Technology approaches to digital health literacy

Dunn, Patrick; Hazzard, Eric L.

doi:10.1016/j.ijcard.2019.06.039

Cited by 156 publications

(97 citation statements)

References 11 publications

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“…Among others, these factors may ultimately lead to better overall experience. Online health information may enhance the patient–physician relationship and although the evidence is mixed [ 32 , 33 ], the importance of eHealth literacy in translating the benefits of innovative digital health solutions to better experiences of care has been recognized [ 34 - 36 ]. For example, positive relationship between eHealth literacy and shared decision making has been found [ 37 ] and its contribution to patients’ decision-making styles has been demonstrated [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring eHealth Literacy and Patient-Reported Experiences With Outpatient Care in the Hungarian General Adult Population: Cross-Sectional Study

Zrubka¹,

Fernandes²,

Baji³

et al. 2020

J Med Internet Res

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Background Digital health, which encompasses the use of information and communications technology in support of health, is a key driving force behind the cultural transformation of medicine toward people-centeredness. Thus, eHealth literacy, assisted by innovative digital health solutions, may support better experiences of care. Objective The purpose of this study is to explore the relationship between eHealth literacy and patient-reported experience measures (PREMs) among users of outpatient care in Hungary. Methods In early 2019, we conducted a cross-sectional survey on a large representative online sample recruited from the Hungarian general population. eHealth literacy was measured with the eHealth Literacy Scale (eHEALS). PREMs with outpatient care were measured with a set of questions recommended by the Organisation for Economic Co-operation and Development (OECD) for respondents who attended outpatient visit within 12 months preceding the survey. Bivariate relationships were explored via polychoric correlation, the Kruskal–Wallis test, and chi-square test. To capture nonlinear associations, after controlling covariates, we analyzed the relationship between eHEALS quartiles and PREMs using multivariate probit, ordinary least squares, ordered logit, and logistic regression models. Results From 1000 survey respondents, 666 individuals (364 females, 54.7%) were included in the study with mean age of 48.9 (SD 17.6) years and mean eHEALS score of 29.3 (SD 4.9). Respondents with higher eHEALS scores were more likely to understand the health care professionals’ (HCPs’) explanations (χ29=24.2, P=.002) and to be involved in decision making about care and treatment (χ29=18.2, P=.03). In multivariate regression, respondents with lowest (first quartile) and moderately high (third quartile) eHEALS scores differed significantly, where the latter were more likely to have an overall positive experience (P=.02) and experience fewer problems (P=.02). In addition, those respondents had better experiences in terms of how easy it was to understand the HCPs’ explanations (P<.001) and being able to ask questions during their last consultation (P=.04). Patient-reported experiences of individuals with highest (fourth quartile) and lowest (first quartile) eHEALS levels did not differ significantly in any items of the PREM instrument, and neither did composite PREM scores generated from the PREM items (P>.05 in all models). Conclusions We demonstrated the association between eHealth literacy and PREMs. The potential patient-, physician-, and system-related factors explaining the negative experiences among people with highest levels of eHealth literacy warrant further investigation, which may contribute to the development of efficient eHealth literacy interventions. Further research is needed to establish causal relationship between eHealth literacy and patient-reported experiences.

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Section: Introductionmentioning

confidence: 99%

Exploring eHealth Literacy and Patient-Reported Experiences With Outpatient Care in the Hungarian General Adult Population: Cross-Sectional Study

Zrubka¹,

Fernandes²,

Baji³

et al. 2020

J Med Internet Res

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“…The findings from this symposium have not just reiterated the need for guidance on patient engagement strategies for health IT initiatives, but have also shown the changes needed at the systems level to enhance capacity and potential for patient engagement in these initiatives. In particular, these include developing the proper governance structures for patient engagement and equipping patients and family members with the necessary knowledge around digital health literacy [30] to actively participate in health IT initiatives [27].…”

Section: Discussionmentioning

confidence: 99%

Identifying best approaches for engaging patients and family members in health informatics initiatives: a case study of the Group Priority Sort technique

Zhang

Leung

et al. 2020

Res Involv Engagem

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Background: Patient engagement strategies in health service delivery have become more common in recent years. However, many healthcare organizations are challenged in identifying the best methods to engage patients in health information technology (IT) initiatives. Engaging with important stakeholders to identify effective opportunities can inform the development of a resource that addresses this issue and supports organizations in their endeavors. The purpose of this paper is to share our experience and lessons learned from applying a novel consensus-building technique in order to identify key elements for effective patient engagement in health IT initiatives. This will be done through a case study approach. Methods: Patients, family members of patients, health professionals, researchers, students, vendor representatives and individuals who work in health IT roles in health organizations were engaged through a one-day symposium in Toronto, Canada in September, 2018. During the symposium, the Group Priority Sort technique was used to obtain structured feedback from symposium attendees in the context of small group discussions. Descriptive statistics and a content analysis were undertaken to analyze the data collected through the Group Priority Sort as well as participant feedback following the symposium. Results: A total of 37 participants attended the symposium from a variety of settings and organizations. Using the Group Priority Sort technique, 30 topics were classified by priority to be included in a future resource. Participant feedback pertaining to the symposium and research methods was largely positive. Several areas of improvement, such as clarity of items, were identified from this case study.

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“…Keberhasilan program literasi digital di perpustakaan sangat tergantung pada teknologi informasi dan komunikasi yang digunakan untuk mentransmisikan data, informasi, dan/atau pengetahuan ke orang lain atau masyarakat. Pemanfaatan teknologi digital untuk peningkatan fungsi dan manfaat dari kegiatan literasi kesehatan, petugas harus memiliki keterampilan dalam membaca (huruf dan angka) seperti menavigasi sistem layanan kesehatan, komunikasi dengan penyedia layanan kesehatan, dan pengambilan keputusan bersama (Dunn & Hazzard, 2019).…”

Section: Pendahuluanunclassified

Dokter Pustaka: Layanan Informasi Online Bidang Kesehatan Alumni Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada Yogyakarta

Mustar

Nashihuddin

2019

Lentera Pustaka: Jurnal Kajian Ilmu Perpustakaan, Informasi dan

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Dokter Pustaka merupakan brand dan media literasi digital untuk para alumni FKKMK (Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan) UGM yang telah bekerja sebagai dokter, perawat, dan residen. Melalui layanan Dokter Pustaka, alumni dapat berdiskusi, berkonsultasi, dan meminta referensi bidang kesehatan secara online kepada pustakawan tanpa dibatasi ruang dan waktu. Makalah ini bertujuan untuk mendeskripsikan profil pengguna layanan; pemahaman alumni terhadap literasi kesehatan; dan pemanfaatan layanan Dokter Pustaka Perpustakaan FKKMK UGM. Data kajian ini bersifat deskriptif dengan pendekatan studi kasus Sumber data kajian yaitu studi literatur, diskusi WhatsApp-Group, dan kuesioner. Responden kajian sejumlah 84 orang alumni FKKMK UGM yang telah bekerja sebagai dokter, perawat, dan residen di berbagai wilayah di Indonesia. Hasil kajian menunjukkan bahwa sebagai besar responden bekerja sebagai dokter spesialis (76 orang) di rumah sakit di seluruh Indonesia. Mereka berpendapat bahwa literasi kesehatan merupakan pengetahuan dan kompetensi seseorang terhadap bidang kesehatan yang berguna untuk pengambilan bahan keputusan medis dan klinis sesuai dengan prosedur, standar pelayanan medis dan evidance based medicine (EBM) melalui penyediaan literatur/referensi mutakhir di perpustakan atau database online. Melalui layanan Dokter Pustaka, alumni memperoleh literatur ilmiah dan informasi mutakhir bidang kesehatan dengan mudah, cepat, gratis tanpa harus datang ke perpustakaan.

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Technology approaches to digital health literacy

Cited by 156 publications

References 11 publications

Exploring eHealth Literacy and Patient-Reported Experiences With Outpatient Care in the Hungarian General Adult Population: Cross-Sectional Study

Exploring eHealth Literacy and Patient-Reported Experiences With Outpatient Care in the Hungarian General Adult Population: Cross-Sectional Study

Identifying best approaches for engaging patients and family members in health informatics initiatives: a case study of the Group Priority Sort technique

Dokter Pustaka: Layanan Informasi Online Bidang Kesehatan Alumni Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan Universitas Gadjah Mada Yogyakarta

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