BACKGROUND: Interest and investment in e-health continue to grow world-wide, but there remains relatively little engagement with the public on this subject, despite calls for more public involvement in health-care planning. DESIGN: This study used two modified citizen juries to explore barriers and facilitators to e-health implementation and the priorities for future e-health research from the perspective of health service users and lay representatives. Citizen juries bring together a group of people to deliberate over a specific issue. They are given information and invited to 'cross-examine' witnesses during the process. RESULTS: Jurors were very keen for lay views to be included in e-health development and embraced the citizen jury approach. They agreed unanimously that e-health should be developed and thought it was in many ways inevitable. Although there was much enthusiasm for a health-care system which offered e-health as an option, there was as much concern about what it might mean for patients if implemented inappropriately. E-health was preferred as an enhancement rather than substitute for, existing services. Lack of universal access was seen as a potential barrier to implementation but problems such as lack of computer literacy were seen as a temporary issue. Participants emphasized that e-health research needed to demonstrate both clinical and economic benefits. CONCLUSION: There was broad support from the citizen juries for the development of e-health, although participants stressed that e-health should enhance, rather than substitute, face-to-face services. One-day citizen juries proved a practical method of public engagement on this subject.
BACKGROUND: Interest and investment in e-health continue to grow world-wide, but there remains relatively little engagement with the public on this subject, despite calls for more public involvement in health-care planning. DESIGN: This study used two modified citizen juries to explore barriers and facilitators to e-health implementation and the priorities for future e-health research from the perspective of health service users and lay representatives. Citizen juries bring together a group of people to deliberate over a specific issue. They are given information and invited to 'cross-examine' witnesses during the process. RESULTS: Jurors were very keen for lay views to be included in e-health development and embraced the citizen jury approach. They agreed unanimously that e-health should be developed and thought it was in many ways inevitable. Although there was much enthusiasm for a health-care system which offered e-health as an option, there was as much concern about what it might mean for patients if implemented inappropriately. E-health was preferred as an enhancement rather than substitute for, existing services. Lack of universal access was seen as a potential barrier to implementation but problems such as lack of computer literacy were seen as a temporary issue. Participants emphasized that e-health research needed to demonstrate both clinical and economic benefits. CONCLUSION: There was broad support from the citizen juries for the development of e-health, although participants stressed that e-health should enhance, rather than substitute, face-to-face services. One-day citizen juries proved a practical method of public engagement on this subject.
Authors: J F Vlek; W P M Vierhout; J A Knottnerus; J J Schmitz; J Winter; A M K Wesselingh-Megens; H F Crebolder Journal: Br J Gen Pract Date: 2003-02 Impact factor: 5.386
Authors: Maaike Ferwerda; Sylvia van Beugen; Amanda van Burik; Henriët van Middendorp; Elke M G J de Jong; Peter C M van de Kerkhof; Piet L C M van Riel; Andrea W M Evers Journal: Clin Rheumatol Date: 2013-01-26 Impact factor: 2.980
Authors: Ramey Moore; Rachel S Purvis; Emily Hallgren; Sharon Reece; Alan Padilla-Ramos; Morgan Gurel-Headley; Spencer Hall; Pearl A McElfish Journal: Medicine (Baltimore) Date: 2022-08-12 Impact factor: 1.817