Abstract

BackgroundThe development of technology, novel communication, and social networking can positively or negatively affect the therapeutic alliance between patients and psychiatrists. We conducted this study to identify Internet use patterns of psychiatrists and psychiatry residents in South Korea and to provide basic data for developing e-professionalism.MethodsIn this questionnaire survey included a total of 250 participants, of which 195 (78%) completed the questionnaire. Questions included demographics, use of email, web searches, personal and professional use of websites and social networking, and negative and positive experiences of electronic communication and social networking. We confirmed the correlation between experience and use patterns of psychiatrists’ electronic communication and social networking.ResultsA total of 129 participants (66.2%) reported that they posted their personal or professional content online, 112 (57.9%) had received patients’ requests through electronic communication or social networking, and 120 (61.4%) had communicated with patients via electronic communication or social networking. In total, 170 participants (87.2%) reported that they were worried about the negative consequences of using electronic communication and social networking, and 180 (92.3%) indicated they were not educated about electronic communication or social networking.ConclusionIn order to reduce the negative effects of electronic communication and social networking, we need guidelines that are appropriate for the situation in South Korea. Furthermore, future research will need to identify and suggest solutions for negative experiences of electronic communication and social networking that may affect the relationship between patients and physicians.

Highlights

  • The development of technology, novel communication, and social networking can positively or negatively affect the therapeutic alliance between patients and psychiatrists

  • The main findings were as follows: (1) 66.2% of psychiatrists and psychiatry residents posted online content, and 75.2% posted personal information; (2) 23.1% experienced negative outcomes; (3) only 7.7% indicated that they were educated about electronic communication/social networking; (4) only 40.5% of psychiatrists and psychiatry residents almost always restricted online personal information; (5) many (57.9%) had received patient requests via e-mail or social networking; and (6) those with negative experiences were more concerned about negative effects of electronic communication, social networking, and self-googling

  • This study found that many psychiatrists and psychiatry residents in South Korea were posting on the Internet and receiving patient requests through e-mail communication and social networking

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Summary

Introduction

The development of technology, novel communication, and social networking can positively or negatively affect the therapeutic alliance between patients and psychiatrists. The development of information and communication technology and digital media can have positive effects on the therapeutic alliance by providing medical information and web-based treatment, which contribute to patients’ convenience [2, 3]. Social networking, including social media and electronic communication, can make the distinction between publicity and privacy unclear, impairing the professionalism of psychiatrists, interfering with the formation of therapeutic relationships between patients and psychiatrists, and threatening the privacy and safety of psychiatrists [5,6,7]. In other studies [6, 11], residents and physicians reported that they received friend requests from patients or patients’ families. To avoid being overwhelmed by changes in the environment, psychiatrists and related mental health practitioners should make efforts to develop hybrid doctor-patient relationships, both in-person and online

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