Public use of electronic personal health information: Measuring progress of the Healthy People 2020 objectives

Greenberg, Alexandra J.; Serrano, Katrina J.; Thai, Chan L.; Blake, Kelly D.; Moser, Richard P.; Hesse, Bradford W.; Ahern, David K.

doi:10.1016/j.hlpt.2016.08.003

Cited by 9 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At least half of the patients in this study reported using some technologies such as computers, the internet, and the telephone (including text messaging) to manage their health. This finding is consistent with reported trends of individuals' rapidly increasing uptake of technology, such as the internet, to manage their health [19]. However, only a small proportion of patients were interested in using new technologies that they were not currently using in general daily activities in managing their health.…”

Section: Discussionsupporting

confidence: 89%

Patient preferences for using technology in communication about symptoms post hospital discharge

Alexander

Ogle

Hoberg

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Technology is increasingly transforming the way we interact with others and undertake activities in our daily lives. The healthcare setting has, however, not yet realised the potential of technology solutions to facilitate communication between patients and healthcare providers. While the procedural and policy requirements of healthcare systems will ultimately drive such solutions, understanding the preferences and attitudes of patients is essential to ensure that technology implemented in the healthcare setting facilitates communication in safe, acceptable, and appropriate ways. Therefore, the purpose of this study was to examine patient preferences for using technology to communicate with health service providers about symptoms experienced following discharge from the hospital. Methods Primary data were collected from patients admitted to a large metropolitan hospital in Australia during three consecutive months in 2018. Participants were asked about their daily use of technology including use of computers, email, phone, text messaging, mobile applications, social media, online discussion forums, and videoconference. They were then asked about their use of technologies in managing their health, and preferences for use when communicating about symptoms with health service providers following discharge from hospital. Results Five hundred and twenty-five patients with a wide range of differing clinical conditions and demographics participated. Patients indicated they used a range of technologies in their everyday lives and to manage their health. Almost 60% of patients would prefer to return to hospital if they were experiencing symptoms of concern. However, if patients experienced symptoms that were not of concern, over 60% would prefer to communicate with the hospital via telephone or using technology. Admitting condition, income, and age were significantly associated with preferences for communication about symptoms following hospital discharge. Conclusions Patients have varied preferences for communicating with their health service providers post-hospital discharge. Findings suggest that some, but not all patients, would prefer to use technology to traditional methods of communicating with the healthcare team. Health services should offer patients multiple options for communicating about their recovery to ensure individual needs are appropriately met.

show abstract

Section: Discussionsupporting

confidence: 89%

Patient preferences for using technology in communication about symptoms post hospital discharge

Alexander

Ogle

Hoberg

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…At least half of the patients in this study reported some technologies such as computers, the internet, and the telephone (including text messaging) to manage their health. This nding is consistent with reported trends of individuals' rapidly increasing uptake of technology, such as the internet, to manage their health (13). However, only a small proportion of patients were interested in using new technologies that they were not currently using in general daily activities in managing their health.…”

Section: Resultssupporting

confidence: 87%

Patient Preferences for Using Technology in Communication Post Hospital Discharge

Alexander

Ogle

Hoberg

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Technology is increasingly transforming the way we interact with others and undertake activities in our daily lives. The healthcare setting has, however, been relatively slow to adopt technology solutions to facilitate communication between patients and healthcare providers. While the procedural and policy requirements of healthcare systems will ultimately drive such solutions, understanding the preferences and attitudes of patients is essential to ensure that technology implemented in the healthcare setting facilitates communication in safe, acceptable, and appropriate ways. Therefore, the purpose of this study was to examine patient preferences for using technology to communicate with health services about symptoms experienced following discharge from the hospital. Methods: Primary data were collected from patients admitted to a large metropolitan hospital in Australia during three consecutive months in 2018. Participants were asked about their daily use of technology including use of computers, email, phone, text messaging, mobile applications, social media, online discussion forums, and videoconference. They were then asked about their use of technologies in managing their health, and preferences for use when communicating about symptoms with health services following discharge from hospital. Results: Five hundred and twenty-five patients with a wide range of differing clinical conditions and demographics participated. Patients indicated they used a range of technologies in their everyday lives and to manage their health. Almost 60% of patients would prefer to return to hospital if they were experiencing symptoms of concern. However, if patients experienced symptoms that were not of concern, over 60% would prefer to communicate with the hospital via telephone or using technology. Admitting condition, income, and age were significantly associated with preferences for communication about symptoms following hospital discharge.Conclusions: Patients have varied preferences for communicating with the health service post-hospital discharge. Findings suggest that some, but not all patients, would prefer to use technology to traditional methods of communicating with the healthcare team. Health services should offer patients multiple options for communicating about their recovery to ensure individual needs are appropriately met.

show abstract

“…Trends through 2014 suggested that people with higher incomes and education remained more likely to use the internet to look up health information and to communicate with their providers, with disparities based on race sometimes becoming statistically nonsignificant in adjusted models [2,8,9]. Throughout this period, group differences in internet and home computer access at least partly explained disparities in eHealth use [5,10].…”

Section: Introductionmentioning

confidence: 99%

Growing Disparities in Patient-Provider Messaging: Trend Analysis Before and After Supportive Policy

Senft¹,

Butler²,

Everson³

2019

J Med Internet Res

View full text Add to dashboard Cite

BackgroundPublic policy introduced since 2011 has supported provider adoption of electronic medical records (EMRs) and patient-provider messaging, primarily through financial incentives. It is unclear how disparities in patients’ use of incentivized electronic health (eHealth) tools, like patient-provider messaging, have changed over time relative to disparities in use of eHealth tools that were not directly incentivized.ObjectiveThis study examines trends in eHealth disparities before and after the introduction of US federal financial incentives. We compare rates of patient-provider messaging, which was directly incentivized, with rates of looking for health information on the Web, which was not directly incentivized.MethodsWe used nationally representative Health Information National Trends Survey data from 2003 to 2018 (N=37,300) to describe disparities in patient-provider messaging and looking for health information on the Web. We first reported the percentage of individuals across education and racial and ethnic groups who reported using these tools in each survey year and compared changes in unadjusted disparities during preincentive (2003-2011) and postincentive (2011-2018) periods. Using multivariable linear probability models, we then examined adjusted effects of education and race and ethnicity in 3 periods—preincentive (2003-2005), early incentive (2011-2013), and postincentive (2017-2018)—controlling for sociodemographic and health factors. In the postincentive period, an additional model tested whether internet adoption, provider access, or providers’ use of EMRs explained disparities.ResultsFrom 2003 to 2018, overall rates of provider messaging increased from 4% to 36%. The gap in provider messaging between the highest and lowest education groups increased by 10 percentage points preincentive (P<.001) and 22 additional points postincentive (P<.001). The gap between Hispanics and non-Hispanic whites increased by 3.2 points preincentive (P=.42) and 11 additional points postincentive (P=.01). Trends for blacks resembled those for Hispanics, whereas trends for Asians resembled those for non-Hispanic whites. In contrast, education-based disparities in looking for health information on the Web (which was not directly incentivized) did not significantly change in preincentive or postincentive periods, whereas racial disparities narrowed by 15 percentage points preincentive (P=.008) and did not significantly change postincentive. After adjusting for other sociodemographic and health factors, observed associations were similar to unadjusted associations, though smaller in magnitude. Including internet adoption, provider access, and providers’ use of EMRs in the postincentive model attenuated, but did not eliminate, education-based disparities in provider messaging and looking for health information on the Web. Racial and ethnic disparities were no longer statistically significant in adjusted models.ConclusionsDisparities in provider messaging widened over time, particularly following federal financial incenti...

show abstract

Public use of electronic personal health information: Measuring progress of the Healthy People 2020 objectives

Cited by 9 publications

References 7 publications

Patient preferences for using technology in communication about symptoms post hospital discharge

Patient preferences for using technology in communication about symptoms post hospital discharge

Patient Preferences for Using Technology in Communication Post Hospital Discharge

Growing Disparities in Patient-Provider Messaging: Trend Analysis Before and After Supportive Policy

Contact Info

Product

Resources

About