E-health and consultation rates for respiratory illnesses in infants: a randomised clinical trial in primary care

Gugten, Anne C. van der; Uiterwaal, Cuno S.P.M.; Verheij, Theo; Ent, Cornelis K. van der

doi:10.3399/bjgp15x683485

Cited by 10 publications

(21 citation statements)

References 40 publications

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“…Our findings in the young-age subgroup are in line with a recent study which found no change in healthcare usage for infants. 16 This suggests that the need for assurance by face-to-face contact cannot be replaced by eHealth in this patient group. The decrease in consultation rate was also present in the oldest subgroup.…”

Section: Discussion Key Results and Interpretationmentioning

confidence: 99%

“…Previous studies showed heterogeneous results: online information did not change or even increased healthcare usage in some studies. [8][9][10][11][12][13][14][15][16][17] An important limitation of these studies is that most estimated healthcare usage by patient self-reporting instead of actual healthcare usage statistics. Furthermore, the effects of online health information might be different in subgroups of sex, socioeconomic status Strengths and limitations of this study ▪ Long-term follow-up (6 years) in a large number of healthcare consultations (18.1 million).…”

Section: Introductionmentioning

confidence: 99%

“…5 18-21 A recent study, investigating the effect of an online support programme on healthcare usage in infants, found no difference in this youngest-age subgroup. 16 The Dutch College of General Practitioners (NHG) launched a non-commercial evidence-based public website in the Netherlands in March 2012. 22 The NHG is the Dutch scientific society of general practitioners (GPs), and publishes and updates nationally implemented evidence-based guidelines.…”

Section: Introductionmentioning

confidence: 99%

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Effect of an evidence-based website on healthcare usage: an interrupted time-series study

et al. 2016

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ObjectivesHealthcare costs and usage are rising. Evidence-based online health information may reduce healthcare usage, but the evidence is scarce. The objective of this study was to determine whether the release of a nationwide evidence-based health website was associated with a reduction in healthcare usage.DesignInterrupted time series analysis of observational primary care data of healthcare use in the Netherlands from 2009 to 2014.SettingGeneral community primary care.Population912 000 patients who visited their general practitioners 18.1 million times during the study period.InterventionIn March 2012, an evidence-based health information website was launched by the Dutch College of General Practitioners. It was easily accessible and understandable using plain language. At the end of the study period, the website had 2.9 million unique page views per month.Main outcomes measuresPrimary outcome was the change in consultation rate (consultations/1000 patients/month) before and after the release of the website. Additionally, a reference group was created by including consultations about topics not being viewed at the website. Subgroup analyses were performed for type of consultations, sex, age and socioeconomic status.ResultsAfter launch of the website, the trend in consultation rate decreased with 1.620 consultations/1000 patients/month (p<0.001). This corresponds to a 12% decline in consultations 2 years after launch of the website. The trend in consultation rate of the reference group showed no change. The subgroup analyses showed a specific decline for consultations by phone and were significant for all other subgroups, except for the youngest age group.ConclusionsHealthcare usage decreased by 12% after providing high-quality evidence-based online health information. These findings show that e-Health can be effective to improve self-management and reduce healthcare usage in times of increasing healthcare costs.

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Section: Discussion Key Results and Interpretationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of an evidence-based website on healthcare usage: an interrupted time-series study

et al. 2016

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“…This could help them make better informed health decisions [14,18] and aid in improving communication between people and healthcare providers [1], as eHealth is often used to supplement physicians' recommendations [14,15]. Another advantage mentioned in the scientific literature is that eHealth allows people to access community support by facilitating participation in online support forums or in peer-support forums on social media [15,23].…”

Section: Introductionmentioning

confidence: 99%

A Study of eHealth from the Perspective of Social Sciences

2021

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The field of social sciences has become increasingly important in eHealth. Patients currently engage more proactively with health services. This means that eHealth is linked to many different areas of Social Sciences. The main purpose of this research is to analyze the state-of-the-art research on eHealth from the perspective of social sciences. To this end, a bibliometric analysis was conducted using the Web of Science database. The main findings show the evolution of publications, the most influential countries, the most relevant journals and papers, and the importance of the different areas of knowledge. Although there are some studies on eHealth within social sciences, most of them focus on very specific aspects and do not develop a holistic analysis. Thus, this paper contributes to academia by analyzing the state-of-the-art of research, as well as identifying the most relevant trends and proposing future lines of research such as the potential of eHealth as a professional training instrument, development of predictive models in eHealth, analysis of the eHealth technology acceptance model (TAM), efficient integration of eHealth within public systems, efficient budget management, or improvement in the quality of service for patients.

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“…Parents also frequently use the internet to access health information for their children (Van Der Gugten et al, 2015). This trend is attributed to the decrease in the support of parents from close friends and family under post-modernism and the fact that the information they receive from their relatives is 'out of date'.…”

Section: Introductionmentioning

confidence: 99%

Exploring the interplay: Maternal electronic health literacy and its impact on early childhood development and parenting practices

Oflu,

Yalcin

2024

Child

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BackgroundMothers need a competent electronic health literacy (eHL) skill for beneficial gains for the health of their children in the virtual environment, which is a new health platform. We predict that a competent eHL of mothers who play a central role in early childhood will positively affect the health of their children. This study aimed to determine the level of eHL of mothers of young children and investigate the relationship between mothers' eHL and early childhood development (ECD) and early parenting practices (EPP).MethodsThis cross‐sectional study was conducted on mothers with children aged 36–59 months using eHealth. Sociodemographic and personal characteristics form, Early Childhood Development Module and eHealth Literacy Scale were administered to the participating mothers.ResultsThe data from 440 mother–child pairs were analysed. Children of mothers with sufficient eHL levels were more likely to be Early Childhood Development Index (ECDI)‐on‐track, adjusted odds ratio (AOR), 95% confidence interval (CI): 2.16 (1.29–3.61); have adequate support in learning, AOR (%95 CI): 3.23 (1.69–6.18); and have adequate daily meals and snacks, AOR (%95 CI): 2.43 (1.56–3.78).ConclusionThese results revealed that there is a need for interventions that will contribute to child health by improving mothers' eHL levels.

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E-health and consultation rates for respiratory illnesses in infants: a randomised clinical trial in primary care

Abstract: BackgroundIt is assumed that clear and complete information on the internet can reduce healthcare consumption.

Cited by 10 publications

References 40 publications

Effect of an evidence-based website on healthcare usage: an interrupted time-series study

Effect of an evidence-based website on healthcare usage: an interrupted time-series study

A Study of eHealth from the Perspective of Social Sciences

Exploring the interplay: Maternal electronic health literacy and its impact on early childhood development and parenting practices

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