Engagement in Healthcare Systems: Adopting Digital Tools for a Sustainable Approach

Presti, Letizia Lo; Testa, Mario; Marino, Vittoria; Singer, Pierpaolo

doi:10.3390/su11010220

Cited by 37 publications

(28 citation statements)

References 71 publications

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“…It emphasizes the state of connectedness and involvement between users and between users and the systems [27]. In an online community, user engagement is essential for the effectiveness and sustainability of a community [28]. The dynamic nature of engagement platforms, such as online communities, enables iterative processes of resource exchange and social connections that co-create value [29,30], thus heightening engagement among users at the cognitive and emotional levels [28].…”

Section: Theoretical Framework 21 User's Engagement In Online Commumentioning

confidence: 99%

Factors Driving Users’ Engagement in Patient Social Network Systems

Puspitasari

Fauzi

2021

Informatics

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Participatory medicine and e-health help to promote health literacy among non-medical professionals. Users of e-health systems actively participate in a patient social network system (PSNS) to share health information and experiences with other users with similar health conditions. Users’ activities provide valuable healthcare resources to develop effective participatory medicine between patients, caregivers, and medical professionals. This study aims to investigate the factors of patients’ engagement in a PSNS by integrating and modifying an existing behavioral model and information system model (i.e., affective events theory (AET) and self-determination theory (SDT)). The AET is used to model the structure, the affective aspects of the driven behavior, and actual affective manifestation. The SDT is used to model interest and its relations with behavior. The data analysis and model testing are based on structural equation modeling, using responses from 428 users. The results indicate that interest and empathy promote users’ engagement in a PSNS. The findings from this study suggest recommendations to further promote users’ participation in a PSNS from the sociotechnical perspective, which include sensitizing and constructive engagement features. Furthermore, the data generated from a user’s participation in a PSNS could contribute to the study of clinical manifestations of disease, especially an emerging disease.

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Section: Theoretical Framework 21 User's Engagement In Online Commumentioning

confidence: 99%

Factors Driving Users’ Engagement in Patient Social Network Systems

Puspitasari

Fauzi

2021

Informatics

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“…At present, relevant research on online consultation finds that patients pay attention to the value comparison with offline services when using online medical services. Only when online services meet users' value expectations, users will have further offline medical behaviors [36]. In addition, patients' attitudes and subjective norms toward online medical services will affect patients' willingness to online behavior, and then affect the offline actual behavior [37].…”

Section: Perceived Usefulness Of Online Doctors' Servicementioning

confidence: 99%

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Peng

Yin

Deng

et al. 2019

IJERPH

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Background: In recent years, China has witnessed a surge in medical disputes, including many widely reported violent riots, attacks, and protests in hospitals. Asymmetric information between patient and physicians is one of the most critical enablers in this phenomenon, but the Web has become the primary resource for Chinese Internet applications to learn about health information and could potentially play a role in this pathway to patient-physician interaction and patient-physician trust. While considerable attention has been paid in some countries, there are few researches about China's situation for this issue. The purpose of this quantitative study was to examine the influence of online health information and the online guidance of doctors in patient health information literacy on patient-physician interaction and patient-physician trust in China. Methods: A web-based survey was conducted to collect data from online applications with health problems. A structural equation modeling was used to analyze the data to test the hypotheses. A total of 446 participants from the Tongji Hospital in Wuhan and Huazhong University of Science and Technology hospital participated in the study. Results: Our analysis shows that the usefulness of online health information and the online guidance of doctors both significantly influence the trust of the patient toward physicians and interaction with physicians. Furthermore, the patient-physician interaction also has a significant impact on the patient-physician trust. Conclusions: There are many studies on the influence of online health information on the doctor-patient relationship, whereas a little research has examined this relationship between health information online support from doctors and patient-physician interaction by quantitative empirical analysis. This study also explores the online guidance role of doctors and whether doctor-patient communication will affect the trust of doctors and patients. The practical implications of this study include an improved understanding of the function of online health information and potential impacts regarding the interaction with physicians and trust toward physicians that can be used to resolve conflicts between doctors and patients.with the traditional way of consulting with doctors or relatives or friends, Chinese Internet users are more inclined to use Internet applications to obtain health information. Studies have shown that patients' access to health information through the Internet has a positive impact on the improvement of patient-physician relationship [3][4][5][6]. The Internet has become the central resource for the public to obtain health information in China.Some studies found that 74.9% of medical staff viewed the current patient-physician relationship with a negative attitude, and medical disputes have frequently been reported such as violent riots, attacks, and protests in hospitals in China [7]. The tense patient-physician relationship mainly results from the lack of trust between doctors and patients, communicat...

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“…These PPP patterns reshape the financial structure of healthcare social impact investments, changing the role of banks and institutional investors. In an era of budget cuts and staff reductions, financial viability is increasingly challenging and requires innovative solutions that concern smart infrastructures or e-health digital platforms [61][62][63]. Even the governance implications of these choices deserve further scrutiny.…”

Section: Discussionmentioning

confidence: 99%

Can Public-Private Partnerships Foster Investment Sustainability in Smart Hospitals?

et al. 2019

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This article addresses the relationship between Public-Private Partnerships (PPP) and the sustainability of public spending in smart hospitals. Smart (technological) hospitals represent long-termed investments where public and private players interact with banking institutions and eventually patients, to satisfy a core welfare need. Characteristics of smart hospitals are critically examined, together with private actors’ involvement and flexible forms of remuneration. Technology-driven smart hospitals are so complicated that they may require sophisticated PPP. Public players lack innovative skills, whereas private actors seek additional compensation for their non-routine efforts and higher risk. PPP represents a feasible framework, especially if linked to Project Financing (PF) investment patterns. Whereas the social impact of healthcare investments seems evident, their financial coverage raises growing concern in a capital rationing context where shrinking public resources must cope with the growing needs of chronic elder patients. Results-Based Financing (RBF) is a pay-by-result methodology that softens traditional PPP criticalities as availability payment sustainability or risk transfer compensation. Waste of public money can consequently be reduced, and private bankability improved. In this study, we examine why and how advanced Information Technology (IT) solutions implemented in “Smart Hospitals” should produce a positive social impact by increasing at the same time health sustainability and quality of care. Patient-centered smart hospitals realized through PPP schemes, reshape traditional healthcare supply chains with savings and efficiency gains that improve timeliness and execution of care.

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Engagement in Healthcare Systems: Adopting Digital Tools for a Sustainable Approach

Cited by 37 publications

References 71 publications

Factors Driving Users’ Engagement in Patient Social Network Systems

Factors Driving Users’ Engagement in Patient Social Network Systems

Patient–Physician Interaction and Trust in Online Health Community: The Role of Perceived Usefulness of Health Information and Services

Can Public-Private Partnerships Foster Investment Sustainability in Smart Hospitals?

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