The Use of eHealth Applications in Hong Kong: Results of a Random-Digit Dialing Survey

eHealth has become popular worldwide, and it is transforming health care. However, studies examining the use of eHealth applications in the Chinese population are scarce. The study reports on the characteristics of eHealth applications in Hong Kong information and communication technology (ICT) users, their attitudes towards eHealth, and their reasons for not using eHealth applications. A cross-sectional random-digit dialing survey targeting adults using ICT was conducted in Hong Kong to elicit information on respondents’ use of and attitudes towards eHealth. A total of 495 ICT users completed the survey, of whom 353 (71.3%) were eHealth users. A smartphone was the most frequent way of performing eHealth activities (71.7%). The most prevalent eHealth activity was reading about health/illness (86.4%), with 93.5% indicating that eHealth applications improved their understanding of health care issues. People with less education were less likely to use eHealth applications. Non-eHealth users indicated that the main reasons for not using eHealth applications were lack of interest in health information (49.3%) and lack of confidence in the reliability of online information (45.1%). Quality monitoring of health information available on ICTs and tailoring the design and readability are recommended to meet the needs of those seeking health resources and to promote eHealth. Evidence from the study demonstrates the potential of eHealth to improve the dissemination of health information in Hong Kong, and it provides a basis for improving eHealth integration.

[1]  M. Lynn Determination and quantification of content validity. , 1986, Nursing research.

[2]  A. Haines,et al.  The Effectiveness of Mobile-Health Technologies to Improve Health Care Service Delivery Processes: A Systematic Review and Meta-Analysis , 2013, PLoS medicine.

[3]  Wen-Ying Sylvia Chou,et al.  Predictors of eHealth Usage: Insights on The Digital Divide From the Health Information National Trends Survey 2012 , 2014, Journal of medical Internet research.

[4]  Cameron D. Norman,et al.  eHEALS: The eHealth Literacy Scale , 2006, Journal of medical Internet research.

[5]  C. Chronaki,et al.  European citizens' use of E-health services: A study of seven countries , 2007, BMC public health.

[6]  Yuk Yee Yan Online Health Information Seeking Behavior in Hong Kong: An Exploratory Study , 2010, Journal of Medical Systems.

[7]  S. A. Iverson,et al.  Impact of Internet Use on Health-Related Behaviors and the Patient-Physician Relationship: A Survey-Based Study and Review , 2008, The Journal of the American Osteopathic Association.

[8]  S. Gomez,et al.  Perceptions, expectations, and attitudes about communication with physicians among Chinese American and non-Hispanic white women with early stage breast cancer , 2013, Supportive Care in Cancer.

[9]  Sherry L Pagoto,et al.  Access to Care and Use of the Internet to Search for Health Information: Results From the US National Health Interview Survey , 2015, Journal of medical Internet research.

[10]  Nicholas R. Hardiker,et al.  Factors that influence public engagement with eHealth: A literature review , 2011, Int. J. Medical Informatics.

[11]  Valmi D Sousa,et al.  Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. , 2011, Journal of evaluation in clinical practice.

[12]  Cheryl Tatano Beck,et al.  The content validity index: are you sure you know what's being reported? Critique and recommendations. , 2006, Research in nursing & health.

[13]  Steve Wheeler,et al.  How smartphones are changing the face of mobile and participatory healthcare: an overview, with example from eCAALYX , 2011, Biomedical engineering online.

[14]  Masao Kakihara,et al.  Grasping a Global View of Smartphone Diffusion: An Analysis from a Global Smartphone Study , 2014, ICMB.

[15]  Ping Feng,et al.  Telehealth attitudes and use among medical professionals, medical students and patients in China: A cross-sectional survey , 2017, Int. J. Medical Informatics.

[16]  Jyotishman Pathak,et al.  Evaluating the Process of Online Health Information Searching: A Qualitative Approach to Exploring Consumer Perspectives , 2014, Journal of medical Internet research.

[17]  Sandra L Saperstein,et al.  Using the Internet for Health-Related Activities: Findings From a National Probability Sample , 2009, Journal of medical Internet research.

[18]  G. Bartlett,et al.  Health information on the Internet: gold mine or minefield? , 2014, Canadian family physician Medecin de famille canadien.

[19]  Malcolm Koo,et al.  Predictors of Internet use for health information among male and female Internet users: Findings from the 2009 Taiwan National Health Interview Survey , 2016, Int. J. Medical Informatics.

[20]  Harvey A. Skinner,et al.  eHealth Literacy Scale , 2015 .

[21]  Seewon Ryu,et al.  Book Review: mHealth: New Horizons for Health through Mobile Technologies: Based on the Findings of the Second Global Survey on eHealth (Global Observatory for eHealth Series, Volume 3) , 2012, Healthcare Informatics Research.

[22]  Tai Hing Lam,et al.  How, When and Why People Seek Health Information Online: Qualitative Study in Hong Kong , 2017, Interactive journal of medical research.

[23]  A. While,et al.  Maximizing the healthcare environment: a systematic review exploring the potential of computer technology to promote self-management of chronic illness in healthcare settings. , 2013, Patient education and counseling.

[24]  L. Baker,et al.  Use of the Internet and e-mail for health care information: results from a national survey. , 2003, JAMA.