Please leave your phone outside: policymakers and medical app providers are encouraging patient participation, but doctors in the consult room are not

Roper, Lucinda; Jorm, Christine

doi:10.1136/bmjinnov-2016-000134

Cited by 16 publications

(8 citation statements)

References 64 publications

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“…Participants with a broader range of experience may raise different issues. However, based on prior studies [ 12 ], they may be typical practitioners and findings may inform health professional education specific to eHealth [ 12 ], better equipping HCPs to adopt eHealth technologies to strengthen patient-HCP relationships. Twelve respondents is a relatively small number, but issues were repetitive across participants, even though they had differing years of practice, experiences, and familiarity with eHealth, and differing descriptions of communication and caregiving styles.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, Laugesen et al noted that high-quality information does not itself replace the need for a previous trusting relationship with the HCP [ 11 ]. Despite these benefits, a 2017 review of 41 papers and 2 chapters published in 2000-2016 regarding adoption of eHealth information and apps notes that “Mainstream medical practice has not yet adapted to the ubiquitous use of the internet by patients” [ 12 ]. There remains a need to better understand perspectives from HCPs regarding eHealth because virtually all patient-provider interaction and health information will eventually be mediated by eHealth technologies [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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eHealth Technologies, Multimorbidity, and the Office Visit: Qualitative Interview Study on the Perspectives of Physicians and Nurses

Macdonald¹,

Townsend²,

Adam³

et al. 2018

J Med Internet Res

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BackgroundeHealth is a broad term referring to the application of information and communication technologies in the health sector, ranging from health records to telemedicine and multiple forms of health education and digital tools. By providing increased and anytime access to information, opportunities to exchange experiences with others, and self-management support, eHealth has been heralded as transformational. It has created a group of informed, engaged, and empowered patients as partners, equipped to take part in shared decision making and effectively self-manage chronic illness. Less attention has been given to health care professionals’ (HCPs) experiences of the role of eHealth in patient encounters.ObjectiveThe objective of this study was to examine HCPs’ perspectives on how eHealth affects their relationships with patients living with multiple chronic conditions, as well as its ethical and practical ramifications.MethodsWe interviewed HCPs about their experiences with eHealth and its impact on the office visit. Eligible participants needed to report a caseload of ≥25% of patients with multimorbidity to address issues of managing complex chronic conditions and coordination of care. We used a semistructured discussion guide for in-depth interviews, and follow-up interviews served to clarify and expand upon initial discussions. Constant comparisons and a narrative approach guided the analyses, and a relational ethics conceptual lens was applied to the data to identify emergent themes.ResultsA total of 12 physicians and nurses (6 male, 6 female; median years of practice=13) participated. eHealth tools most frequently described were Web-based educational resources for patients and Web-based resources for HCPs such as curated scientific summaries on diagnostic criteria, clinical therapies, and dosage calculators. Analysis centered on a grand theme of the two-way conversation between HCPs and patients, which addresses a general recentering of the ethical relationship between HCPs and patients around engagement. Subthemes explain the evolution of the two-way conversation, and having, using, and supporting the two-way conversation with patients, primarily as this relates to achieving adherence and health outcomes.ConclusionsEmerging ethical concerns were related to the ambiguity of the ideal of empowered patients and the ways in which health professionals described enacting those ideals in practice, showing how the cultural shift toward truly mutually respectful and collaborative practice is in transition. HCPs aim to act in the best interests of their patients; the challenge is to benefit from emergent technologies that may enhance patient-HCP interactions and effective care, while abiding by regulations, dealing with the strictures of the technology itself, and managing changing demands on their time.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

eHealth Technologies, Multimorbidity, and the Office Visit: Qualitative Interview Study on the Perspectives of Physicians and Nurses

Macdonald¹,

Townsend²,

Adam³

et al. 2018

J Med Internet Res

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“…8,9 Whilst the incorporation of ICTs in medical practice cannot be fully understood and stated without exploring the ways physicians are applying ICTs within their daily practice, organizational contexts and the opportunities and challenges afforded by institutional, professional and patient demands; it is certain that despite the fact that potential benefits of emerging technologies exist, there are still noticeable gaps regarding the adaptation of mainstream medical practices to the ubiquitous use of the internet by patients. 10,11 Not only that but also the fact that skepticism among doctors who do not necessarily look ICTs as innovative or desirable has been reported which is further dimed by a high rank of hampering factors such as data security and privacy, as well as the acceptance by patients advocates. 12 We designed this study to fill in the gap, as an objective assessment of the frequency of use, perceptions, and barriers of ICTs among physicians remains crucial for a successful implementation of these technologies into the mainstream medical practice.…”

Section: Introductionmentioning

confidence: 99%

<p>Frequency of Use, Perceptions and Barriers of Information and Communication Technologies Among Latin American Physicians: An Ecuadorian Cross-Sectional Study</p>

Chérrez-Ojeda¹,

Vanegas²,

Félix³

et al. 2020

JMDH

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In recent years, the use of information and communication technologies (ICTs) has increased in various sectors, among which the healthcare service is no exception. However, studies have mostly focused on the use of ICTs among patients with chronic diseases, with few reports on the advantages and barriers of these technologies among physicians, particularly in Latin America. We designed this study to fill in the gap, as an objective assessment of the frequency of use, perceptions, and barriers of ICTs among physicians remains crucial for a successful implementation of these technologies into the mainstream medical practice. Methods: We conducted an anonymous cross-sectional survey-based study in 640 Ecuadorian physicians. The survey used consisted of 13 items and evaluated the frequency of use, perceptions, and barriers of ICTs among physicians. Chi-square tests for goodness of fit and independence were performed, whilst Phi coefficient was interpreted to assess the strength of associations. Fisher exact test was performed when required. Results: Over 90% of physicians reported the use of ICTs to message other colleagues and patients (p=0.000). While 89.5% of physicians used social media to interact with other colleagues, only 58.1% used them to interact with patients (p=0.000). Most participants reported the use of ICTs to search for academic information (p=0.000). Moreover, more than 80.0% agree that ICTs may be used to promote health and medical services, search new job opportunities, get involved in research projects and promote teamwork with colleagues. However, 83.6% of physicians expressed concerns about privacy and patient confidentiality, while 53.8% stated that they lacked the time to use ICTs. Conclusion: High usage of ICTs was found among Ecuadorian physicians. Younger physicians, with less postgraduate years, and non-specialists were more likely to have a positive perception toward ICTs. Privacy and patient confidentiality, followed by time management, were the most reported barriers in our study.

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“…Researchers have suggested that increased patient access to health information represents a profound change in the relationship between patients and providers [ 42 ]. Digitally enabled independent self-care by patients has not been universally welcomed by health providers [ 43 , 44 ]. Researchers have reported a consistent pattern of health care provider unease when managing patients informed by internet information.…”

Section: Introductionmentioning

confidence: 99%

Plausibility of Using a Checklist With YouTube to Facilitate the Discovery of Acute Low Back Pain Self-Management Content: Exploratory Study

Zheluk¹,

Maddock²

2020

JMIR Form Res

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Background Access to guideline-consistent effective care for acute low back pain (ALBP) is generally regarded as limited. Researchers have recognized the potential of YouTube as a clinical and patient education resource that may improve access to appropriate care. However, the heterogeneity of evaluation approaches and variable quality of health information have generally limited the potential of YouTube as a self-management intervention. Objective This study aims to increase the understanding of ALBP content available on YouTube in 2020 and to establish the plausibility of using a simple checklist to facilitate the discovery of YouTube content consistent with current guidelines. We examined the following 4 research questions: how was the data set defined, what are the metadata characteristics of the videos in the data set, what is the information quality of ALBP YouTube videos, and what are the characteristics of the YouTube data set based on an ALBP self-management checklist? Methods This was an exploratory, qualitative infodemiology study. We identified videos in our data set through YouTube search based on popular ALBP-relevant search terms identified through Google Trends for YouTube. We accessed YouTube metadata using the YouTube data tools developed by the University of Amsterdam. We used a modified Brief DISCERN checklist to examine the information quality. We developed a checklist based on the 2018 Lancet Low Back Pain guidelines to examine self-management content. Results We analyzed a data set of 202 YouTube videos authored by chiropractors, physicians, physiotherapists, and instructors of yoga and other disciplines. We identified clear differences in the ALBP videos in our data set based on the authors’ disciplines. We found that the videos authored by each discipline strongly featured a specific intervention domain, that is, education, treatment, or exercise. We also found that videos authored by physicians were consistently coded with the highest ALBP self-management content scores than all other disciplines. Conclusions The results returned by YouTube in response to a search for back pain–related content were highly variable. We suggest that a simple checklist may facilitate the discovery of guideline-concordant ALBP self-management content on YouTube. Further research may identify the clinical contexts in which the use of an ALBP checklist with YouTube is feasible.

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Please leave your phone outside: policymakers and medical app providers are encouraging patient participation, but doctors in the consult room are not

Cited by 16 publications

References 64 publications

eHealth Technologies, Multimorbidity, and the Office Visit: Qualitative Interview Study on the Perspectives of Physicians and Nurses

eHealth Technologies, Multimorbidity, and the Office Visit: Qualitative Interview Study on the Perspectives of Physicians and Nurses

<p>Frequency of Use, Perceptions and Barriers of Information and Communication Technologies Among Latin American Physicians: An Ecuadorian Cross-Sectional Study</p>

Plausibility of Using a Checklist With YouTube to Facilitate the Discovery of Acute Low Back Pain Self-Management Content: Exploratory Study

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