Use of the internet for health information: A study of Australians and New Zealanders

This article presents descriptive data from surveys that probed the use of health information by Internet users in Australia and New Zealand. Using this data, the article also contributes to understanding of factors associated with a series of Internet health information use outcomes. Four hundred six respondents (151 Australians; 255 New Zealanders) had used the Internet for health information and were asked about emailing doctors, Internet searching, taking Internet information to the doctor and perceptions of Internet information reliability. Regression analyses were conducted to examine associations between key outcomes and independent variables. A bootstrap procedure was performed to select variables used in logistic regression models. Fifty-two percent of health Internet users had emailed their doctor. Few significant differences between Australian and New Zealand responses were found. Internet use for health information was below levels found in North American and European studies, but there was similar prevalence of emailing and presenting Internet information to doctors. Emailers were more likely to believe this improved communication with doctors (OR = 3.59; 95%CI 1.95, 6.61). Frequent Internet searchers were more likely to take Internet information to their doctor (OR = 2.41; 1.47, 3.92), and believe the Internet to be a more useful information source (OR = 2.47; 1.22, 5.03). Females were less likely to email their doctor (OR = 0.47; 0.26, 0.85). More educated respondents were more likely to email their doctor (OR = 1.99; 1.16, 3.39) and to check website credentials (OR = 2.61; 1.53, 4.43). This study suggests that there is a digital divide among health care Internet users. It shows that, for males, email could have health care advantages. Doctors may need to develop strategies to deal with patients presenting with Internet information, including how to source information and check its credibility.

[1]  Petra Wilson,et al.  The quality of health information on the internet , 2002, BMJ : British Medical Journal.

[2]  Terhilda Garrido,et al.  Patient access to an electronic health record with secure messaging: impact on primary care utilization. , 2007, The American journal of managed care.

[3]  Todd H Wagner,et al.  Who searches the internet for health information? , 2006, Health services research.

[4]  S L Parsons,et al.  A survey of patient satisfaction and use of the internet for health information , 2007, International journal of clinical practice.

[5]  Ken Masters,et al.  For what purpose and reasons do doctors use the Internet: A systematic review , 2008, Int. J. Medical Informatics.

[6]  Angela B. Ruffin,et al.  Access to Electronic Health Information for the Public: Analysis of Fifty-Three Funded Projects , 2005, Libr. Trends.

[7]  R. Cook,et al.  A Field Test of a Web-Based Workplace Health Promotion Program to Improve Dietary Practices, Reduce Stress, and Increase Physical Activity: Randomized Controlled Trial , 2007, Journal of medical Internet research.

[8]  W. Courtenay.  Constructions of masculinity and their influence on men's well-being: a theory of gender and health. , 2000, Social science & medicine.

[9]  A. Bloom.  Health reform in Australia and New Zealand , 2001 .

[10]  Guy Paré,et al.  Determinants of Internet use as a preferred source of information on personal health , 2008, Int. J. Medical Informatics.

[11]  M. McMullan.  Patients using the Internet to obtain health information: how this affects the patient-health professional relationship. , 2006, Patient education and counseling.

[12]  Josipa Kern,et al.  Internet health-information seekers in Croatia—who, what, and why? , 2006, Medical informatics and the Internet in medicine.

[13]  J. Powell,et al.  Empirical studies assessing the quality of health information for consumers on the world wide web: a systematic review. , 2002, JAMA.

[14]  Christian Köhler,et al.  How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews , 2002, BMJ : British Medical Journal.

[15]  Michele L. Ybarra,et al.  Help seeking behavior and the Internet: A national survey , 2006, Int. J. Medical Informatics.

[16]  Thomas Hugh Feeley,et al.  Research Paper: Patient Internet Use for Health Information at Three Urban Primary Care Clinics , 2004, J. Am. Medical Informatics Assoc..

[17]  W. Hueston,et al.  Virtual Medical Care: How Are Our Patients Using Online Health Information? , 2006, Journal of Community Health.

[18]  D. West,et al.  Characteristics Associated With Use of Public and Private Web Sites as Sources of Health Care Information: Results From a National Survey , 2007, Medical care.

[19]  R. Blendon,et al.  Health information, the Internet, and the digital divide. , 2000, Health affairs.

[20]  E. Murray,et al.  The impact of health information on the internet on the physician-patient relationship: patient perceptions. , 2003, Archives of internal medicine.

[21]  Kenneth G Adler,et al.  Web Portals in Primary Care: An Evaluation of Patient Readiness and Willingness to Pay for Online Services , 2006, Journal of medical Internet research.

[22]  Willi Sauerbrei,et al.  The Use of Resampling Methods to Simplify Regression Models in Medical Statistics , 1999 .

[23]  F. Cheater,et al.  Men and health help-seeking behaviour: literature review. , 2005, Journal of advanced nursing.

[24]  Jamal Ameen,et al.  Consumer use of the internet for health information: a survey of primary care patients , 2004 .

[25]  Marita Koivunen,et al.  Patients' perceptions of Internet usage and their opportunity to obtain health information , 2007, Medical informatics and the Internet in medicine.

[26]  T. Houston,et al.  Patient Access to U.S. Physicians Who Conduct Internet or E-mail Consults , 2007, Journal of General Internal Medicine.

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

[28]  Gary L. Kreps,et al.  Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. , 2005, Archives of internal medicine.

[29]  N. Peña-Purcell,et al.  Hispanics' use of Internet health information: an exploratory study. , 2008, Journal of the Medical Library Association : JMLA.

[30]  Bradford W Hesse,et al.  Use of the Internet to Communicate with Health Care Providers in the United States: Estimates from the 2003 and 2005 Health Information National Trends Surveys (HINTS) , 2007, Journal of medical Internet research.

[31]  D. Ford,et al.  Experiences of patients who were early adopters of electronic communication with their physician: satisfaction, benefits, and concerns. , 2004, The American journal of managed care.

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

[33]  Michele L. Ybarra,et al.  Reasons, assessments and actions taken: sex and age differences in uses of Internet health information. , 2008, Health education research.