Sabina De Rosis1, Sara Barsanti2. 1. Scuola Superiore Sant'Anna, Istituto di Management, Laboratorio Management e Sanità, Pisa, Italy. Electronic address: s.derosis@sssup.it. 2. Scuola Superiore Sant'Anna, Istituto di Management, Laboratorio Management e Sanità, Pisa, Italy.
Abstract
BACKGROUND: Scientific and public interest in the use of the Internet for health-related purposes has grown considerably. Concerns regarding its impact on patient-doctor relationship and risks for patients have inflamed the debate. Literature provides scarce evidence in this field. This paper investigates whether a patient's decision to use the web also depends on previous experience and satisfaction with healthcare. METHOD: Statistical analyses were conducted using data from a survey of more than 1700 citizens in Tuscany (Italy). The Andersen behavioural model was adopted as framework for investigating two patient behaviours: Internet use for health-related purposes; discussion of online findings with the physician. Two separate multivariate logistic models were performed to verify whether satisfaction and experience with healthcare system and general practitioners were associated with the e-health behaviours. RESULTS: Age, education and dissatisfaction with the healthcare system are the main determinant factors of e-health use. The behaviour of sharing the e-health experience with general practitioners is more diffused among those patients who are more satisfied with physicians for the involvement in the decision-making process and suggestions on life-style. IMPLICATIONS: Whether patients choice to share information found online with the doctor depends on the ability of the doctor to engage patients in decision-making, e-health can produce a 'double-empowerment' process: experienced by the patient on the Internet, and legitimated by the doctor during encounters. Copyright Â
BACKGROUND: Scientific and public interest in the use of the Internet for health-related purposes has grown considerably. Concerns regarding its impact on patient-doctor relationship and risks for patients have inflamed the debate. Literature provides scarce evidence in this field. This paper investigates whether a patient's decision to use the web also depends on previous experience and satisfaction with healthcare. METHOD: Statistical analyses were conducted using data from a survey of more than 1700 citizens in Tuscany (Italy). The Andersen behavioural model was adopted as framework for investigating two patient behaviours: Internet use for health-related purposes; discussion of online findings with the physician. Two separate multivariate logistic models were performed to verify whether satisfaction and experience with healthcare system and general practitioners were associated with the e-health behaviours. RESULTS: Age, education and dissatisfaction with the healthcare system are the main determinant factors of e-health use. The behaviour of sharing the e-health experience with general practitioners is more diffused among those patients who are more satisfied with physicians for the involvement in the decision-making process and suggestions on life-style. IMPLICATIONS: Whether patients choice to share information found online with the doctor depends on the ability of the doctor to engage patients in decision-making, e-health can produce a 'double-empowerment' process: experienced by the patient on the Internet, and legitimated by the doctor during encounters. Copyright Â
Authors: Marsha A Ivey; Graeme P Maguire; Brett G Toelle; Guy B Marks; Michael J Abramson; Richard Wood-Baker Journal: Int J Environ Res Public Health Date: 2019-09-12 Impact factor: 3.390
Authors: Ashley N D Meyer; Traber D Giardina; Christiane Spitzmueller; Umber Shahid; Taylor M T Scott; Hardeep Singh Journal: J Med Internet Res Date: 2020-01-30 Impact factor: 5.428