Accepted for/Published in: JMIR Human Factors
Date Submitted: Jul 14, 2025
Date Accepted: Jan 2, 2026
Rethinking Physician-Patient Communication: Examining Physicians’ Acceptance of a Tailored Digital Health Information Service
ABSTRACT
Background:
Providing tailored information is an essential part of healthcare. However, physicians often lack time for detailed education during the consultation. An additional, tailored digital health information service (DHIS) could help physicians to meet their patients’ information needs regardless of time and place, and extend physician-patient communication to the digital realm.
Objective:
Guided by the Extended Unified Theory of Acceptance and Use of Technology (UTAUT2), this study aimed to examine physicians’ intentions to provide a DHIS to their patients and identify facilitating factors and barriers.
Methods:
A cross-sectional online survey with German physicians from various specialties was conducted in March 2022. The sample of N = 364 was aged 33-75 years (M = 53.92; SD = 8.12) and the majority were male (31.9% female). A blockwise multiple linear regression analysis was conducted to identify facilitating factors and barriers of physicians’ intentions to provide a DHIS.
Results:
Overall, 54.1% of the surveyed physicians were (rather) willing to provide a tailored DHIS, 23.9% were undecided, and 22.0% were (rather) not willing to provide such a service to their patients. The overall model of a blockwise multiple linear regression analysis explained 56.8% of the variance of physicians’ intentions. Perceived usefulness for job performance and patient outcomes as well as personal innovativeness were positively associated with physicians’ intentions to provide a DHIS to their patients. Ease of use, social influence, facilitating conditions, price value, and habit were not associated with their intentions.
Conclusions:
The perspective of the majority of surveyed physicians suggests that a tailored DHIS seems to be a promising way to provide additional health information and thus enhance face-to-face physician-patient communication. Efforts supporting the implementation of DHIS should address job performance and patient outcomes in particular. Further, physicians with a more positive attitude could serve as multipliers to increase the adoption of DHIS.
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