment. The competent technical expert Interpretative –Counselor or advisor. Promotes self-discovery of values. Deliberative –Friend or teacher. Promotes admirable values; confronts harmful values. Paternalistic –Guardian. Promotes welfare independent of current values Informative –Focuses on the facts; eschews moral judgment. The competent technical expert Interpretative –Counselor or advisor. Promotes self-discovery of values. Deliberative –Friend or teacher. Promotes admirable values; confronts harmful values. Paternalistic –Guardian. Promotes welfare independent of current values

5. What Kind of Help Do Patients Want? Source: Deber, Kraetschemer, and Irvine, Archives of Internal Medicine 1996, 156:1414–1420 Who should: Determine the diagnosis? Determine what the treatment options are? Determine what the risks and benefits options? Determine probabilities of good and bad outcomes? Decide how acceptable the trade-offs are? Decide which treatment option should be chosen? Who should: Determine the diagnosis? Determine what the treatment options are? Determine what the risks and benefits options? Determine probabilities of good and bad outcomes? Decide how acceptable the trade-offs are? Decide which treatment option should be chosen?

6. Patients want Healthcare Providers to Lead Problem Solving

7. … And Want Input on Values

8. Whether patient’s access to large volumes of information will improve their health? Whether the variable quality of the information will have a deleterious effect The effect on health disparities Whether the physician-patient relationship will be improved as patient become more equal partners, or damaged if physicians have difficulty adjusting to a new role Whether patient’s access to large volumes of information will improve their health? Whether the variable quality of the information will have a deleterious effect The effect on health disparities Whether the physician-patient relationship will be improved as patient become more equal partners, or damaged if physicians have difficulty adjusting to a new role The Impact of health Information on the Internet on the Physician-Patient Relationship Source: Murray E. et al, Archives of Internal Medicine 2003, 163:1727–1734

9. For health information on the Internet to achieve its potential as a force for quality and patient well-being, actions are required to overcome the digital divide; assist the public in developing searching and appraisal skills; and ensure physicians have adequate communication skills The Impact of health Information on the Internet on the Physician-Patient Relationship Source: Murray E. et al, Archives of Internal Medicine 2003, 163:1727–1734