Factors Affecting Electronic Health Information Needs in Primary Care Patients

Vanagas, Giedrius; Klimavičiūtė-Gudauskiene, Rita

doi:10.1089/tmj.2012.0031

Cited by 8 publications

(6 citation statements)

References 15 publications

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“…This strengthens the image of patients as curious information seekers employing multiple sources. It also underlines their wish to trust official guidelines when in doubt and before deciding on a course of action [1,26].…”

Section: General Discussion and Resultsmentioning

confidence: 99%

Quality and availability of information in primary healthcare: the patient perspective

Abelsson

Morténius

Bergman

et al. 2020

Scandinavian Journal of Primary Health Care

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Objective: To explore lived experiences of patients communicating with and receiving information from primary health care. Design: Qualitative study analysing transcribed interviews by descriptive content analysis. Setting: Recruitment and interviews took place in southern Sweden in three primary care centres where privacy and undisturbed interview environments was ensured. Subjects: 17 primary care patient informants, 9 men and 8 women aged 31-84 years with varying educational levels from primary school to post graduates. Main outcome measures: Thematic categories and subcategories reporting the lived experience of the patients. Results: The analysis yielded three categories and identified as a main theme a feeling of unpredictability based on the emotional aspects of feeling lost and vulnerable when trying to access primary care. The category" Need for easy access" illustrated emotional aspects of importance to patients when contacting primary health care." Need for individual adaptation" described the need to individually adapt health related information." Information exchange" comprised experiences of information evaluation and understanding new information. Conclusions: Patients generally trusted the information received, but experienced a lack of communication, which evoked feelings of unpredictability and abandonment. Experiences of limited access to primary health care and the need for varying degrees of adaptation on the part of the individual were factors of concern for how patients experienced the care. KEY POINTS Smooth communication and understandable information are fundamental for quality primary health care. This qualitative interview study identified the following key points from analysing the views of 17 patients: Patients indicated a feeling of unpredictability due to lack of access to and communication with health professionals. Patients sometimes reported an inability to understand information conveyed by health professionals. Being able to form relationships with health professionals was crucial for patients' trust and understanding.

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Section: General Discussion and Resultsmentioning

confidence: 99%

Quality and availability of information in primary healthcare: the patient perspective

Abelsson

Morténius

Bergman

et al. 2020

Scandinavian Journal of Primary Health Care

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“…Finally, the ehealth technologies' levels of difficulty and relative positions in the continuum are based upon peoples' actual perceived difficulties when using them. For e-health technologies not yet accessible to and used by the client group, we may expect even more people experiencing major problems when initiating the use of e-health services (Vanagas & Klimavičiūtė-Gudauskiene, 2012), as they would be unfamiliar until integrated into his/her everyday life and habits. This is a pilot study.…”

Section: Discussionmentioning

confidence: 99%

“…Examples of e-health services are online health guides, e-prescriptions (Jung & Loria, 2010), and disease management support (Hall, Stellefson & Bernhardt, 2012). Technological artefacts and services such as the Internet (Jung & Loria, 2010;Vanagas & Klimavičiūtė-Gudauskiene, 2012;Van Deursen, 2012) and cell phones (Hall et al, 2012), hereafter named e-health technologies, are central in the use of e-health services. But it may be important to keep in mind that the technology in itself might imply hindrances for certain people in health promotion.…”

Section: Introductionmentioning

confidence: 99%

Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment

Malinowsky

Nygård

Kottorp

2013

Aging & Mental Health

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Objectives: E-health services are increasingly offered to provide clients with information and a link to healthcare services. The aim of this study is to investigate the perceived access to and the potential to use technologies important for e-health services among older adults with MCI or mild AD and controls. Method: The perceived access to and perception of difficulty in the use of everyday technology (such as cell phones, coffee machines, computers) was investigated in a sample of older adults (n=118) comprising three subsamples: adults with mild cognitive impairment (MCI) (n=37), with mild Alzheimer's disease (AD) (n=37) and controls (n=44) using the Everyday Technology Use Questionnaire (ETUQ). The use of seven technologies important for e-health services was specifically examined for each subsample and compared between the subsamples. Results: The findings demonstrated that the older adults in all subsamples both perceive access to e-health technologies and potentially would use them competently in several e-health services. However, among persons with AD a lower proportion of perceived access to the technology was described, as well as for persons with MCI. Conclusion: To make the benefits of e-health services available and used by all clients, it is important to consider access to the technology required in e-health services and also to support the clients' capabilities to understand and use the technologies. Also, the potential use of the ETUQ to explore the perceived access to and competence in using e-health technologies is a vital issue in the use of e-health services.

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“…Also, within the field of health care, there is a growing emphasis on services provided through technology, often referred to as eHealth . Central to the use of eHealth services such as online health guides and e‐prescriptions are technological artefacts such as computers and mobile phones and services through the Internet . But, it is important to keep in mind that having access to the technology is not the same as using it, or using it competently.…”

Section: Introductionmentioning

confidence: 99%

Experiences from using eHealth in contact with health care among older adults with cognitive impairment

Jakobsson

Nygård

Kottorp

et al. 2019

Scandinavian Caring Sciences

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Rationale Since health care is facing challenges, with fewer caregivers providing care to more clients, eHealth plays a crucial role. Through eHealth, people are expected to be more involved in their own care. On the part of health care users, eHealth requires use of everyday technology such as telephones and computers, and services through the Internet which might be challenging for older adults with cognitive impairment. Aim To investigate experiences of using eHealth in contact with health care among older adults with cognitive impairment. Method Individual, semi‐structured interviews were conducted with nine participants, aged 65–84 years, with cognitive impairments of varying origins. A constructivist Grounded Theory approach was used. Data collection and analysis were performed simultaneously using a constant comparative method. Ethical issues Ethical approval (Dnr: 2014/906‐32) was obtained from the regional ethical committee, Stockholm. Results The core category, the eHealth staircase supported by habits, is presented as a model that visualises the result. The model includes three steps showing different ways of being in contact with health care through the use of technological devices and services that mirrors different levels of complexity of eHealth use as follows: (i) Analogue use, (ii) One‐way‐use and (iii) Interactive use. The participants’ location on the eHealth staircase was affected by several aspects described in three categories united by habits; A stable relationship with technology: a prerequisite for use; The importance of interpersonal relationships within health care and Being supported by significant others: a prerequisite in contact with health care. Conclusions Older adults with cognitive impairments seemed to prefer common and less complex eHealth when contacting health care. Therefore, it is necessary that health care providers offer different possibilities for patients to contact them, that is, both through the Internet and by personal telephone service.

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Factors Affecting Electronic Health Information Needs in Primary Care Patients

Cited by 8 publications

References 15 publications

Quality and availability of information in primary healthcare: the patient perspective

Quality and availability of information in primary healthcare: the patient perspective

Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment

Experiences from using eHealth in contact with health care among older adults with cognitive impairment

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