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Today, huge amounts of knowledge and information are easily accessible on the internet to anyone who can operate a computer (1,2). We might expect this development to enable a shift of power from the physician to the patient and thus enhanced patient autonomy. Some even anticipate a new role for physicians as assistants who fulfill the wishes of fully updated patients knowing more about their disease than the doctor (sometimes referred to as “internet patients”). On the other hand, skeptics might claim that with all that information available but without proper quality assurance, patients will more than ever need experts' competence to protect them from serious misunderstandings and futile or harmful treatments.

Patient autonomy in a digitalized world: supporting patients’ autonomous choice