Coherence (Sense-Making Work) | Cognitive Participation (Relationship Work) | Collective Action (Enacting Work) | Reflexive Monitoring (Appraisal Work) |
---|---|---|---|
Differentiation | Initiation | Interactional workability | Systemization |
Understanding the differences between peoples’ use of the internet for online self-diagnosis with the healthcare professional’s diagnosis. | HCPs communicating and recommending online health websites to people. | Bringing online health information to consultations and the effect on the consultation and communication between the patient and HCP. | Determining the benefits and risks of online self-diagnosis. |
Communal specification | Enrolment | Relational integration | Communal appraisal |
Using online health forums and communities to gain information and self-diagnose. | HCPs reactions and behaviours towards internet-informed patients. | The influence (e.g. on confidence) of bringing online information to the relationship between the HCP and internet-informed patients. | Sharing online health information with HCPs and how HCPs react to this. |
Individual specification | Legitimation | Skillset workability | Individual appraisal |
People achieving an understanding of health information gained through the internet. | HCPs perspectives of online self-diagnosis and if they believe this is beneficial or the right thing for people to do. | The effect of using online information on roles and responsibilities of members of the public or HCPs. | Judging the quality of online information; to what extent do the public or HCPs think the information on the internet is reliable and accurate? |
Internalization | Activation | Contextual integration | Reconfiguration |
Peoples understanding and perceptions of using the internet to self-diagnose and knowing if this is their preference or if they value the role of the HCP consultations instead. | Communicating effectively with internet-informed people and adapting behaviour towards them. | Integrating online self-diagnosis into social circumstances. | Understanding how online self-diagnosis affects the patient-HCP relationship and altering behaviour and reactions to ensure it is a positive change. |