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

Spoelman, Wouter A; Bonten, Tobias N; Waal, Margot W. M. de; Drenthen, Ton; Smeele, Ivo; Nielen, Markus M J; Chavannes, Niels H.

doi:10.1136/bmjopen-2016-013166

Cited by 93 publications

(73 citation statements)

References 24 publications

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“…The development and implementation of an easily accessible, online patient-operated triage tool could potentially contribute to easing the pressure on the health system. 9 We wanted to study the features of intelligent online triage tools in a primary care context by conducting a literature review.…”

Section: Introductionmentioning

confidence: 99%

Limited evidence of benefits of patient operated intelligent primary care triage tools: findings of a literature review

Gottliebsen¹,

Petersson²

2020

BMJ Health Care Inform

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IntroductionThere is consistent evidence that the workload in general practices is substantially increasing. The digitalisation of healthcare including the use of artificial intelligence has been suggested as a solution to this problem. We wanted to explore the features of intelligent online triage tools in primary care by conducting a literature review.MethodA systematic literature search strategy was formulated and conducted in the PubMed database and the Cochrane Library. Articles were selected according to inclusion/exclusion criteria. Results and data were systematically extracted and thematically analysed. 17 articles of that reported large multimethod studies or smaller diagnostic accuracy tests on clinical vignettes were included. Reviews and expert opinions were also considered.ResultsThere was limited evidence on the actual effects and performance of triage tools in primary care. Several aspects can guide further development: concepts of system design, system implementation and diagnostic performance. The most important findings were: a need to formulate evaluation guidelines and regulations; their assumed potential has not yet been met; a risk of increased or redistribution of workloads and the available symptom checker systems seem overly risk averse and should be tested in real-life settings.ConclusionThis review identified several features associated with the design and implementation of intelligent online triage tools in a primary care context, although most of the investigated systems seemed underdeveloped and offered limited benefits. Current online triage systems should not be used by individuals who have reasonable access to traditional healthcare. Systems used should be strictly evaluated and regulated like other medical products.

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Section: Introductionmentioning

confidence: 99%

Limited evidence of benefits of patient operated intelligent primary care triage tools: findings of a literature review

Gottliebsen¹,

Petersson²

2020

BMJ Health Care Inform

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“…Respondents of our survey were mostly women, as it seems that women perform more health searches on the Internet [4,[25][26][27]. Users who perform health searches on the website usually have a higher education level [26], something we have also found. It seems that users among 18-29 years old search more about health on the website [24], but the mean age of our respondents was higher, as our website is a parent-targeted site.…”

Section: Demographical Datamentioning

confidence: 58%

Validation of a Questionnaire Developed to Evaluate a Pediatric eHealth Website for Parents

Nievas-Soriano

Duarte

Alonso

et al. 2020

IJERPH

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There is a need for health professionals to provide parents with not only evidence-based child health websites but also instruments to evaluate them. The main aim of this research was to develop a questionnaire for measuring users’ evaluation of the usability, utility, confidence, the well-child section, and the accessibility of a Spanish pediatric eHealth website for parents. We further sought to evaluate the content validity and psychometric reliability of the instrument. A content validation study by expert review was performed, and the questionnaire was pilot tested. Psychometric analyses were used to establish scales through exploratory and confirmatory factor analyses. Reliability studies were performed using Cronbach’s alpha and two split-half methods. The content validation of the questionnaire by experts was considered as excellent. The pilot web survey was completed by 516 participants. The exploratory factor analysis excluded 27 of the 41 qualitative initial items. The confirmatory factor analysis of the resultant 14-item questionnaire confirmed the five initial domains detected in the exploratory confirmatory analysis. The goodness of fit for the competing models was established through fit indices and confirmed the previously established domains. Adequate internal consistency was found for each of the subscales as well as the overall scale.

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“…Since its launch, the website has grown to become one of the most visited Dutch healthcare websites. Healthcare usage in primary care seems to have decreased by 12% after the launch of the website …”

Section: Discussionmentioning

confidence: 99%

Developing quality criteria for patient‐directed knowledge tools related to clinical practice guidelines. A development and consensus study

Dreesens¹,

Faber

Bos

et al. 2018

Health Expectations

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Background Patient‐directed knowledge tools such as patient versions of guidelines and patient decision aids are increasingly developed to facilitate shared decision making. In this paper, we report how consensus was reached within the Netherlands on quality criteria for development, content and governance of these tools. Method A 12‐month development and consensus study. The consortium worked on four work packages: (a) reviewing existing criteria; (b) drafting the quality criteria; (c) safe‐guarding the acceptability and feasibility of the draft criteria by participatory research in on‐going tool development projects; and (d) gaining formal support from national stakeholders on the quality criteria. Results We reached consensus on a 8‐step guidance; describing minimal quality criteria for (a) the team composition; (b) setting the scope; (c) identifying needs; (d) the content and format; (e) testing the draft; (f) finalizing and approval; (g) dissemination and application, and (h) ownership and revision. The participants of the on‐going tool development projects were positive about the quality criteria in general, but divided as to the degree of detail. Whereas some expressed a clear desire for procedural standards, others felt that it would be sufficient to provide only general directions. Despite the different views as to the degree of detail, consensus was reached in three stakeholder meetings. Discussion We successfully collaborated with all stakeholders and achieved formal support from national stakeholders on a set of minimum criteria for the development process, content and governance of patient‐directed knowledge tools.

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

Cited by 93 publications

References 24 publications

Limited evidence of benefits of patient operated intelligent primary care triage tools: findings of a literature review

Limited evidence of benefits of patient operated intelligent primary care triage tools: findings of a literature review

Validation of a Questionnaire Developed to Evaluate a Pediatric eHealth Website for Parents

Developing quality criteria for patient‐directed knowledge tools related to clinical practice guidelines. A development and consensus study

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