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Internet information and email: shaping professional / patients relationship

Internet information and email: shaping professional / patients relationship

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  • To identify how health professionals view public use of the Internet; whether new forms of communication are emerging and what dimensions are playing a role within Internet mediated engagement between Health Professionals and Patients.
  • The final dimension of professional expectations represents variables that include views about barriers to Internet access.
  • The final dimension of professional expectations represents variables that include views about barriers to Internet access.

Internet information and email: shaping professional / patients relationship Internet information and email: shaping professional / patients relationship Presentation Transcript

  • Dr . Francisco Lupiáñez-Villanueva [email_address] http://ictconsequences.net Internet information and email: shaping professional / patients relationship Dr . Michael Hardey Michael.Hardey@hyms.ac.uk Workshop Innovative Health Technologies: health systems in transition Barcelona, 27 th November 2009
    • Introduction
    • Methodology
    • Dimensions
    • Models
    • Conclusions
    www.ictconsequences.net Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Introduction Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Health Communication Ratzan, S., Payne, J.G. & Bishop, C. (1996). The Status and Scope of Health Communication. Journal of Health Communication, 1(1), pp.25-41. Kreps, G.L., Bonaguro, E.W. & Query, J.L. (1998). The History and development of the field of health communication. In: L.D. Jackson & B.K. Duff (Eds.). Health Communication Research: Guide to Developments and Directions, Westport, CT: Greenwood Press, pp. 1-15. Introduction Communication is conceptualized as the central social process in the provision of health care delivery and the promotion of public health Information is the most important resource in health care and health promotion because it essential in guiding strategic health behaviors, treatments, and decisions Process of Communication The centrality of the process of communication is based upon the pervasive roles communication performs in creating, gathering, and sharing "health information." Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Health Communication Ratzan, S., Payne, J.G. & Bishop, C. (1996). The Status and Scope of Health Communication. Journal of Health Communication, 1(1), pp.25-41. Kreps, G.L., Bonaguro, E.W. & Query, J.L. The History and development of the field of health communication. In: L.D. Jackson & B.K. Duff (Eds.). Health Communication Research: Guide to Developments and Directions, Westport, CT: Greenwood Press, pp. 1-15. Channels Face to face Personal Mass Levels Intrapersonal Interpersonal Group Organizational Societal Branches Health care delivery Health Promotion Disciplines Communication Psychology Sociology Medicine Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Communication in the Digital Age Castells, M. (2009). Communication Power. Oxford: Oxford University Press Communication is the sharing of meaning through the exchange of information Technology Senders and Receivers Cultural codes of reference and protocols of communication Scope of the process defined by Interpersonal communication Mass communication Mass self-communication Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • BUT rather than adopting a specific theoretical stance this paper is grounded in empirical data derived from surveys of doctors, nurses and community pharmacists. Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Introduction To identify how health professionals view public use of the Internet; whether new forms of communication are emerging and what dimensions are shaping the use of the Internet and email within professional / patients relationship . PURPOSE Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Methodology Methodology Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Survey instruments Methodology Healthcare actor Tools Universe / Population Sample / Rates Date WWW and Health Matrix Criteria 1,240 URLs September – December 2005 Health webmasters Identified online survey 388 emails 112 (28.8%) March 2006 Patient support groups Identified online survey 215 groups 52 (24.1%) October 2005 Internet users No-identified online survey 435 June 2006 Citizens Telephone survey Catalonian population 2.000 (M.E. 2.5% - C.I. 95%) October – December 2007 Physicians Identified online survey 16,531 Barcelona (COMB Professional Association) 2,199 (13.3%) June - July 2006 Nurses Identified online survey 13,583 Barcelona (COIB Professional Association) 1,170 (8.6%) October - November 2006 Pharmacists Identified online survey 7,648 Barcelona (COFB Professional Association) 898 (11.7%) November - February 2007
  • Statistical analysis Methodology
    • The survey instruments were organised into five blocks of questions about,
    • socio demographic and practice details;
    • access and use of ICTs;
    • ICTs and the professional/patient relationship;
    • institutional health information systems and
    • perception of the role of ICTs.
    Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Statistical analysis Methodology Although the surveys are not representative of all the members of the Col·legies, the respondents are typical in terms of socio demographic and other characteristics . Consequently the survey results provide an unusually extensive and detailed quantitative database that is amenable to multivariate statistical analysis . In order to model the dependence of a binary response variable on one or more explanatory variables, continuous and categorical explanatory variables could be considered; a logistic regression was applied (Bewick et al , 2005). The interpretation of standardized regression coefficients determines the probability that the independent variables explain the depend variable selected . Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Analysis of Internet Use in Catalonia Health System: Webs, Doctors and Citizens Brown Bag Seminar Series SATSU 23rd June 2009 Visiting Researcher at SATSU Researcher at i2TIC – Internet Interdisciplinary Institute IN3 Lecturer Information and Communication Science at Open University of Catalonia Dr . Francisco Lupiáñez-Villanueva [email_address] [email_address] http://ictconsequences.net Dr . Francisco Lupiáñez-Villanueva http://www.ictconsequences.net/2009/06/24/doctors-citizens-internet-satsu
  • Dimensions Dimensions Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Dimensions Dimensions Context Variables related to socio demographics and the workplace (for example, age acts as a surrogate for career position) Internet experience Variables that include access and frequency of utilisation of the Internet from home or work Engagement Variables related to the practitioner-lay relationship Expectation of public use of the Internet Variables concerned with the assessment of health information available on the Internet and the potential consequences of patients/clients’ using it Professional expectations Variables that include views about barriers and potential benefits of the Internet access
  • Dimensions Internet experience Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Engagement Dimensions
  • Expectation of public use of the Internet Dimensions
  • Professional expectations Dimensions
  • Models Models Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Doctors recommending health information available on the Internet Models
  • Nurses recommending health information available on the Internet Models
  • Pharmacists recommending health information available on the Internet Models
  • Models Doctors email patients
  • Models Nurses email patients
  • Models Pharmacists email patients
  • Conclusions Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • Comparison Recommend patients going online for health information
  • Recommend patients going online for health information Context Conclusions Doctors Nurses Community pharmacists Internet experience Engagement with patients/clients Expectations of public use of the Internet Professional expectations Pull - Push
  • Comparison Utilise the email to communicate with patients
  • Utilise the email to communicate with patients Context Conclusions Doctors Nurses Community pharmacists Internet experience Engagement with patients/clients Professional expectations Expectations of public use of the Internet Pull - Push
  • Engagement is shaped and being re-shaped Dimensions Context Variables related to socio demographics and the workplace (for example, age acts as a surrogate for career position) Internet experience Variables that include access and frequency of utilisation of the Internet from home or work Engagement Variables related to the practitioner-lay relationship Expectation of public use of the Internet Variables concerned with the assessment of health information available on the Internet and the potential consequences of patients/clients’ using it Professional expectations Variables that include views about barriers and potential benefits of the Internet access
  • Dr . Francisco Lupiáñez-Villanueva [email_address] http://ictconsequences.net Thanks for the inspiring workshop Dr . Michael Hardey Michael.Hardey@hyms.ac.uk Workshop Innovative Health Technologies: health systems in transition Barcelona, 27 th November 2009