Health information needs, sources, and barriers of primary care patients to achieve patient-centered care: A literature review

Clarke, Martina A.; Moore, Joi L.; Steege, Linsey M.; Koopman, Richelle J.; Belden, Jeffery L.; Canfield, Shannon M.; Meadows, Susan E.; Elliott, Susan G.; Kim, Min Soon

doi:10.1177/1460458215602939

Cited by 210 publications

(241 citation statements)

References 75 publications

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“…The older community members in our study more often preferred to speak to their doctor (83.9%) or to use print media (46.5%) rather than go online (40.5%). The differences in strategies when seeking information about health [18–20] among our community population most likely originates with particular and personal informational needs and motives [19, 21] that differ by age.…”

Section: Discussionmentioning

confidence: 99%

Electronic Communication Channel Use and Health Information Source Preferences Among Latinos in Northern Manhattan

Hillyer

Schmitt

Lizardo³

et al. 2016

J Community Health

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Understanding key health concepts is crucial to participation in Precision Medicine initiatives. In order to assess methods to develop and disseminate a curriculum to educate community members in Northern Manhattan about Precision Medicine, clients from a local community-based organization were interviewed during 2014–2015. Health literacy, acculturation, use of Internet, email, and text messaging, and health information sources were assessed. Associations between age and outcomes were evaluated; multivariable analysis used to examine the relationship between participant characteristics and sources of health information. Of 497 interviewed, 29.4% had inadequate health literacy and 53.6% had access to the Internet, 43.9% to email, and 45.3% to text messaging. Having adequate health literacy was associated with seeking information from a healthcare professional (OR 2.59, 95% CI 1.54–4.35) and from the Internet (OR 3.15, 95% CI 1.97–5.04); having ≤ grade school education (OR 2.61, 95% CI 1.32–5.17) also preferred information from their provider; persons >45 years (OR 0.29, 95% CI 0.18–0.47) were less likely to use the Internet for health information and preferred printed media (OR 1.64, 95% CI 1.07–2.50). Overall, electronic communication channel use was low and varied significantly by age with those ≤45 years more likely to utilize electronic channels. Preferred sources of health information also varied by age as well as by health literacy and educational level. This study demonstrates that to effectively communicate key Precision Medicine concepts, curriculum development for Latino community members of Northern Manhattan will require attention to health literacy, language preference and acculturation and incorporate more traditional communication channels for older community members.

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Section: Discussionmentioning

confidence: 99%

Electronic Communication Channel Use and Health Information Source Preferences Among Latinos in Northern Manhattan

Hillyer

Schmitt

Lizardo³

et al. 2016

J Community Health

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“…Also, patients with minor symptoms may prefer to diagnose themselves [9]. The development of the internet has provided patients with a considerable amount of health information [10], and thus, the internet has almost become a major source for patients to seek health information [11]. Nonetheless, health information available on the internet is of mixed quality, and some information is oversimplified, incomplete, inaccurate, or even misleading [12].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Internet Health Information and Patient Compliance Based on Trust: Empirical Study

Zhang

et al. 2018

J Med Internet Res

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BackgroundThe internet has become a major mean for acquiring health information; however, Web-based health information is of mixed quality and may markedly affect patients’ health-related behavior and decisions. According to the social information processing theory, patients’ trust in their physicians may potentially change due to patients’ health-information-seeking behavior. Therefore, it is important to identify the relationship between internet health information and patient compliance from the perspective of trust.ObjectiveThe objective of our study was to investigate the effects of the quality and source of internet health information on patient compliance using an empirical study based on the social information processing theory and social exchange theory.MethodsA Web-based survey involving 336 valid participants was conducted in China. The study included independent variables (internet health information quality and source of information), 2 mediators (cognition-based trust [CBT] and affect-based trust [ABT]), 1 dependent variable (patient compliance), and 3 control variables (gender, age, and job). All variables were measured using multiple-item scales from previously validated instruments, and confirmative factor analysis as well as structural equation modeling was used to test hypotheses.ResultsThe questionnaire response rate was 77.16% (375/486), validity rate was 89.6% (336/375), and reliability and validity were acceptable. We found that the quality and source of internet health information affect patient compliance through the mediation of CBT and ABT. In addition, internet health information quality has a stronger influence on patient compliance than the source of information. However, CBT does not have any direct effect on patient compliance, but it directly affects ABT and then indirectly impacts patient compliance. Therefore, the effect of ABT seems stronger than that of CBT. We found an unexpected, nonsignificant relationship between the source of internet health information and ABT.ConclusionsFrom patients’ perspective, internet health information quality plays a stronger role than its source in impacting their trust in physicians and the consequent compliance with physicians. Therefore, patient compliance can be improved by strengthening the management of internet health information quality. The study findings also suggest that physicians should focus on obtaining health information from health websites, thereby expanding their understanding of patients’ Web-based health-information-seeking preferences, and enriching their knowledge structure to show their specialization and reliability in the communication with patients. In addition, the mutual demonstration of care and respect in the communication between physicians and patients is important in promoting patients’ ABT in their physicians.

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“…[15-19. ] Potilaat hakevat terveyteen ja hyvinvointiin liittyvää tietoa Internetistä [20]. Henkilökohtaisten sähköisten terveystietojen käyttöön vaikuttaa potilaan ikä, koulu-FinJeHeW 2019;11(1-2) 27 tus sekä kokemus terveydenhuollon järjestelmästä yleensä [21][22][23].…”

Section: Johdantounclassified

Sähköiset terveyspalvelut osaksi potilaan arkea

Kivekäs

Kinnunen

et al. 2019

FinJeHeW

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1 Sosiaali-ja terveydenhuollon tietohallinto, Sosiaali-ja terveysjohtamisen laitos, Itä-Suomen yliopisto, Kuopio; 2 Kuopion yliopistollinen sairaala, Kuopio Eija Kivekäs, Sosiaali-ja terveysjohtamisen laitos, Itä-Suomen yliopisto, PL 1627, 70211 Kuopio, FINLAND. Sähköposti: eija.kivekas@uef.fi Tiivistelmä Viimeaikaiset tutkimukset osoittavat, että mielenkiinto sähköisiä terveyspalveluja kohtaan on lisääntynyt ja samoin tarve niiden käytön ohjaukseen. Tutkimuksen tarkoituksena on analysoida, millaisen merkityksen erikoissairaanhoidon vastaanotolla asioivat potilaat antavat sähköisille palveluille. Lisäksi he arvioivat sähköisten palvelujen hyödyllisyyttä ja helppokäyttöisyyttä. Tutkimusaineisto koottiin yliopistosairaalan poliklinikoilla asioivilta potilailta tai heidän saattajiltaan keväällä 2017. Kysely koostui Likert-asteikollisesta väittämistä (n=29) ja viidestä taustamuuttujasta. Aineistosta (n=113/150, 75%) analysointiin luku-ja prosenttimäärät sekä rakenneyhtälömallia käyttäen tutkittiin Teknologian hyväksyminen -mallin pohjalta asetetut hypoteesien sopivuus aineistoon. Vastaajat arvioivat sähköisten palvelujen käytön motivoivan seuraamaan omaa terveyttä. He kokivat, että sähköiset palvelut ovat helposti saatavilla ja he haluavat käyttää sähköisiä palveluja terveydentilan seurantaan sekä luottavat sähköisten palvelujen mahdollisuuksiin. Vastaajista puolet oli käyttänyt Internetistä saatavilla olevia terveystestejä, mutta terveystarkastuksen sähköisesti oli tehnyt vain muutama. Kanta-palvelut olivat tuttuja ja käyttökokemuksen lisääntyessä palvelut koettiin mielekkäiksi. Nuoret hallitsivat tietotekniikan käytön, kun taas iäkkäämmät vastaajat epäilevät käyttötaitojaan. Tutkimus osoitti, että palvelujen mielekkyys vaikuttaa merkittävästi niin asennoitumiseen kuin aikomukseen käyttää sähköisiä palveluja.Avainsanat: potilas, sähköiset palvelut, teknologian hyväksymisen malli (TAM) AbstractStudies recently showed that interest in electronic healthcare services has increased, and there is a need to guide and inform patients and their families about the formats of such services. The purposes of this study were to determine what factors cause patients to accept electronic healthcare services and to determine what factors affect patients' to use of such services by examining patients' opinions of the services' usefulness and ease of use. Sample data (n=113/150, 75%) was collected from the patients of six outpatient clinics at one university hospital for two weeks in April 2017. The patients and their escorts each completed a questionnaire that consisted of background variables (n=5) and questions (n=29). Statistical methods were used to describe and test the patients' intentions to use electronic healthcare services. It was found that the participants were motivated to monitor their wellness with electronic healthcare services based on their experiences with such services, and the patients were confident about the effectiveness of such services. In fact, half the participants accessed electronic health assessment too...

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Health information needs, sources, and barriers of primary care patients to achieve patient-centered care: A literature review

Abstract: Further research is warranted to assess how to create accurate and reliable health information sources for both Internet and non-Internet users.

Cited by 210 publications

References 75 publications

Electronic Communication Channel Use and Health Information Source Preferences Among Latinos in Northern Manhattan

Electronic Communication Channel Use and Health Information Source Preferences Among Latinos in Northern Manhattan

Relationship Between Internet Health Information and Patient Compliance Based on Trust: Empirical Study

Sähköiset terveyspalvelut osaksi potilaan arkea

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