The over-optimistic portrayal of life-supporting treatments in newspapers and on the Internet: a cross-sectional study using extra-corporeal membrane oxygenation as an example

Chen, Yen-Yuan; Chen, Likwang; Kao, Yu-Hui; Chu, Tzong‐Shinn; Huang, Tien-Shang; Ko, Wen‐Je

doi:10.1186/1472-6939-15-59

Cited by 17 publications

(12 citation statements)

References 19 publications

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“…Chen et al [23] also reported that information reported in the major newspapers in Taiwan regarding the use of life supporting treatments for patients who are critically ill is too optimistic as indicated by the probability of survival. In addition to health-related information regarding life supporting treatments in the media, Moynihan et al [24] studied media coverage of the benefits and risks for three medications in leading national newspapers, local newspapers, and television networks in the United States.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Internet Use and Ambulatory Care-Seeking Behaviors in Taiwan: A Cross-Sectional Study

Hsieh

Chen

et al. 2016

J Med Internet Res

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BackgroundCompared with the traditional ways of gaining health-related information from newspapers, magazines, radio, and television, the Internet is inexpensive, accessible, and conveys diverse opinions. Several studies on how increasing Internet use affected outpatient clinic visits were inconclusive.ObjectiveThe objective of this study was to examine the role of Internet use on ambulatory care-seeking behaviors as indicated by the number of outpatient clinic visits after adjusting for confounding variables.MethodsWe conducted this study using a sample randomly selected from the general population in Taiwan. To handle the missing data, we built a multivariate logistic regression model for propensity score matching using age and sex as the independent variables. The questionnaires with no missing data were then included in a multivariate linear regression model for examining the association between Internet use and outpatient clinic visits.ResultsWe included a sample of 293 participants who answered the questionnaire with no missing data in the multivariate linear regression model. We found that Internet use was significantly associated with more outpatient clinic visits (P=.04). The participants with chronic diseases tended to make more outpatient clinic visits (P<.01).ConclusionsThe inconsistent quality of health-related information obtained from the Internet may be associated with patients’ increasing need for interpreting and discussing the information with health care professionals, thus resulting in an increasing number of outpatient clinic visits. In addition, the media literacy of Web-based health-related information seekers may also affect their ambulatory care-seeking behaviors, such as outpatient clinic visits.

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Section: Discussionmentioning

confidence: 99%

The Association Between Internet Use and Ambulatory Care-Seeking Behaviors in Taiwan: A Cross-Sectional Study

Hsieh

Chen

et al. 2016

J Med Internet Res

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“…We also expect that being connected and informed, patients will be better empowered to take control of their health and demand better value [ 3 ], eventually leading to improved quality and reduced costs of health care, although some of these expectations have yet to be proven [ 4 ]. However, despite the promises of eHealth, some of the online information may be inaccurate or even harmful [ 5 , 6 ]. With the digital transformation of patient education media, patients are becoming increasingly responsible for evaluating the accuracy and reliability of the information they find over the Internet, which assumes non-trivial skills: electronic health literacy (eHealth literacy).…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Hungarian version of the eHealth Literacy Scale

et al. 2019

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Background We adapted the eHealth Literacy Scale (eHEALS) for Hungary and tested its psychometric properties on a large representative online sample of the general population. Methods The Hungarian version of eHEALS was developed using forward–backward translation. For the valuation study, 1000 respondents were recruited in early 2019 from a large online panel by a survey company. We tested internal consistency, test–retest reliability and construct and criterion validity using classical test theory, as well as item characteristics using an item-response theory (IRT) graded response model (GRM). Results 55% of respondents were female, and 22.1% were ≥ 65 years old. Mean eHEALS score was 29.2 (SD: 5.18). Internal consistency was good (Cronbach’s α = 0.90), and test–retest reliability was moderate (intraclass correlation r = 0.64). We identified a single-factor structure by exploratory factor analysis, explaining 85% of test variance. Essential criteria for GRM analysis were met. Items 3 and 4 (search of health resources) were the least difficult, followed by items 5 and 8 (utilisation of health information), and then items 1 and 2 (awareness of health resources). Items 6 and 7 (appraisal of health resources) were most difficult. The measurement properties of eHEALS were not affected by gender, age, education or income levels. Female gender, older age, intensity of health information seeking, formal health education and visit at the electronic health-record website were associated with higher eHEALS scores, as well as best and worst self-perceived health states, BMI < 25 and participation at health screenings over the past year. Conclusions The Hungarian eHEALS is a useful and valid tool for measuring subjective eHealth literacy. Electronic supplementary material The online version of this article (10.1007/s10198-019-01062-1) contains supplementary material, which is available to authorized users.

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“…Prior studies have proposed the possibility that the significantly increased ECMO uses in Taiwan’s population might be associated with significant social events [ 6 ] and their related over-optimistic reports on the Internet and newspapers [ 34 ]. We also highlighted the possibility that the media literacy of the audience, i.e.…”

Section: Discussionmentioning

confidence: 99%

Gender and age disparity in the initiation of life-supporting treatments: a population-based cohort study

et al. 2017

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BackgroundThe relationships between age and the life-supporting treatments use, and between gender and the life-supporting treatments use are still controversial. Using extracorporeal membrane oxygenation as an example of life-supporting treatments, the objectives of this study were: (1) to examine the relationship between age and the extracorporeal membrane oxygenation use; (2) to examine the relationship between age and the extracorporeal membrane oxygenation use; and (3) to deliberate the ethical and societal implications of age and gender disparities in the initiation of extracorporeal membrane oxygenation.MethodsThis is a population-based, retrospective cohort study. Taiwan’s extracorporeal membrane oxygenation cases from 2000 to 2010 were collected. The annual incidence rate of extracorporeal membrane oxygenation use adjusting for both age and gender distribution for each year from 2000 to 2010 was derived using the population of 2000 as the reference population. The trend of extracorporeal membrane oxygenation use was examined using time-series linear regression analysis. We conducted joinpoint regression for estimating the trend change of extracorporeal membrane oxygenation use.ResultsThe trends of extracorporeal membrane oxygenation use both for different gender groups, and for different age groups have been significantly increasing over time. Men were more likely to be supported by extracorporeal membrane oxygenation than women. Women’s perspectives toward life and death, and women’s perception of well-being may be associated with the phenomenon. In addition, the patients at the age of 65 or older were more likely to be supported by extracorporeal membrane oxygenation than those younger than 65. Family autonomy/family-determination, and the Confucian tradition of filial piety and respecting elders may account for this phenomenon.ConclusionsThis study showed gender and age disparities in the initiation of extracorporeal membrane oxygenation use in Taiwan, which may be accounted for by the cultural and societal values in Taiwan. For a healthcare professional who deals with patients’/family members’ medical decision-making to initiate life-supporting treatments, he/she should be sensitive not only to the legality, but also the societal and ethical issues involved.

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The over-optimistic portrayal of life-supporting treatments in newspapers and on the Internet: a cross-sectional study using extra-corporeal membrane oxygenation as an example

Cited by 17 publications

References 19 publications

The Association Between Internet Use and Ambulatory Care-Seeking Behaviors in Taiwan: A Cross-Sectional Study

The Association Between Internet Use and Ambulatory Care-Seeking Behaviors in Taiwan: A Cross-Sectional Study

Psychometric properties of the Hungarian version of the eHealth Literacy Scale

Gender and age disparity in the initiation of life-supporting treatments: a population-based cohort study

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