ArticleBMJ open2019
Multimorbidity, eHealth and implications for equity: a cross-sectional survey of patient perspectives on eHealth.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04256109 (Women's Access to Mobile Phones and Willingness to Utilize mHealth Interventions for Oral Health Promotion in Egypt), which is not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Women's Access to Mobile Phones and Willingness to Utilize mHealth Interventions for Oral Health Promotion in Egypt: A Cross-Sectional Study
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Consumers' Willingness to Pay for eHealth and Its Influencing Factors: Systematic Review and Meta-analysis.Journal of medical Internet research · 2022Pooled it
- Sociotechnical Factors Affecting Patients' Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis.JMIR mHealth and uHealth · 2022Pooled it
- [Effectiveness of interventions based on telemedicine on health outcomes in patients with multimorbidity in Primary Care: A systematic review].Atencion primaria · 2020Pooled it
- Trial
- Multimorbidity and co-occurring musculoskeletal pain do not modify the effect of the SELFBACK app on low back pain-related disability.BMC medicine · 2022Trial
- eHealth Approaches to Multimorbidity Management: Scoping Review of Interventions and Multidisease Strategies.Online journal of public health informatics · 2026Review
- "Lost in translation?": A qualitative exploration of digital perinatal mental health resource use among migrant women.International journal for equity in health · 2025Article
- Qualitative Interview with Older Adults and Caregivers on their Perspectives with Self-Management and Remote Vital Sign Monitoring.Canadian geriatrics journal : CGJ · 2025Article
- eHealth literacy and cancer screening attitudes among chronic patients.Scientific reports · 2025Article
- Accessibility of eHealth Before and During the COVID-19 Pandemic Among People With and People Without Impairment: Repeated Cross-Sectional Survey.JMIR public health and surveillance · 2025Article
- A scoping review of digital health technologies in multimorbidity management: mechanisms, outcomes, challenges, and strategies.BMC health services research · 2025Article
- From office to digital primary care services: analysing income-related inequalities in utilization.International journal for equity in health · 2024Article
- Expectation, Attitude, and Barriers to Receiving Telehomecare Among Caregivers of Homebound or Bedridden Older Adults: Qualitative Study.JMIR aging · 2024Article
- Technologies for Managing the Health of Older Adults with Multiple Chronic Conditions: A Systematic Literature Review.Healthcare (Basel, Switzerland) · 2023Review
- Characteristics Associated With Telemonitoring Use Among Patients With Chronic Heart Failure: Retrospective Cohort Study.Journal of medical Internet research · 2023Article
- Disability digital divide: survey of accessibility of eHealth services as perceived by people with and without impairment.BMC public health · 2023Article
- Article
- Older Adults' Use of and Interest in Technology and Applications for Health Management: A Survey Study.The Canadian journal of hospital pharmacy · 2023Article
- Virtual care and the influence of a pandemic: Necessary policy shifts to drive digital innovation in healthcare.Healthcare management forum · 2022Article
- Inequity in Access and Delivery of Virtual Care Interventions: A Scoping Review.International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThere is increasing awareness of the burden of medical care experienced by those with multimorbidity. There is also increasing interest and activity in engaging patients with chronic disease in technology-based health-related activities ('eHealth') in family practice. Little is known about patients' access to, and interest in eHealth, in particular those with a higher burden of care associated with multimorbidity. We examined access and attitudes towards eHealth among patients attending family medicine clinics with a focus on older adults and those with polypharmacy as a marker for multimorbidity.
designCross-sectional survey of consecutive adult patients attending consultations with family physicians in the McMaster University Sentinel and Information Collaboration practice-based research network. We used univariate and multivariate analyses for quantitative data, and thematic analysis for free text responses.
settingPrimary care clinics.
participants693 patients participated (response rate 70%). INCLUSION CRITERIA: Attending primary care clinic. EXCLUSIONS: Too ill to complete survey, cannot speak English.
resultsThe majority of participants reported access to the internet at home, although this decreased with age. Participants 70 years and older were less comfortable using the internet compared with participants under 70. Univariate analyses showed age, multimorbidity, home internet access, comfort using the internet, privacy concerns and self-rated health all predicted significantly less interest in eHealth. In the multivariate analysis, home internet access and multimorbidity were significant predictors of disinterest in eHealth. Privacy and loss of relational connection were themes in the qualitative analysis.
conclusionThere is a significant negative association between multimorbidity and interest in eHealth. This is independent of age, computer use and comfort with using the internet. These findings have important implications, particularly the potential to further increase health inequity.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.