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

Celil Ünal; Sümeyra Tüzün

Makale detayları

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

Yazarlar:

Celil Ünal | Sümeyra Tüzün

Yayıncı:

Marmara University

Ana Başlıklar:

İletişim Çalışmaları | İletişim Teknolojisi ve Dijital Medya Çalışmaları | Medya Okuryazarlığı

Dergi:

Türkiye İletişim Araştırmaları Dergisi Issue 47, pp.152-172

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351227

pISSN:

2630-6220

Anahtar kelimeler:

Özet:

 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.

 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.

 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.

 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.

Makale detayları

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

Yazarlar:

Celil Ünal | Sümeyra Tüzün

Yayıncı:

Marmara University

Ana Başlıklar:

İletişim Çalışmaları | İletişim Teknolojisi ve Dijital Medya Çalışmaları | Medya Okuryazarlığı

Dergi:

Türkiye İletişim Araştırmaları Dergisi Issue 47, pp.152-172

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351227

pISSN:

2630-6220

Digitalization

Communication

E-health Literacy

Trust in Physicians

Healthcare CommunicationDijitalleşme

İletişim

E-Sağlık Okuryazarlığı

Hekimlere Güven

Sağlık İletişimi

Sayı

Makale detayları

Yazarlar: Celil Ünal | Sümeyra Tüzün

Yayıncı: Marmara University

Ana Başlıklar: İletişim Çalışmaları | İletişim Teknolojisi ve Dijital Medya Çalışmaları | Medya Okuryazarlığı

Dergi: Türkiye İletişim Araştırmaları Dergisi Issue 47, pp.152-172

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001351227

pISSN: 2630-6220

Sayı

Yazarlar:

Celil Ünal | Sümeyra Tüzün

Yayıncı:

Marmara University

Ana Başlıklar:

İletişim Çalışmaları | İletişim Teknolojisi ve Dijital Medya Çalışmaları | Medya Okuryazarlığı

Dergi:

Türkiye İletişim Araştırmaları Dergisi Issue 47, pp.152-172

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351227

pISSN:

2630-6220