Dijitalleşmenin İletişime Etkisi: Hekime Güven ve E-Sağlık Okuryazarlığına İlişkin Bir Araştırma

Abstract

Bireylerin sağlıkla ilgili bilgi edinmek amacıyla dijital platformları kullanma eğilimleri, e-sağlık okuryazarlığı literatürü bağlamında incelenen konulardan biridir. Bu çalışmada, e-sağlık okuryazarlığı ve hekime güven fenomenleri dikkate alınarak dijitalleşmenin iletişim üzerindeki olumsuz etkilerine yönelik epistemolojik tartışmaların ontolojik zeminde var olup olmadığına odaklanılmaktadır. Bu amaçla, dijitalleşmenin beraberinde getirdiği e-sağlık okuryazarlığının güveni ne yönde etkilediği ortaya konulmaya çalışılmaktadır. Araştırmada doğrudan etkileri analiz eden Yol Analizi modeli kullanılmıştır. Ayrıca, demografik değişkenlerin e-sağlık okuryazarlığının hekime güven üzerindeki etkisinde düzenleyici bir role sahip olup olmadığını görmek üzere yapısal eşitlik modeli kurularak moderasyon analizi gerçekleştirilmiştir. Toplam 349 katılımcıya ulaşılmış ve elde edilen veriler SPSS ve AMOS yazılımları yardımıyla analiz edilmiştir. Araştırmada elde edilen bulgular e-sağlık okuryazarlığının hekime güveni olumsuz yönde etkilediğini (β = -0,43, p < 0.001), jenerasyonun, eğitim durumunun ve hekimle yaşanan problemlerin e-sağlık okuryazarlığının hekime güven üzerindeki etkisinde moderatör etkiye sahip olduğunu göstermektedir (p < 0.05). Bulgular, dijitalleşmenin sağlık bilgilerine erişim sağlarken, güveni azaltarak hasta-hekim ilişkisini zayıflatabileceğini kanıtlamaktadır. Sonuçlar nezdinde dijitalleşmenin iletişim üzerindeki olumsuz etkilerine yönelik epistemolojik tartışmaların ontolojik olarak da görülebildiğini iddia etmek mümkündür.

Keywords

• Dijitalleşme
• İletişim
• E-Sağlık Okuryazarlığı
• Hekimlere Güven
• Sağlık İletişimi

The Impact of Digitalization on Communication: A Research on Trust in Physicians and E-Health Literacy

Abstract

Individuals' tendency to use digital platforms to obtain health-related information is one of the topics examined within the context of the e-health literacy literature. In this study, the focus is on whether the epistemological discussions on the negative effects of digitalization on communication exist on an ontological basis by considering the phenomena of e-health literacy and trust in physicians. For this purpose, it is attempted to reveal how e-health literacy brought about by digitalization affects trust. The Path Analysis model, which analyzes direct effects, was used in the study. In addition, a structural equation model was established to see whether demographic variables have a moderating role in the effect of e-health literacy on trust in physicians, and a moderation analysis was performed. A total of 349 participants were reached, and the obtained data were analyzed with the help of SPSS and AMOS software. The findings obtained in the study show that e-health literacy negatively affects trust in doctors (β = -0.43, p < 0.001), and that generation, education level, and problems experienced with doctors have a moderating effect on the effect of e-health literacy on trust in doctors (p < 0.05). The findings prove that while digitalization provides access to health information, it can weaken the patient-doctor relationship by reducing trust. In light of the results, it is possible to claim that epistemological discussions regarding the negative effects of digitalization on communication can also be seen ontologically.

Keywords

• Digitalization
• Communication
• E-health Literacy
• Trust in Physicians
• Healthcare Communication

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