ArticleBMC medical informatics and decision making2021
The formation of patient trust and its transference to online health services: the case of a Dutch online patient portal for rehabilitation care.
Article in BMC medical informatics and decision making, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- The Relationship Between Physician Self-Disclosure and Patient Acquisition in Digital Health Markets: Cross-Sectional Study.Journal of medical Internet research · 2026Observational
- Assessment of Factors Associated with Treatment Adherence Among Elderly Patients with Multimorbid Type 2 Diabetes Mellitus Using Lasso-Logistic Regression.Patient preference and adherence · 2026Article
- Awareness, Perceptions, Willingness, and Feasibility of mHealth Apps Among People Living With Epilepsy: Cross-Sectional Questionnaire Study.JMIR formative research · 2025Article
- Factors Influencing Telemedicine Adoption Among Health Care Professionals: Qualitative Interview Study.JMIR formative research · 2025Article
- Digital Age Transformation in Patient-Physician Communication: 25-Year Narrative Review (1999-2023).Journal of medical Internet research · 2025Review
- Assessing Health Disparities in Digital Services and Technologies During and After the COVID-19 Pandemic: A Pooled Cross-Sectional Analysis Using HINTS Data.Patient preference and adherence · 2025Article
- Attitudes, Awareness, and Willingness of Iranians Toward Using Telemedicine in Post-COVID Era: A Cross-Sectional Study.Health science reports · 2025Article
- The Effect of "Offline-to-Online" Trust Transfer on the Utilization of Online Medical Consultation Among Chinese Rural Residents: Experimental Study.Journal of medical Internet research · 2023Article
- Trust and Uncertainty in the Implementation of a Pilot Remote Blood Pressure Monitoring Program in Primary Care: Qualitative Study of Patient and Health Care Professional Views.JMIR human factors · 2023Article
- Trust transfer in digital healthcare: The role of self-service systems in reducing patient treatment barriers.Digital healthArticle
- Article
- A public value-based model to understand patients' adoption of eHealth: Theoretical underpinnings and empirical application.Digital healthArticle
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundTrust is widely recognized as a crucial factor in successful physician-patient communication and patient engagement in treatment. However, with the rise of eHealth technologies, such as online patient portals, the role of trust and the factors that influence it need to be reconsidered. In this study, we aim to identify the factors that contribute to trust in an eHealth service and we aim to identify the consequences of trust in an eHealth service in terms of use.
methodsThe Patient Trust Assessment Tool was provided to new outpatients of a rehabilitation center in the Netherlands, that were expected to use the center's online patient portal. Via this tool, we assessed five trust-related factors. This data was supplemented by questions about demographics (age, gender, rehabilitation treatment) and data about use (number of sessions, total time spent in sessions), derived from data logs. Data was analyzed via Partial Least Squares Structural Equation Modelling.
resultsIn total, 93 patients participated in the study. Out of these participants, 61 used the portal at least once. The measurement model was considered good. Trust in the organization was found to affect trust in the care team (β = .63), trust in the care team affected trust in the treatment (β = .60). Both, trust in the care team and trust in the treatment influenced trust in the technology (β = .42 and .30, respectively). Trust in the technology affected the holistic concept trust in the service (β = .78). This holistic trust in the service finally, did not affect use.
conclusionsThis study shows that the formation of this trust is not unidimensional, but consists of different, separate factors (trust in the care organization, trust in the care team and trust in the treatment). Trust transfer does take place from offline to online health services. However, trust in the service does not directly affect the use of the eHealth technology.
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