Angela Coulter, The King's Fund, and Ben Mearns, Surrey and Sussex Healthcare NHS Trust present on patient engagement and health information technology.

1. Patient Engagement and Health
Information Technology
Angela Coulter and Ben Mearns

2. Applications of E-health Technologies
• Self-care advice and routine
transactions
• Self-management of long-term
conditions
• Enabling people to remain at home

3. Implementation Challenges
• Policy support for e-health technologies
• Availability of relevant technologies
• Evidence of beneficial effects
• Patients willing to use them
• Clinicians willing to use them

4. Internet Activities by Age Group, UK 2013
0
10
20
30
40
50
60
70
80
90
100
Reading news Social networking Travel services Internet banking Health information
Source: Office of National Statistics
16-24 25-34 35-44 45-54 55-64 65+

5. Access to Primary Care
• 25% of GP patients reported problems
booking appointments by phone
• Only 6% booked appointments online
• Only 10% ordered prescriptions online
• Only 0.5% accessed their medical record
online
• 12% of GP consultations carried out by
phone
• 10% of those who cannot get a convenient
GP appointment go to A&E departments

6. Clinicians’ Concerns

7. Finding Reliable Information
Policy 
Availability 
Evidence 
Patients 
Clinicians 

8. Multi-Channel Access
• Policy 
• Availability 
• Evidence 
• Patients 
• Clinicians 

9. Access to Medical Records
• % general practices offering
record access in 2014 = 32%
• % general practices offering
record access in 2015 = 97%
• Policy 
• Availability 
• Evidence 
• Patients 
• Clinicians 

10. Online Feedback
• Policy 
• Availability 
• Evidence 
• Patients 
• Clinicians 

11. Patient Decision Aids
• Policy 
• Availability 
• Evidence 
• Patients 
• Clinicians 

12. Technologies for Personalised Care Planning
• Policy 
• Availability 
• Evidence 
• Patients 
• Clinicians 

13. Health Coaching for Self-Management
• Policy 
• Availability 
• Evidence 
• Patients 
• Clinicians 

14. Remote Monitoring
• Policy 
• Availability 
• Evidence 
• Patients 
• Clinicians 

15. Policy Gaps
• Shared decision making
• Health coaching

16. Technology Gaps
• Involving users in design, testing and implementation
• Telephone consultation systems
• Patient decision aids incorporated into EMRs
• IT systems to record patients’ self-management goals
• Self-management support

17. Evidence gaps
• Measuring outcomes that matter
• Effects of health information
• Multi-channel access to primary care – impact on demand
• Record access – patient use and impact
• Feedback for quality improvement
• Implementation of shared decision making
• Effects of personalised care planning
• Effects of health coaching
• Effects of telehealth

18. Promoting Use by Patients
• Multi-channel access to primary care
• Access to medical records

19. Promoting Use by Clinicians
• Signposting health information to patients
• Supporting multi-channel access to primary care
• Patient access to medical records
• Responding to patient feedback
• Patient decision aids
• Personalised care planning
• Health coaching
• Telehealth
• Support for innovation