ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Online health information, situational effects and health changes among e-patients in Israel: A 'push/pull' perspective.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 33 citations in OpenAlex.
- Laypeople's Online Health Information Search Strategies and Use for Health-Related Problems: Cross-sectional Survey.Journal of medical Internet research · 2022Article
- From Digital Health to Digital Well-being: Systematic Scoping Review.Journal of medical Internet research · 2022Article
- Medical terminology in online patient-patient communication: evidence of high health literacy?Health expectations : an international journal of public participation in health care and health policy · 2016Article
- Factors affecting compliance with use of online healthcare services among adults in Israel.Israel journal of health policy research · 2016Article
- E-mental health care among young adults and help-seeking behaviors: a transversal study in a community sample.Journal of medical Internet research · 2015Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background/contextAccess and use of online health information become increasingly important to health-oriented individual that may have implication for their health and wellness. The phenomenon of e-patients suggests that e-patients use the internet to increase health literacy and achieve health information about diagnosis, treatments, specialists and well-being before undergoing a health changes. Online health information may not 'fit' consultations with providers mainly when online source of information is trusted mainly when e-patients express lack of satisfaction with health-care providers. The strain between the two becomes evident when e-patients consider health changes.
objectiveWe examine health changes among e-patients. We assess the relationship between (a) trust in online health information and (b) satisfaction with health-care provider to predict two types of health changes: (a) well-being and (b) health-care changes. We also control for 'situational' effects including socio-economic and chronic illness variations.
designA telephone survey was conducted in 2010 in Israel among approximately 4000 individuals. SETTING AND
participantsTwo-thousand individuals completed interviews (54% response rate). Seventy percentage were Internet users (n = 1371). MAIN VARIABLES: Well-being health changes; health-care changes; satisfaction with institutional health-care provider; chronic illness: socio-economic: age; gender; marital status; education.
main outcome measuresSocio-economic and health status differences generate variations in use of online health information; trusting online health positively affects well-being - not health-care - changes but satisfaction with health-care provider positively improves the likelihood for health-care changes.
findingsThe results indicate that (a) e-patients use online health information to make well-being health changes - starting a diet or physical activity programme - but not health-care changes - in medication or in health-care provider - (b) satisfaction with institutional health provider has a significant effect on health-care decisions (c) chronically ill are not likely to use online health information. DISCUSSION: E-patients' expectations from health-care institutional providers play a central role in initiating health changes. Access and use of online health information provide an alternative/additional channel for information when e-patients consider health changes and create a push/pull decision-making strain on both providers and recipients of health services. Health-care providers should address e-patients'concerns, mainly in cases of chronic illness concerns, and point to the boundaries of online health information. Traditional and novel sources of health information can increase health empowerment and better health care when communication channels between health providers and e-patients are comfortably verified in advance and agreed upon.
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