Doctoral Project DHAF. Gordon Jones, MHSA
Soon the Web-browser will beas important to the physician…     as the stethoscope…       Michael Messer, MD     Doctoral P...
Just What the Patient Ordered                 eHealth Consumerism:               An Exploratory Study Of The Impact People...
DedicationTo my parents, Lynn and Fred Jones, for raising me with Intestinal Fortitude to complete such a task.My sister...
Personal Disclaimer“Then one day I realized… I’ll never have enough RAM.”                                                D...
The Environment$1.3 Trillion$500 Billion Unnecessary13% Rise in PremiumsShift of Burden to EmployeesCost of Telecom a...
The EnvironmentConsumerism in Healthcare is shifting to the individual and away from the group purchasing sponsored healt...
The EnvironmentWhile all of the government mandates under HIPAA and PBR, and the cost efficiencies associated with utiliz...
The Consumer MandateIt will be the early adopters and the revolutionary initiatives of eHealth Consumers that will requir...
The ProblemThough 85% of physicians have access to the Internet and an email accountOnly 35% of them are using it for th...
The Research QuestionThe question that needs to be answered for the physician community is…Are eHealth Consumers choosin...
What is eHealth?eHealth: n. A term used todescribed Internet and web basedapplications used in the healthcareindustry.    ...
What is eHealth?1. The transformation of healthcare business processes through the application of Internet principles and...
What is eHealth?2. New way of conducting the business of healthcare enabling stronger and more effective connections amon...
What is eHealth?3. Is the customer driven eRevolution in healthcare.                                   Doctoral Project D...
Literature ReviewStudies and Analysis in the use of Advanced Information Systems and eHealth Technologies.               ...
Review of Information Technology50 years into the information age and while medical technology is highly advanced…The ma...
Review of Information TechnologyA Gustafson et al study conducted a demonstration of how a computer based information man...
Review of Information TechnologyOther studies by Batalden, Altman and Hague demonstrated how health information systems c...
Review of Information TechnologyAccording to a 1997 IJMI article by Dr. A. Hasman, the goal of [health] informatics is to...
Review of Information TechnologyAmerican Medical Association (AMA) statistics show that, only 20% of physicians in the U....
Review of eHealthA 1999 survey by the Yankelovich Monitor found that more than half of Americans are not satisfied with t...
Review of eHealthContrary to conventional health industry trends, these eHealth consumers are willing to pay cash for eHe...
Review of eHealthA Harris Interactive consumer survey found that 93 percent of the respondents say patient education and ...
Review of eHealthA Pew Institute Survey shows 52 million American adults, or 55 percent of those with Internet access in ...
Review of eHealth93 percent of health seekers say the ability to seek information at any hour of the day is very importan...
Review of eHealthFirst Consulting Group’s (FCG) eHealth Trends Report shows that individuals are demanding connectivity a...
Today…  US Population                    290 Million  Internet Users       53%                     154 MillioneHealth Cons...
Research HypothesiseHealth consumers are predisposed to choosing a physician who uses eHealth technology as a means to ma...
Research Hypothesis a) Females are more likely to be  eHealth consumers and choose their  physician (or one for their fam...
Research Hypothesisb) eHealth consumers over 55 are more likely than younger eHealth consumers to choose a physician who ...
Research Hypothesisc) eHealth consumers who will be switchers can be profiled based upon their Internet-based purchasing ...
The StudyFollowing the Pew Institute format where after interviewing over 12,000 people, 521 “health seekers” were addres...
The StudyThe response rate was 11% with 561 eHealth Consumers responded to the 23 question online survey.Each question w...
The Questionnaire & Basic StatsDemographic; 6 questions                              Doctoral Project DHA                ...
The Questionnaire & Basic StatsDemographic; 6 questions                              Doctoral Project DHA                ...
The Questionnaire & Basic StatsDemographic; 6 questions                              Doctoral Project DHA                ...
The Questionnaire & Basic StatsActions performed online; 6 questions                                   Doctoral Project D...
The Questionnaire & Basic StatsActions performed online; 6 questions                                   Doctoral Project D...
The Questionnaire & Basic StatsActions performed online; 6 questions                                   Doctoral Project D...
The Questionnaire & Basic StatsActions performed online; 6 questions                                  Doctoral Project DH...
The Questionnaire & Basic StatsActions performed online; 6 questions                                  Doctoral Project DH...
The Questionnaire & Basic StatsActions performed online; 6 questions                                  Doctoral Project DH...
The Questionnaire & Basic StatsOpinion questions: 6 questions                                    Doctoral Project DHA    ...
The Questionnaire & Basic StatsOpinion questions: 6 questions                                    Doctoral Project DHA    ...
The Questionnaire & Basic StatsBehavioral initiatives; 5 questions                                     Doctoral Project D...
The Questionnaire & Basic StatsBehavioral initiatives; 5 questions                                     Doctoral Project D...
The Questionnaire & Basic StatsBehavioral initiatives; 5 questions                                     Doctoral Project D...
The Baseline DemographicseHealth Consumerism Invitees         Female   Male   55 & Over 17 to 54          5000            ...
Discussed Health Info in Person     171    37    16   192             209      The Baseline Demographics             38%  ...
The Average RespondentA 36-year-old femaleLives within 10 miles of her physicianAccesses at least two websites at least...
The Average RespondentShe would like access to:   her physician’s credentials   experience levels   the quality of the...
eHealth Stats – All RespondentseHealth consumers make other purchases                                                    ...
eHealth Stats – All Respondents53% stated that the information actually influenced how they treated an illness      Did t...
eHealth Stats – All Respondents44% stated their latest search was unrelated to a specific physician visit.               ...
eHealth Stats – Females to MalesThe first hypothesis stated that females would be more likely to utilize eHealth technolo...
eHealth Stats – Females to Males39% of female eHealth consumers believe it at least somewhat important as opposed to 49% ...
eHealth Stats – Females to MalesBoth males (58%) and females (56%) stated they would not switch to another physician.But...
eHealth Stats – Females to MalesA statistic that will be discussed further the 33% of females and 35% of males who are un...
eHealth Stats – 55 and Over7% of the respondents were 55 and over.1/4 of the 55+ said they have purchased medical servic...
eHealth Stats – 55 and Over      Those 55 and over who have purchased             medical services online.   100%   80%   ...
eHealth Stats – 55 and Over72% of those 55+ responded that they would remain with their current physician.               ...
eHealth Stats – 55 and OverThrough discriminant analysis it was determined that as age increases it is less likely that t...
eHealth Stats – Switching57% of eHealth consumers would remain with their present physician whether or not the physician ...
eHealth Stats – Switching33% are Undecided         Change to an eHealth Physician       33%                              ...
Discriminant analysisProfile potential switchers based upon the group variables  (1) they would not switch  (2) they wo...
Discriminant analysis                                         Mean           Std.       Valid N                           ...
Discriminant analysisBased upon the hypothesis they a potential switcher could be profiled.There was not enough signific...
eHealth StatsMost eHealth consumers are using the Internet to gather information about their health concernsThey would l...
Summary of the HypothesisThe 10% that have indicated that they would switch to a physician  There is no indication that ...
Effects on RevenueAn active patient equals $260 per yearPCP has an active base of 2,500 patients29% or 725 of them are ...
eHealth Switchers  US Population                     290 Million  Internet Users        53%                      154 Milli...
Economic ValueTo the PCP sector this potential shift of 3% of the population represents $1.7 billion in revenue.Addition...
The $ is the DesignerIf the physician and patient is to benefit most, then they must adopt the technology soonThey shoul...
Technology EvolutionLaunch                          Takeoff                      Saturation  eHealth        Crossing the  ...
Further AnalysisThis study is only the beginning as it represents a baseline of data that can be used over time to determ...
What does all this mean?As an advisor to physicians… Illustrate how the shift of cost of   healthcare from the employer ...
What does all this mean? Develop a strategy, either… Don’t worry, stay the course,   retiring soon… Go get ‘em, bring i...
It is not about the TechnologyPolitical philosophyDiversity of opinionHeated debate to solve the problems  accessibili...
ConclusionMany just happen to believe that it will be the integration and use of electronic medical record, financial man...
Acknowledgements My thoughts also go to my nephew, Shriver Soliday,  and other future decedents whom I pray will grow up ...
Acknowledgements Certainly, I appreciate the excellent guidance I  received from the chairman of this doctoral project,  ...
eHealth Stats – All Respondents91% of them live less than 20 miles                                             Mileage fr...
eHealth Stats – All Respondents56% of eHealth consumers search the Internet for health information at least once a month,...
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PhD Research on eHealth Consumerism

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Wow, look what I just found... the PPT for my doctoral disseration where I studied the monetary affect of physician's adopting the internet into their practice and how they communicate with their patients. Just like people switched doctors, even ones they have been going to for years, just to save

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PhD Research on eHealth Consumerism

  1. 1. Doctoral Project DHAF. Gordon Jones, MHSA
  2. 2. Soon the Web-browser will beas important to the physician… as the stethoscope… Michael Messer, MD Doctoral Project DHA F. Gordon Jones, MHSA
  3. 3. Just What the Patient Ordered eHealth Consumerism: An Exploratory Study Of The Impact People Who Wish To CommunicateWith Their Physician Via Internet-Based Applications Will Have On The Physician’s Practice By F. Gordon Jones, MHSA, PAHM A doctoral project submitted to the faculty of the Medical University of South Carolina in partial fulfillment of the requirements for the degree Doctor of Health Administration in the College of Health Professions. F. Gordon Jones, MHSA 2001 © All rights reserved. Doctoral Project DHA F. Gordon Jones, MHSA
  4. 4. DedicationTo my parents, Lynn and Fred Jones, for raising me with Intestinal Fortitude to complete such a task.My sisters, Ashley Lawrence and Ruth Soliday for their moral support and the early childhood competition to always strive to be better. Doctoral Project DHA F. Gordon Jones, MHSA
  5. 5. Personal Disclaimer“Then one day I realized… I’ll never have enough RAM.” Doctoral Project DHA F. Gordon Jones, MHSA
  6. 6. The Environment$1.3 Trillion$500 Billion Unnecessary13% Rise in PremiumsShift of Burden to EmployeesCost of Telecom and Computing Dropping154 Million in US with Internet Access85 Million Regularly Search for Health InfoPhysicians are Resistant to ChangeInternet has Enabled Patients Doctoral Project DHA F. Gordon Jones, MHSA
  7. 7. The EnvironmentConsumerism in Healthcare is shifting to the individual and away from the group purchasing sponsored health plan system of the past. Doctoral Project DHA F. Gordon Jones, MHSA
  8. 8. The EnvironmentWhile all of the government mandates under HIPAA and PBR, and the cost efficiencies associated with utilizing the Internet will be a driver to accept eHealth technology in the long term… Doctoral Project DHA F. Gordon Jones, MHSA
  9. 9. The Consumer MandateIt will be the early adopters and the revolutionary initiatives of eHealth Consumers that will require physicians and other healthcare providers be accessible via the Internet, 24 hours a day, 7 days a week, from anywhere in the world NOW NOT LATER. Doctoral Project DHA F. Gordon Jones, MHSA
  10. 10. The ProblemThough 85% of physicians have access to the Internet and an email accountOnly 35% of them are using it for their practiceAnd even then it is to email colleagues and conduct researchNot communicate and interact with their patients Doctoral Project DHA F. Gordon Jones, MHSA
  11. 11. The Research QuestionThe question that needs to be answered for the physician community is…Are eHealth Consumers choosing their physician based upon the accessibility they, as the patient, have to their physician via the Internet and other eHealth technology? Doctoral Project DHA F. Gordon Jones, MHSA
  12. 12. What is eHealth?eHealth: n. A term used todescribed Internet and web basedapplications used in the healthcareindustry. Doctoral Project DHA F. Gordon Jones, MHSA
  13. 13. What is eHealth?1. The transformation of healthcare business processes through the application of Internet principles and technologies. Doctoral Project DHA F. Gordon Jones, MHSA
  14. 14. What is eHealth?2. New way of conducting the business of healthcare enabling stronger and more effective connections among patients, doctors, hospitals, employers, brokers, payors, laboratories, pharmacies, and suppliers. Doctoral Project DHA F. Gordon Jones, MHSA
  15. 15. What is eHealth?3. Is the customer driven eRevolution in healthcare. Doctoral Project DHA F. Gordon Jones, MHSA
  16. 16. Literature ReviewStudies and Analysis in the use of Advanced Information Systems and eHealth Technologies. Doctoral Project DHA F. Gordon Jones, MHSA
  17. 17. Review of Information Technology50 years into the information age and while medical technology is highly advanced…The management of healthcare is still decades behind. Doctoral Project DHA F. Gordon Jones, MHSA
  18. 18. Review of Information TechnologyA Gustafson et al study conducted a demonstration of how a computer based information management system assisted HIV patients to better communicate and comply with their physician’s orders and treatment plans. Doctoral Project DHA F. Gordon Jones, MHSA
  19. 19. Review of Information TechnologyOther studies by Batalden, Altman and Hague demonstrated how health information systems can improve the quality of healthcare. Doctoral Project DHA F. Gordon Jones, MHSA
  20. 20. Review of Information TechnologyAccording to a 1997 IJMI article by Dr. A. Hasman, the goal of [health] informatics is to develop a technology that is favorable to both the care provider and the patient. Doctoral Project DHA F. Gordon Jones, MHSA
  21. 21. Review of Information TechnologyAmerican Medical Association (AMA) statistics show that, only 20% of physicians in the U.S. were accessing the Internet in October 1997, most for email and research, but by the end of 2000 those estimates were as high as 85%. Doctoral Project DHA F. Gordon Jones, MHSA
  22. 22. Review of eHealthA 1999 survey by the Yankelovich Monitor found that more than half of Americans are not satisfied with the availability of their physicians and not satisfied with the duration of their meetings with their physicians. Doctoral Project DHA F. Gordon Jones, MHSA
  23. 23. Review of eHealthContrary to conventional health industry trends, these eHealth consumers are willing to pay cash for eHealth services, according to a joint survey conducted in 2000 by Deloitte Research and Cyber Dialogue. Doctoral Project DHA F. Gordon Jones, MHSA
  24. 24. Review of eHealthA Harris Interactive consumer survey found that 93 percent of the respondents say patient education and individual empowerment to participate in healthcare decisions is very important.82 percent of the respondents think Internet access will improve communication with their providers. Doctoral Project DHA F. Gordon Jones, MHSA
  25. 25. Review of eHealthA Pew Institute Survey shows 52 million American adults, or 55 percent of those with Internet access in June 2000 (95 million), have used the Internet to get health or medical information.Defined as “health seekers,” half say the resources they find on the Internet have a direct effect on the decisions they make about their healthcare and on their interactions with physicians. Doctoral Project DHA F. Gordon Jones, MHSA
  26. 26. Review of eHealth93 percent of health seekers say the ability to seek information at any hour of the day is very important80 percent say it is important they can get this information anonymously. Doctoral Project DHA F. Gordon Jones, MHSA
  27. 27. Review of eHealthFirst Consulting Group’s (FCG) eHealth Trends Report shows that individuals are demanding connectivity and communication with their insurance companies as well as their physiciansAnd that these they will vote with their feet if they don’t gain real-time access to the information they want Doctoral Project DHA F. Gordon Jones, MHSA
  28. 28. Today… US Population 290 Million Internet Users 53% 154 MillioneHealth Consumers 29% 85 Million Doctoral Project DHA F. Gordon Jones, MHSA
  29. 29. Research HypothesiseHealth consumers are predisposed to choosing a physician who uses eHealth technology as a means to making the physician more accessible to the patient. Doctoral Project DHA F. Gordon Jones, MHSA
  30. 30. Research Hypothesis a) Females are more likely to be eHealth consumers and choose their physician (or one for their families) based upon that physician’s accessibility via eHealth. Doctoral Project DHA F. Gordon Jones, MHSA
  31. 31. Research Hypothesisb) eHealth consumers over 55 are more likely than younger eHealth consumers to choose a physician who uses eHealth technologies. Doctoral Project DHA F. Gordon Jones, MHSA
  32. 32. Research Hypothesisc) eHealth consumers who will be switchers can be profiled based upon their Internet-based purchasing habits, the distance the consumer lives from their physician, and their level of interest in communicating with the physician over the Internet the next time they are ill. Doctoral Project DHA F. Gordon Jones, MHSA
  33. 33. The StudyFollowing the Pew Institute format where after interviewing over 12,000 people, 521 “health seekers” were addressed by phone answering 27 questions.This eHealth Consumerism study was conducted on the Internet site, Zoomerang.com, which identified 5000 of 14 million Internet users who qualified as eHealth Consumers. Doctoral Project DHA F. Gordon Jones, MHSA
  34. 34. The StudyThe response rate was 11% with 561 eHealth Consumers responded to the 23 question online survey.Each question was defined for a specific purpose and edited for these criteria: a) What is the intended use of the information gathered from this question? b) Is it absolutely essential to have this information to address the research questions? Doctoral Project DHA F. Gordon Jones, MHSA
  35. 35. The Questionnaire & Basic StatsDemographic; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  36. 36. The Questionnaire & Basic StatsDemographic; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  37. 37. The Questionnaire & Basic StatsDemographic; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  38. 38. The Questionnaire & Basic StatsActions performed online; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  39. 39. The Questionnaire & Basic StatsActions performed online; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  40. 40. The Questionnaire & Basic StatsActions performed online; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  41. 41. The Questionnaire & Basic StatsActions performed online; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  42. 42. The Questionnaire & Basic StatsActions performed online; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  43. 43. The Questionnaire & Basic StatsActions performed online; 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  44. 44. The Questionnaire & Basic StatsOpinion questions: 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  45. 45. The Questionnaire & Basic StatsOpinion questions: 6 questions Doctoral Project DHA F. Gordon Jones, MHSA
  46. 46. The Questionnaire & Basic StatsBehavioral initiatives; 5 questions Doctoral Project DHA F. Gordon Jones, MHSA
  47. 47. The Questionnaire & Basic StatsBehavioral initiatives; 5 questions Doctoral Project DHA F. Gordon Jones, MHSA
  48. 48. The Questionnaire & Basic StatsBehavioral initiatives; 5 questions Doctoral Project DHA F. Gordon Jones, MHSA
  49. 49. The Baseline DemographicseHealth Consumerism Invitees Female Male 55 & Over 17 to 54 5000 Respondents 450 107 41 517 561 81% 19% 7% 93% 100% Purchased medical services online 36 18 11 40 57 8% 17% 26% 8% 10% Considered in Good Health 357 77 26 319 445 80% 71% 63% 61% 79% Discussed Health Info Online 4 3 0 8 8 1% 3% 0% 1.50% 1% Discussed Health Info in Person 171 37 16 192 209 38% 34% 38% 37% 38% Internet Access is Important 171 52 24 205F.DoctoralJones, MHSA Gordon 229 Project DHA
  50. 50. Discussed Health Info in Person 171 37 16 192 209 The Baseline Demographics 38% 34% 38% 37% 38% Internet Access is Important 171 52 24 205 229 38% 49% 58% 36% 41% Miles from Physician: 0 to 2 79 17 2 94 99/18% 2 to 5 90 59 24 117 151/27% 5 to 10 115 55 22 150 156/28% 10 to 20 88 13 12 89 102/18% Switch No 261 59 29 287 316 58% 56% 72% 55% 57% Switch Yes 49 7 1 56 57 58% 7% 2% 11% 10% Switch Dont Know 139 39 10 175 185Table 2.1 31% 37% 24% 39% 33% Doctoral Project DHA F. Gordon Jones, MHSA
  51. 51. The Average RespondentA 36-year-old femaleLives within 10 miles of her physicianAccesses at least two websites at least once a month for health informationEven though she considers herself in good healthShe believes the information has influenced her healthcare decision-makingResulted in improving her health statusShe belongs to a managed care plan Doctoral Project DHA F. Gordon Jones, MHSA
  52. 52. The Average RespondentShe would like access to:  her physician’s credentials  experience levels  the quality of the care provided to other patientsHaving access via the Internet when she is ill is not very importantShe would like to be able to:  submit symptoms of an illness to her physician  schedule an appointment  access her personal medical records via the Internet Doctoral Project DHA F. Gordon Jones, MHSA
  53. 53. eHealth Stats – All RespondentseHealth consumers make other purchases Purchases online % of eHealth Consumers 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% l es re g s e s rs ta in Re ic ok it u n ic te st v Re Bo rv er pu rn ne ve Se lS Fu om ar In rli ga Ai C al C ic Le ed M Products or Services Purchased Doctoral Project DHA F. Gordon Jones, MHSA
  54. 54. eHealth Stats – All Respondents53% stated that the information actually influenced how they treated an illness Did the information influence your decision how to treat an Illness? 9% 21% Not at All Not too Much Somewhat 44% 26% Yes, very Much Doctoral Project DHA F. Gordon Jones, MHSA
  55. 55. eHealth Stats – All Respondents44% stated their latest search was unrelated to a specific physician visit. When did you Search Unrelated A visit to a Physician Instead Of Series1 After Before 0% 10% 20% 30% 40% 50% % of eHealth Consumers Doctoral Project DHA F. Gordon Jones, MHSA
  56. 56. eHealth Stats – Females to MalesThe first hypothesis stated that females would be more likely to utilize eHealth technologies.Of the 81% of respondents who were female, only 8% responded “occasionally” or “often” when asked how often they have purchased medical services on the Internet as opposed to 17% of the men. Doctoral Project DHA F. Gordon Jones, MHSA
  57. 57. eHealth Stats – Females to Males39% of female eHealth consumers believe it at least somewhat important as opposed to 49% of males. When next you are ill, will Internet access to your Physician be important? 58% 60% 49% 50% 50% 38% 40% % of eHealth 30% Consumers 20% 10% 0% Female/Important Male/Important Female/Not Male/Not Doctoral Project DHA F. Gordon Jones, MHSA
  58. 58. eHealth Stats – Females to MalesBoth males (58%) and females (56%) stated they would not switch to another physician.But 11% of females and 7% of males responded that they would switch to the other physician using eHealth technologies. Doctoral Project DHA F. Gordon Jones, MHSA
  59. 59. eHealth Stats – Females to MalesA statistic that will be discussed further the 33% of females and 35% of males who are undecided or don’t know if they would switching. Doctoral Project DHA F. Gordon Jones, MHSA
  60. 60. eHealth Stats – 55 and Over7% of the respondents were 55 and over.1/4 of the 55+ said they have purchased medical services onlineWhile 10% of those under 55 had Doctoral Project DHA F. Gordon Jones, MHSA
  61. 61. eHealth Stats – 55 and Over Those 55 and over who have purchased medical services online. 100% 80% 74% 60% 40% 26% 20% 0% who have who have not Doctoral Project DHA F. Gordon Jones, MHSA
  62. 62. eHealth Stats – 55 and Over72% of those 55+ responded that they would remain with their current physician. 55+ eHealth Consumer 62% 72% Would not Switch Important to have Internet Access Doctoral Project DHA F. Gordon Jones, MHSA
  63. 63. eHealth Stats – 55 and OverThrough discriminant analysis it was determined that as age increases it is less likely that they would switch.This is contrary to the original hypothesis where there was no significant indication to support the age hypothesis. Doctoral Project DHA F. Gordon Jones, MHSA
  64. 64. eHealth Stats – Switching57% of eHealth consumers would remain with their present physician whether or not the physician used eHealth technologies to communicate with patients.10% of eHealth consumers said they would switch from their current physician to another who uses eHealth technology. Doctoral Project DHA F. Gordon Jones, MHSA
  65. 65. eHealth Stats – Switching33% are Undecided Change to an eHealth Physician 33% Remain Change 57% Dont Know 10% Doctoral Project DHA F. Gordon Jones, MHSA
  66. 66. Discriminant analysisProfile potential switchers based upon the group variables (1) they would not switch (2) they would switch (3) or they did not knowAs to the independent variables (v22) the gender question (v3.1-v3.8) previous Internet purchases (v19) when ill is access via the Internet important (v8.6) described a medical condition online (v8.4) emailed a physician symptoms Doctoral Project DHA F. Gordon Jones, MHSA
  67. 67. Discriminant analysis Mean Std. Valid N Deviation (listwise)Switch Unweighted WeightedNo Female/Male 0.1975 0.39871 314 314 Imporant/Not 0.6433 0.47979 314 314 55+/Under 1.2962 0.4573 314 314 Purchased/Not 0.7197 0.44984 314 314Yes Female/Male 0.1404 0.35044 57 57 Imporant/Not 0.4211 0.49812 57 57 55+/Under 1.193 0.39815 57 57 Purchased/Not 0.807 0.39815 57 57Don’t Know Female/Male 0.2033 0.40356 182 182 Imporant/Not 0.5549 0.49834 182 182 55+/Under 1.2033 0.40356 182 182 Purchased/Not 0.7912 0.40757 182 182Total Female/Male 0.1935 0.39539 553 553 Imporant/Not 0.5913 0.49203 553 553 55+/Under 1.255 0.43624 553 553 Purchased/Not 0.7523 0.43209 553 553 Table 2.10 Doctoral Project DHA F. Gordon Jones, MHSA
  68. 68. Discriminant analysisBased upon the hypothesis they a potential switcher could be profiled.There was not enough significant difference in the means of the group variables to identify the specific factors defining an eHealth Consumer that will switch. Doctoral Project DHA F. Gordon Jones, MHSA
  69. 69. eHealth StatsMost eHealth consumers are using the Internet to gather information about their health concernsThey would like to communicate with their physician via the InternetBut they are not choosing their physician based upon the accessibility they have to them via eHealth technology. Doctoral Project DHA F. Gordon Jones, MHSA
  70. 70. Summary of the HypothesisThe 10% that have indicated that they would switch to a physician There is no indication that age or gender, as the hypothesis predicted, is a factor Also, the data does not give an indication as to the specific factors that would allow the establishment of a profile of the eHealth consumer that is likely to switch physicians. Doctoral Project DHA F. Gordon Jones, MHSA
  71. 71. Effects on RevenueAn active patient equals $260 per yearPCP has an active base of 2,500 patients29% or 725 of them are eHealth consumers10% or 72 of them may switchThis would result in a $15,120 per year reduction in the revenue of the practice. Doctoral Project DHA F. Gordon Jones, MHSA
  72. 72. eHealth Switchers US Population 290 Million Internet Users 53% 154 MillioneHealth Consumers 29% 85 Million 3%eHealth Switchers 8.4 Million Doctoral Project DHA F. Gordon Jones, MHSA
  73. 73. Economic ValueTo the PCP sector this potential shift of 3% of the population represents $1.7 billion in revenue.Additionally, 33% of the respondents that stated they were undecided whether they would switch or not, represents another 5.1 billion in primary care dollars. Doctoral Project DHA F. Gordon Jones, MHSA
  74. 74. The $ is the DesignerIf the physician and patient is to benefit most, then they must adopt the technology soonThey should not expect the hospital, health insurance company or pharmaceutical company to pay for itThey must fund the projects themselves so that the systems benefit their needs and not those of the other organizations paying the bills. Doctoral Project DHA F. Gordon Jones, MHSA
  75. 75. Technology EvolutionLaunch Takeoff Saturation eHealth Crossing the Hype Chasm toExplosion eHealth-2001 1999 ChasmInnovators Early Early Early Late Laggards Adopters Followers Majority MajoritySource: Geoffrey Moore, Inside the Tornado Doctoral Project DHA F. Gordon Jones, MHSA
  76. 76. Further AnalysisThis study is only the beginning as it represents a baseline of data that can be used over time to determine the growth of eHealth consumers and their propensity to switch to physicians using eHealth technologies to communicate with their patients. Doctoral Project DHA F. Gordon Jones, MHSA
  77. 77. What does all this mean?As an advisor to physicians… Illustrate how the shift of cost of healthcare from the employer to the individual is going drive people to eHealth physicians. Demonstrate the loss of revenue Doctoral Project DHA F. Gordon Jones, MHSA
  78. 78. What does all this mean? Develop a strategy, either… Don’t worry, stay the course, retiring soon… Go get ‘em, bring it on and adopt the new with vigor! Doctoral Project DHA F. Gordon Jones, MHSA
  79. 79. It is not about the TechnologyPolitical philosophyDiversity of opinionHeated debate to solve the problems accessibility of care intrusive managed care bureaucracies the dangers of medical errors skyrocketing costs Doctoral Project DHA F. Gordon Jones, MHSA
  80. 80. ConclusionMany just happen to believe that it will be the integration and use of electronic medical record, financial management and telecommunication systems, as… “eHealth technologies” That will save the day for healthcare! Doctoral Project DHA F. Gordon Jones, MHSA
  81. 81. Acknowledgements My thoughts also go to my nephew, Shriver Soliday, and other future decedents whom I pray will grow up to pursue their dreams with the love and support of family and friends, as I have been so fortunate to receive. This project immerged out of an evolving belief that a new era is dawning in healthcare and though as slow as ever, accelerating everyday. David Kunz, MD has been my closest advisor and committee member for the past two years. He has lent great insight to this effort and we are of like minds in our evangelistic efforts to promote the benefits that eHealth will bring to healthcare in the US, especially in rebuilding the bonds between physician and patient. Doctoral Project DHA F. Gordon Jones, MHSA
  82. 82. Acknowledgements Certainly, I appreciate the excellent guidance I received from the chairman of this doctoral project, David M. Ward, PhD and committee member, Thomas McIlwain, Ph.D. A very special thanks goes to counselor and committee member, martin Jones, ph.D., for his guidance through the doctoral project maze and sometimes haze. This study would not be coherent and readable if it was not for my editor, tom smith, with the MUSC writing center. Finally, I dedicate this to God as my creator who has blessed me with the human ability to pursue such excellence and Jesus Christ who protects and guides me through life. Doctoral Project DHA F. Gordon Jones, MHSA
  83. 83. eHealth Stats – All Respondents91% of them live less than 20 miles Mileage from Physician 30% % of eHealth Consumers 25% 20% 15% 10% 5% 0% < 2 Miles 2 to 5 5 to 10 10 to 20 20 + Miles Doctoral Project DHA F. Gordon Jones, MHSA
  84. 84. eHealth Stats – All Respondents56% of eHealth consumers search the Internet for health information at least once a month, even though 79% consider themselves in good or excellent health.61% believe the health information they have gotten from the Internet has improved the way they take care of their health, with 88% stating that the information was “somewhat” or “very useful.” Doctoral Project DHA F. Gordon Jones, MHSA

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