A patient perspective on eHealth in primary care

Abstract

Document Version:Publisher's PDF, also known as Version of record Please check the document version of this publication:• A submitted manuscript is the version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal.If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:www.umlib.nl/taverne-license Take down policyIf you believe that this document breaches copyright please contact us at:repository@maastrichtuniversity.nl providing details and we will investigate your claim. Download date: 29 Mar. 2019The research presented in this dissertation was conducted at the CAPRHI Care and Public Health Research Institute, department of Health Services Research, Maastricht University. CAPHRI is part of the Netherlands School of Primary Care Research (CARE). This research was partly funded under a grant from the Netherlands Organisation for Health Research and Development (ZonMw), grant 10-10400-98-009, and partly funded by Maastricht University. Cover:Evelien Jagtman (www. G E N E R A L I N T R O D U C T I O N 9Primary care is facing challenges due to changes in Western society, including the growing number of elderly and people with a chronic condition, resulting in an increasing care demand.1,2 In addition, primary care is under pressure due to careshifting from secondary to primary care. 3 Simultaneously, digitalization is in full swing.Everyday life procedures, such as mailing, shopping and banking, have been fully adopted by the Internet and smart devices are becoming more and more essential in daily life. Therefore, it is expected that digital solutions can also contribute to addressing the challenges in health care. From a technical point of view, the opportunities are immense. eHealth services, such as online coaches, monitoring applications and patient portals are rapidly being developed. They ha...

Patients’ E-Readiness to use E-Health technologies for oral health

“…Our results are in line with available evidence on patient perspective for E-Health technology in other health disciplines relative to its positive impact on access, treatment adherence, cost-effectiveness, health outcomes, satisfaction, empowerment and quality of life [ 34 , 37 – 42 ]. Moreover, these studies on e-health also reported patients’ willingness to use and learn such technology, also similar to this present study [ 3 , 34 – 36 , 40 , 41 ]. Furthermore, patients’ concerns regarding E-Oral Health were also consistent with that of E-Health technology in terms of lack of human contact and personal data privacy [ 34 , 43 ].…”

“…Patient participation is imperative even earlier in order to effectively design, implement and utilize E-Health technology. A deep understanding of patient needs regarding the use of E-Health and E-Oral Health will aid in these efforts [34]. Patient perspectives on E-Oral Health have been measured among a wide range of patients utilizing the health services in both developed and developing nations, such as in general private and public health services, primary health care services, rehabilitation services and services for multi-morbid chronic diseases [3,[34][35][36][37][38].…”

“…A deep understanding of patient needs regarding the use of E-Health and E-Oral Health will aid in these efforts [34]. Patient perspectives on E-Oral Health have been measured among a wide range of patients utilizing the health services in both developed and developing nations, such as in general private and public health services, primary health care services, rehabilitation services and services for multi-morbid chronic diseases [3,[34][35][36][37][38]. Our results are in line with available evidence on patient perspective for E-Health technology in other health disciplines relative to its positive impact on access, treatment adherence, cost-effectiveness, health outcomes, satisfaction, empowerment and quality of life [34,[37][38][39][40][41][42].…”

“…Patient perspectives on E-Oral Health have been measured among a wide range of patients utilizing the health services in both developed and developing nations, such as in general private and public health services, primary health care services, rehabilitation services and services for multi-morbid chronic diseases [ 3 , 34 – 38 ]. Our results are in line with available evidence on patient perspective for E-Health technology in other health disciplines relative to its positive impact on access, treatment adherence, cost-effectiveness, health outcomes, satisfaction, empowerment and quality of life [ 34 , 37 – 42 ]. Moreover, these studies on e-health also reported patients’ willingness to use and learn such technology, also similar to this present study [ 3 , 34 – 36 , 40 , 41 ].…”

Development and evaluation of a tailored e-self-management intervention (dr. Bart app) for knee and/or hip osteoarthritis: study protocol

“…Modern persuasive technologies (e.g. applications) offer the possibility to enhance goal setting and provide tailored information to people with OA that suits individual preferences and to enhance self-management at all times [31, 32]. Moreover, modern technologies can monitor health behaviour and provide real-time feedback, which are considered important elements of self-management [15, 33].…”