The acceptance of e-health solutions among patients with chronic respiratory conditions.

OBJECTIVE The main objective of this study was to assess the acceptance of the use of e-health applications by patients suffering from bronchial asthma and other chronic respiratory conditions. SUBJECTS AND METHODS The questionnaire, consisting of 73 items, was distributed among 200 patients remaining under the care of a tertiary-care pulmonology center in Krakow, Poland (return rate, 82.5%; n=165). RESULTS The mean age (standard deviation) of respondents was 50.8 (14.9) years. Of the respondents, 48.5% (n=80) suffered from bronchial asthma, 29.1% (n=48) from chronic obstructive pulmonary disease, and 32.1% (n=53) from other respiratory diseases. The Internet was used by 58.2% (n=96) of respondents. The most frequent types of health-related information searched for online included diseases (59.4%) and treatments (medication, 54.2%; treatment options, 58.3%), as well as information about physicians and healthcare institutions (32.3% and 31.3%, respectively). The differences between acceptance scores for specific e-health applications were significant (analysis of variance, Friedman chi-squared=166.315, p<0.001). The respondents revealed the highest acceptance of e-health solutions allowing them to book appointments with physicians, access laboratory test results, view educational resources, and renew prescriptions. The acceptance of the most popular e-health applications depended on the duration of disease, respondent's age and education, and his or her use of computers and the Internet. CONCLUSIONS Patients suffering from chronic respiratory conditions demonstrate higher levels of acceptance of e-health applications such as appointment booking, prescription renewal, and access to information (laboratory test results, educational resources) than of solutions directly related to medical care (communication with healthcare providers, disease monitoring).

[1]  Sarah Bauerle Bass,et al.  Relationship of Internet Health Information Use With Patient Behavior and Self-Efficacy: Experiences of Newly Diagnosed Cancer Patients Who Contact the National Cancer Institute's Cancer Information Service , 2006, Journal of health communication.

[2]  M. W. Peterson,et al.  Patient use of the internet for information in a lung cancer clinic. , 2003, Chest.

[3]  A. Jadad,et al.  What Is eHealth (3): A Systematic Review of Published Definitions , 2005, Journal of medical Internet research.

[4]  T. Greenhalgh.  Patient and public involvement in chronic illness: beyond the expert patient , 2009, BMJ : British Medical Journal.

[5]  Joshua Fogel,et al.  Use of the Internet by Women with Breast Cancer , 2002, Journal of medical Internet research.

[6]  R. Devol,et al.  An Unhealthy America:The Economic Burden of Chronic Disease , 2007 .

[7]  A. Alman,et al.  Use of the Internet by patients and their families to obtain genetics-related information. , 2001, Mayo Clinic proceedings.

[8]  Y. Khazaal,et al.  Internet Use by Patients with Psychiatric Disorders in Search for General and Medical Informations , 2008, Psychiatric Quarterly.

[9]  G. Anderson,et al.  The Growing Burden of Chronic Disease in America , 2004, Public health reports.

[10]  Kevin Bennett,et al.  Subdividing the Digital Divide: Differences in Internet Access and Use among Rural Residents with Medical Limitations , 2011, Journal of medical Internet research.

[11]  J. Adolfsson,et al.  The Internet and prostate cancer patients Searching for and finding information , 2007, Scandinavian journal of urology and nephrology.

[12]  C. D. Mathers,et al.  Chronic obstructive pulmonary disease: current burden and future projections , 2006, European Respiratory Journal.

[13]  C. Anandan,et al.  The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview , 2011, PLoS medicine.

[14]  Takeo Nakayama,et al.  Internet Use for Health-Related Information via Personal Computers and Cell Phones in Japan: A Cross-Sectional Population-Based Survey , 2011, Journal of medical Internet research.

[15]  Guy Paré,et al.  Review Paper: Systematic Review of Home Telemonitoring for Chronic Diseases: The Evidence Base , 2007, J. Am. Medical Informatics Assoc..

[16]  Jeffrey P Harrison,et al.  The role of e-Health in the changng health care environment. , 2006, Nursing economic$.

[17]  M. Jaana,et al.  Home telemonitoring for respiratory conditions: a systematic review. , 2009, The American journal of managed care.

[18]  P. Chauvin,et al.  Internet et santé : les enseignements de l’enquête permanente sur les conditions de vie des ménages, France, 2005 , 2008 .

[19]  L. Guidi,et al.  Internet use among inflammatory bowel disease patients: an Italian multicenter survey , 2009, European journal of gastroenterology & hepatology.

[20]  Sweta Sneha,et al.  Enabling ubiquitous patient monitoring: Model, decision protocols, opportunities and challenges , 2009, Decis. Support Syst..

[21]  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.

[22]  W. Sandborn,et al.  Internet use by patients in an inflammatory bowel disease specialty clinic , 2007, Inflammatory bowel diseases.

[23]  Frances McCarty,et al.  Use of computers and the Internet for health information by patients with epilepsy , 2008, Epilepsy & Behavior.

[24]  S. Scalvini,et al.  Socio-technical and organizational challenges to wider e-Health implementation , 2009, Chronic respiratory disease.

[25]  M. Coye,et al.  Remote patient management: technology-enabled innovation and evolving business models for chronic disease care. , 2009, Health affairs.

[26]  J. Lammers,et al.  Effects of telemonitoring in patients with chronic obstructive pulmonary disease. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[27]  S. Kalichman,et al.  Health-related Internet use, coping, social support, and health indicators in people living with HIV/AIDS: preliminary results from a community survey. , 2003, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[28]  S. Weiland,et al.  Global variation in the prevalence and severity of asthma symptoms: Phase Three of the International Study of Asthma and Allergies in Childhood (ISAAC) , 2009, Thorax.

[29]  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..

[30]  T. Bodenheimer,et al.  Patient self-management of chronic disease in primary care. , 2002, JAMA.

[31]  S. Brewster,et al.  Urology and the Internet: an evaluation of Internet use by urology patients and of information available on urological topics , 2000, BJU international.

[32]  T. Greenhalgh.  Chronic illness : beyond the expert patient , 2009 .

[33]  Jennifer L. Schwartz,et al.  Patterns of Internet use and impact on patients with melanoma. , 2005, Journal of the American Academy of Dermatology.

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

[35]  Noreen M Clark,et al.  Management of chronic disease by patients. , 2003, Annual review of public health.

[36]  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.

[37]  Giuseppe La Torre,et al.  Surfing the internet for health information: an italian survey on use and population choices , 2011, BMC Medical Informatics Decis. Mak..

[38]  R. J. Cadigan,et al.  Prepared patients: internet information seeking by new rheumatology patients. , 2008, Arthritis and rheumatism.

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

[40]  Ronald E. Rice,et al.  Influences, usage, and outcomes of Internet health information searching: Multivariate results from the Pew surveys , 2006, Int. J. Medical Informatics.

[41]  E. Murray,et al.  Internet Interventions for Long-Term Conditions: Patient and Caregiver Quality Criteria , 2006, Journal of medical Internet research.

[42]  June Forkner-Dunn,et al.  Internet-based Patient Self-care: The Next Generation of Health Care Delivery , 2003, Journal of medical Internet research.

[43]  G. Hejblum,et al.  Variability of the chronic obstructive pulmonary disease key epidemiological data in Europe: systematic review , 2011, BMC medicine.

[44]  Christian Lovis,et al.  White Paper: Patient-centered Applications: Use of Information Technology to Promote Disease Management and Wellness. A White Paper by the AMIA Knowledge in Motion Working Group , 2008, J. Am. Medical Informatics Assoc..

[45]  M. Duplaga.  Acceptance of Internet-Based Health Care Services Among Households in Poland: Secondary Analysis of a Population-Based Survey , 2012, Journal of medical Internet research.

[46]  Maaike J de Boer,et al.  Patients' use of the Internet for pain-related medical information. , 2007, Patient education and counseling.

[47]  Valérie Bonadona,et al.  Patients' characteristics and rate of Internet use to obtain cancer information. , 2006, Journal of public health.

[48]  K. Mccaul,et al.  Information Gathering Over Time by Breast Cancer Patients , 2003, Journal of medical Internet research.

[49]  Matthew I. Trotter,et al.  Patients' use of the Internet for health related matters: a study of Internet usage in 2000 and 2006 , 2008, Health Informatics J..

[50]  Jie Huang,et al.  Use of e-Health services between 1999 and 2002: a growing digital divide. , 2004, Journal of the American Medical Informatics Association : JAMIA.

[51]  Peter Bower,et al.  Support for self care for patients with chronic disease , 2007, BMJ : British Medical Journal.

[52]  C. V. van Uden-Kraan,et al.  Health-related Internet use by patients with somatic diseases: Frequency of use and characteristics of users , 2009, Informatics for health & social care.

[53]  Juan Herrero,et al.  Internet Use and Self-Rated Health Among Older People: A National Survey , 2009, Journal of medical Internet research.