SlideShare a Scribd company logo
1 of 33
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
[object Object],[object Object],[object Object],[object Object],[object Object],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 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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

More Related Content

What's hot

UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...
UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...
UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...CTSI at UCSF
 
Picot question introduction technology keeps adva
Picot question introduction technology keeps advaPicot question introduction technology keeps adva
Picot question introduction technology keeps advaJUST36
 
How You can use Twitter as a Tool for PhD Health Research - Phdassistance.com
How You can use Twitter as a Tool for PhD Health Research - Phdassistance.comHow You can use Twitter as a Tool for PhD Health Research - Phdassistance.com
How You can use Twitter as a Tool for PhD Health Research - Phdassistance.comPhD Assistance
 
Harmon Symposium poster-48x36
Harmon Symposium poster-48x36Harmon Symposium poster-48x36
Harmon Symposium poster-48x36Melissa Harmon
 
Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...
Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...
Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...Ann Séror
 
PosterPresentations.com-36x48-Template-V5
PosterPresentations.com-36x48-Template-V5PosterPresentations.com-36x48-Template-V5
PosterPresentations.com-36x48-Template-V5Nichole Howard
 
EHR in Ensuring Universal Healthcare
EHR in Ensuring Universal Healthcare EHR in Ensuring Universal Healthcare
EHR in Ensuring Universal Healthcare Iris Thiele Isip-Tan
 
SmithFinalPracticumPoster (1)
SmithFinalPracticumPoster (1)SmithFinalPracticumPoster (1)
SmithFinalPracticumPoster (1)Samantha Smith
 
NeedsAssessmentMXU-2
NeedsAssessmentMXU-2NeedsAssessmentMXU-2
NeedsAssessmentMXU-2An Te
 
Google and the Physician-Patient Relationship
Google and the Physician-Patient RelationshipGoogle and the Physician-Patient Relationship
Google and the Physician-Patient RelationshipIris Thiele Isip-Tan
 
Engaging the public in research using science communication
Engaging the public in research using science communicationEngaging the public in research using science communication
Engaging the public in research using science communicationwellcome.trust
 
Salus.Coop Informe Final
Salus.Coop Informe FinalSalus.Coop Informe Final
Salus.Coop Informe FinalAndrea Barbiero
 
Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...Emilie Robert
 
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...Healthcare and Medical Sciences
 
Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...
Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...
Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...Gunther Eysenbach
 

What's hot (20)

UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...
UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...
UCSF Informatics Day 2014 - Wylie Burke, "Bioethical Issues in Genomics and E...
 
Picot question introduction technology keeps adva
Picot question introduction technology keeps advaPicot question introduction technology keeps adva
Picot question introduction technology keeps adva
 
How You can use Twitter as a Tool for PhD Health Research - Phdassistance.com
How You can use Twitter as a Tool for PhD Health Research - Phdassistance.comHow You can use Twitter as a Tool for PhD Health Research - Phdassistance.com
How You can use Twitter as a Tool for PhD Health Research - Phdassistance.com
 
Harmon Symposium poster-48x36
Harmon Symposium poster-48x36Harmon Symposium poster-48x36
Harmon Symposium poster-48x36
 
Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...
Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...
Integrating Health Care Communities of Practice - Uruguay Final Cme New Integ...
 
Translating research for health policy june 2014
Translating research for health policy   june 2014Translating research for health policy   june 2014
Translating research for health policy june 2014
 
Tteh.000536
Tteh.000536Tteh.000536
Tteh.000536
 
Negeavhr dv2
Negeavhr dv2Negeavhr dv2
Negeavhr dv2
 
PosterPresentations.com-36x48-Template-V5
PosterPresentations.com-36x48-Template-V5PosterPresentations.com-36x48-Template-V5
PosterPresentations.com-36x48-Template-V5
 
EHR in Ensuring Universal Healthcare
EHR in Ensuring Universal Healthcare EHR in Ensuring Universal Healthcare
EHR in Ensuring Universal Healthcare
 
SmithFinalPracticumPoster (1)
SmithFinalPracticumPoster (1)SmithFinalPracticumPoster (1)
SmithFinalPracticumPoster (1)
 
Fernandez CV_2_4_16
Fernandez CV_2_4_16Fernandez CV_2_4_16
Fernandez CV_2_4_16
 
NeedsAssessmentMXU-2
NeedsAssessmentMXU-2NeedsAssessmentMXU-2
NeedsAssessmentMXU-2
 
Google and the Physician-Patient Relationship
Google and the Physician-Patient RelationshipGoogle and the Physician-Patient Relationship
Google and the Physician-Patient Relationship
 
Engaging the public in research using science communication
Engaging the public in research using science communicationEngaging the public in research using science communication
Engaging the public in research using science communication
 
Salus.Coop Informe Final
Salus.Coop Informe FinalSalus.Coop Informe Final
Salus.Coop Informe Final
 
Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...Removing health user fees in sub-Saharan Africa: international debate, challe...
Removing health user fees in sub-Saharan Africa: international debate, challe...
 
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
Evaluation of the Relationship Between Socio-Economic Level and Severity of E...
 
Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...
Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...
Patient Problem-Solving on the Web: How do Patients Use Web Forums to Cope wi...
 
Naf ppt
Naf pptNaf ppt
Naf ppt
 

Viewers also liked

Data - Internet -> Information: Doing effective research over the Internet
Data - Internet -> Information: Doing effective research over the InternetData - Internet -> Information: Doing effective research over the Internet
Data - Internet -> Information: Doing effective research over the InternetKinshuk Sunil
 
Spatial Information and the Internet
Spatial Information and the InternetSpatial Information and the Internet
Spatial Information and the InternetGlennon Alan
 
Electronic Records Management
Electronic Records ManagementElectronic Records Management
Electronic Records ManagementBrad Houston
 
Evaluation of Internet Information
Evaluation of Internet Information Evaluation of Internet Information
Evaluation of Internet Information Ahmed-Refat Refat
 
Mku virtual campus presentation
Mku virtual campus presentationMku virtual campus presentation
Mku virtual campus presentationsalesiokiura
 
Introduction to Internet
Introduction to InternetIntroduction to Internet
Introduction to InternetMiguel Rebollo
 

Viewers also liked (9)

Data - Internet -> Information: Doing effective research over the Internet
Data - Internet -> Information: Doing effective research over the InternetData - Internet -> Information: Doing effective research over the Internet
Data - Internet -> Information: Doing effective research over the Internet
 
Spatial Information and the Internet
Spatial Information and the InternetSpatial Information and the Internet
Spatial Information and the Internet
 
Electronic Records Management
Electronic Records ManagementElectronic Records Management
Electronic Records Management
 
Evaluation of Internet Information
Evaluation of Internet Information Evaluation of Internet Information
Evaluation of Internet Information
 
Mku virtual campus presentation
Mku virtual campus presentationMku virtual campus presentation
Mku virtual campus presentation
 
Introduction to Internet
Introduction to InternetIntroduction to Internet
Introduction to Internet
 
Internet
InternetInternet
Internet
 
Internet
InternetInternet
Internet
 
Ppt on internet
Ppt on internetPpt on internet
Ppt on internet
 

Similar to Internet information and email: shaping professional / patients relationship

Mapping the transition of the Catalan Health system to Network Society. A wor...
Mapping the transition of the Catalan Health system to Network Society. A wor...Mapping the transition of the Catalan Health system to Network Society. A wor...
Mapping the transition of the Catalan Health system to Network Society. A wor...Francisco Lupiáñez-Villanueva
 
Analysis of Internet Use in Catalonia Health System: Webs, Doctors and Citizens
Analysis of Internet Use in Catalonia Health System: Webs, Doctors and CitizensAnalysis of Internet Use in Catalonia Health System: Webs, Doctors and Citizens
Analysis of Internet Use in Catalonia Health System: Webs, Doctors and CitizensFrancisco Lupiáñez-Villanueva
 
Ehealth and participatory health informatics research
Ehealth and participatory health informatics researchEhealth and participatory health informatics research
Ehealth and participatory health informatics researchKathleen Gray
 
Internet Interventions In Review, In Use, and Into the Future.docx
Internet Interventions In Review, In Use, and Into the Future.docxInternet Interventions In Review, In Use, and Into the Future.docx
Internet Interventions In Review, In Use, and Into the Future.docxmariuse18nolet
 
NURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docxNURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
 
Introduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdfIntroduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
 
PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...
PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...
PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...Vlad Manea
 
Informatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richardsInformatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richardsOdette Richards
 
research article Professional #social media instrument to meet researcher and...
research article Professional #social media instrument to meet researcher and...research article Professional #social media instrument to meet researcher and...
research article Professional #social media instrument to meet researcher and...M. Luisetto Pharm.D.Spec. Pharmacology
 
Integrating PHRs into EHR Platforms  When electronic health re.docx
Integrating PHRs into EHR Platforms  When electronic health re.docxIntegrating PHRs into EHR Platforms  When electronic health re.docx
Integrating PHRs into EHR Platforms  When electronic health re.docxBHANU281672
 
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docx
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docxRunning Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docx
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docxwlynn1
 
Population health informatics DME SoPH 20151006
Population health informatics DME SoPH 20151006Population health informatics DME SoPH 20151006
Population health informatics DME SoPH 20151006Kathleen Gray
 
Eysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health systemEysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
 
Running head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docx
Running head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docxRunning head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docx
Running head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docxtodd271
 
Healthcare Informatics Impact
Healthcare Informatics ImpactHealthcare Informatics Impact
Healthcare Informatics ImpactCashews
 

Similar to Internet information and email: shaping professional / patients relationship (20)

Mapping the transition of the Catalan Health system to Network Society. A wor...
Mapping the transition of the Catalan Health system to Network Society. A wor...Mapping the transition of the Catalan Health system to Network Society. A wor...
Mapping the transition of the Catalan Health system to Network Society. A wor...
 
Analysis of Internet Use in Catalonia Health System: Webs, Doctors and Citizens
Analysis of Internet Use in Catalonia Health System: Webs, Doctors and CitizensAnalysis of Internet Use in Catalonia Health System: Webs, Doctors and Citizens
Analysis of Internet Use in Catalonia Health System: Webs, Doctors and Citizens
 
Eysenbach: eHealth
Eysenbach: eHealthEysenbach: eHealth
Eysenbach: eHealth
 
Ehealth and participatory health informatics research
Ehealth and participatory health informatics researchEhealth and participatory health informatics research
Ehealth and participatory health informatics research
 
Advancing-OSHMS High-Performance WS in OHM
Advancing-OSHMS High-Performance WS in OHMAdvancing-OSHMS High-Performance WS in OHM
Advancing-OSHMS High-Performance WS in OHM
 
Sociedad Red y Salud Pacap2006
Sociedad Red y Salud Pacap2006 Sociedad Red y Salud Pacap2006
Sociedad Red y Salud Pacap2006
 
Health professionals and ICT for Health
Health professionals and ICT for Health Health professionals and ICT for Health
Health professionals and ICT for Health
 
Internet Interventions In Review, In Use, and Into the Future.docx
Internet Interventions In Review, In Use, and Into the Future.docxInternet Interventions In Review, In Use, and Into the Future.docx
Internet Interventions In Review, In Use, and Into the Future.docx
 
NURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docxNURS 521 Nursing Informatics And Technology.docx
NURS 521 Nursing Informatics And Technology.docx
 
Introduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdfIntroduction Healthcare system is considered one of the busiest.pdf
Introduction Healthcare system is considered one of the busiest.pdf
 
PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...
PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...
PhD Thesis Defence: From Participation Factors to Co-Calibration of Patient- ...
 
Informatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richardsInformatics and nursing 2015 2016.odette richards
Informatics and nursing 2015 2016.odette richards
 
research article Professional #social media instrument to meet researcher and...
research article Professional #social media instrument to meet researcher and...research article Professional #social media instrument to meet researcher and...
research article Professional #social media instrument to meet researcher and...
 
Integrating PHRs into EHR Platforms  When electronic health re.docx
Integrating PHRs into EHR Platforms  When electronic health re.docxIntegrating PHRs into EHR Platforms  When electronic health re.docx
Integrating PHRs into EHR Platforms  When electronic health re.docx
 
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docx
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docxRunning Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docx
Running Head LIMITED ACCESS TO HEALTHCARE1LIMITED ACCESS TO.docx
 
Fjms - keynote at MIE 2015
Fjms - keynote at MIE 2015Fjms - keynote at MIE 2015
Fjms - keynote at MIE 2015
 
Population health informatics DME SoPH 20151006
Population health informatics DME SoPH 20151006Population health informatics DME SoPH 20151006
Population health informatics DME SoPH 20151006
 
Eysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health systemEysenbach: eHealth: Transforming the dynamics of a complex health system
Eysenbach: eHealth: Transforming the dynamics of a complex health system
 
Running head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docx
Running head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docxRunning head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docx
Running head DOES MEDIA REFLECT CULTURE OR DOES IT CREATE CULTURE.docx
 
Healthcare Informatics Impact
Healthcare Informatics ImpactHealthcare Informatics Impact
Healthcare Informatics Impact
 

More from Francisco Lupiáñez-Villanueva

Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...
Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...
Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...Francisco Lupiáñez-Villanueva
 
A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...
A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...
A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...Francisco Lupiáñez-Villanueva
 
Citizens and ICT for Health in 14 EU countries: results from an online panel ...
Citizens and ICT for Health in 14 EU countries: results from an online panel ...Citizens and ICT for Health in 14 EU countries: results from an online panel ...
Citizens and ICT for Health in 14 EU countries: results from an online panel ...Francisco Lupiáñez-Villanueva
 
La Web 2.0 en medicina: un paseo por la nube y la realidad
La Web 2.0 en medicina: un paseo por la nube y la realidadLa Web 2.0 en medicina: un paseo por la nube y la realidad
La Web 2.0 en medicina: un paseo por la nube y la realidadFrancisco Lupiáñez-Villanueva
 
Health-related Information as Personal Data in Europe: Results from a Represe...
Health-related Information as Personal Data in Europe: Results from a Represe...Health-related Information as Personal Data in Europe: Results from a Represe...
Health-related Information as Personal Data in Europe: Results from a Represe...Francisco Lupiáñez-Villanueva
 
Evaluation of Integrated Care: From methods to governance and applications - ...
Evaluation of Integrated Care: From methods to governance and applications - ...Evaluation of Integrated Care: From methods to governance and applications - ...
Evaluation of Integrated Care: From methods to governance and applications - ...Francisco Lupiáñez-Villanueva
 
Sistema de Salud Personal e Historia de Salud Personal: ¿ciudadanos y profes...
Sistema de Salud Personal e Historia de Salud Personal:  ¿ciudadanos y profes...Sistema de Salud Personal e Historia de Salud Personal:  ¿ciudadanos y profes...
Sistema de Salud Personal e Historia de Salud Personal: ¿ciudadanos y profes...Francisco Lupiáñez-Villanueva
 
Las TIC en los sistemas de salud: innovación, integración e inclusión
Las TIC en los sistemas de salud: innovación, integración e inclusiónLas TIC en los sistemas de salud: innovación, integración e inclusión
Las TIC en los sistemas de salud: innovación, integración e inclusiónFrancisco Lupiáñez-Villanueva
 
The integration of Information and Communication Technology into Community Ph...
The integration of Information and Communication Technology into Community Ph...The integration of Information and Communication Technology into Community Ph...
The integration of Information and Communication Technology into Community Ph...Francisco Lupiáñez-Villanueva
 
The integration of Information and Communication Technology into nursing prac...
The integration of Information and Communication Technology into nursing prac...The integration of Information and Communication Technology into nursing prac...
The integration of Information and Communication Technology into nursing prac...Francisco Lupiáñez-Villanueva
 
TIC y Salud - Master Promoción de la Salud Universitat de Girona
TIC y Salud - Master Promoción de la Salud Universitat de GironaTIC y Salud - Master Promoción de la Salud Universitat de Girona
TIC y Salud - Master Promoción de la Salud Universitat de GironaFrancisco Lupiáñez-Villanueva
 
People living with chronic disease and the Internet in Catalonia Working Pr...
People living with chronic disease and the Internet in Catalonia Working Pr...People living with chronic disease and the Internet in Catalonia Working Pr...
People living with chronic disease and the Internet in Catalonia Working Pr...Francisco Lupiáñez-Villanueva
 
Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...
Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...
Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...Francisco Lupiáñez-Villanueva
 

More from Francisco Lupiáñez-Villanueva (20)

Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...
Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...
Las TIC para la Salud - Debates sobre tendencias de la Sociedad de la Informa...
 
A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...
A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...
A Composite Index for Benchmarking eHealth Deployment in European Acute hospi...
 
Citizens and ICT for Health in 14 EU countries: results from an online panel ...
Citizens and ICT for Health in 14 EU countries: results from an online panel ...Citizens and ICT for Health in 14 EU countries: results from an online panel ...
Citizens and ICT for Health in 14 EU countries: results from an online panel ...
 
La Web 2.0 en medicina: un paseo por la nube y la realidad
La Web 2.0 en medicina: un paseo por la nube y la realidadLa Web 2.0 en medicina: un paseo por la nube y la realidad
La Web 2.0 en medicina: un paseo por la nube y la realidad
 
Health-related Information as Personal Data in Europe: Results from a Represe...
Health-related Information as Personal Data in Europe: Results from a Represe...Health-related Information as Personal Data in Europe: Results from a Represe...
Health-related Information as Personal Data in Europe: Results from a Represe...
 
Evaluation of Integrated Care: From methods to governance and applications - ...
Evaluation of Integrated Care: From methods to governance and applications - ...Evaluation of Integrated Care: From methods to governance and applications - ...
Evaluation of Integrated Care: From methods to governance and applications - ...
 
Sistema de Salud Personal e Historia de Salud Personal: ¿ciudadanos y profes...
Sistema de Salud Personal e Historia de Salud Personal:  ¿ciudadanos y profes...Sistema de Salud Personal e Historia de Salud Personal:  ¿ciudadanos y profes...
Sistema de Salud Personal e Historia de Salud Personal: ¿ciudadanos y profes...
 
Las TIC en los sistemas de salud: innovación, integración e inclusión
Las TIC en los sistemas de salud: innovación, integración e inclusiónLas TIC en los sistemas de salud: innovación, integración e inclusión
Las TIC en los sistemas de salud: innovación, integración e inclusión
 
Salud y participación a la Sociedad Red
Salud y participación a la Sociedad RedSalud y participación a la Sociedad Red
Salud y participación a la Sociedad Red
 
The integration of Information and Communication Technology into Community Ph...
The integration of Information and Communication Technology into Community Ph...The integration of Information and Communication Technology into Community Ph...
The integration of Information and Communication Technology into Community Ph...
 
The integration of Information and Communication Technology into nursing prac...
The integration of Information and Communication Technology into nursing prac...The integration of Information and Communication Technology into nursing prac...
The integration of Information and Communication Technology into nursing prac...
 
Salud y Sociedad Red
Salud y Sociedad RedSalud y Sociedad Red
Salud y Sociedad Red
 
TIC y Salud - Master Promoción de la Salud Universitat de Girona
TIC y Salud - Master Promoción de la Salud Universitat de GironaTIC y Salud - Master Promoción de la Salud Universitat de Girona
TIC y Salud - Master Promoción de la Salud Universitat de Girona
 
Towards Health Mass-Self Communication
Towards Health Mass-Self CommunicationTowards Health Mass-Self Communication
Towards Health Mass-Self Communication
 
People living with chronic disease and the Internet in Catalonia Working Pr...
People living with chronic disease and the Internet in Catalonia Working Pr...People living with chronic disease and the Internet in Catalonia Working Pr...
People living with chronic disease and the Internet in Catalonia Working Pr...
 
Health and the World Wide Internet
Health and the World Wide InternetHealth and the World Wide Internet
Health and the World Wide Internet
 
Healthcare system 2.0: a transition
Healthcare system 2.0: a transitionHealthcare system 2.0: a transition
Healthcare system 2.0: a transition
 
Internet y Salud: la transición hacia la Sociedad Red
Internet y Salud: la transición hacia la Sociedad RedInternet y Salud: la transición hacia la Sociedad Red
Internet y Salud: la transición hacia la Sociedad Red
 
Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...
Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...
Internet, Salud y Sociedad. Análisis de los usos de Internet relacionados con...
 
Internet, ciudadanía y salud: oportunidades y retos
Internet, ciudadanía y salud: oportunidades y retosInternet, ciudadanía y salud: oportunidades y retos
Internet, ciudadanía y salud: oportunidades y retos
 

Recently uploaded

Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Nehru place Escorts
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...narwatsonia7
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 

Recently uploaded (20)

Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 

Internet information and email: shaping professional / patients relationship

  • 1. 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
  • 2.
  • 3. Introduction Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • 4. 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
  • 5. 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
  • 6. 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
  • 7. 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
  • 8. 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
  • 9. Methodology Methodology Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • 10. 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
  • 11.
  • 12. 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
  • 13. 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
  • 14. Dimensions Dimensions Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • 15. 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
  • 16. Dimensions Internet experience Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • 18. Expectation of public use of the Internet Dimensions
  • 20. Models Models Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • 21. Doctors recommending health information available on the Internet Models
  • 22. Nurses recommending health information available on the Internet Models
  • 23. Pharmacists recommending health information available on the Internet Models
  • 25. Models Nurses email patients
  • 27. Conclusions Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  • 28. Comparison Recommend patients going online for health information
  • 29. 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
  • 30. Comparison Utilise the email to communicate with patients
  • 31. 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
  • 32. 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
  • 33. 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

Editor's Notes

  1. 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.
  2. The final dimension of professional expectations represents variables that include views about barriers to Internet access.
  3. The final dimension of professional expectations represents variables that include views about barriers to Internet access.