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Internet information and email: shaping professional / patients relationship

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Internet information and email: shaping professional / patients relationship

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Internet information and email: shaping professional / patients relationship

  1. 1. Dr . Francisco Lupiáñez-Villanueva [email_address] http://ictconsequences.net Internet information and email: shaping professional / patients relationship Dr . Michael Hardey Michael.Hardey@hyms.ac.uk Workshop Innovative Health Technologies: health systems in transition Barcelona, 27 th November 2009
  2. 2. <ul><li>Introduction </li></ul><ul><li>Methodology </li></ul><ul><li>Dimensions </li></ul><ul><li>Models </li></ul><ul><li>Conclusions </li></ul>www.ictconsequences.net Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  3. 3. Introduction Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  4. 4. Health Communication Ratzan, S., Payne, J.G. & Bishop, C. (1996). The Status and Scope of Health Communication. Journal of Health Communication, 1(1), pp.25-41. Kreps, G.L., Bonaguro, E.W. & Query, J.L. (1998). The History and development of the field of health communication. In: L.D. Jackson & B.K. Duff (Eds.). Health Communication Research: Guide to Developments and Directions, Westport, CT: Greenwood Press, pp. 1-15. Introduction Communication is conceptualized as the central social process in the provision of health care delivery and the promotion of public health Information is the most important resource in health care and health promotion because it essential in guiding strategic health behaviors, treatments, and decisions Process of Communication The centrality of the process of communication is based upon the pervasive roles communication performs in creating, gathering, and sharing &quot;health information.&quot; Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  5. 5. Health Communication Ratzan, S., Payne, J.G. & Bishop, C. (1996). The Status and Scope of Health Communication. Journal of Health Communication, 1(1), pp.25-41. Kreps, G.L., Bonaguro, E.W. & Query, J.L. The History and development of the field of health communication. In: L.D. Jackson & B.K. Duff (Eds.). Health Communication Research: Guide to Developments and Directions, Westport, CT: Greenwood Press, pp. 1-15. Channels Face to face Personal Mass Levels Intrapersonal Interpersonal Group Organizational Societal Branches Health care delivery Health Promotion Disciplines Communication Psychology Sociology Medicine Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  6. 6. Communication in the Digital Age Castells, M. (2009). Communication Power. Oxford: Oxford University Press Communication is the sharing of meaning through the exchange of information Technology Senders and Receivers Cultural codes of reference and protocols of communication Scope of the process defined by Interpersonal communication Mass communication Mass self-communication Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  7. 7. BUT rather than adopting a specific theoretical stance this paper is grounded in empirical data derived from surveys of doctors, nurses and community pharmacists. Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  8. 8. Introduction To identify how health professionals view public use of the Internet; whether new forms of communication are emerging and what dimensions are shaping the use of the Internet and email within professional / patients relationship . PURPOSE Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  9. 9. Methodology Methodology Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  10. 10. Survey instruments Methodology Healthcare actor Tools Universe / Population Sample / Rates Date WWW and Health Matrix Criteria 1,240 URLs September – December 2005 Health webmasters Identified online survey 388 emails 112 (28.8%) March 2006 Patient support groups Identified online survey 215 groups 52 (24.1%) October 2005 Internet users No-identified online survey 435 June 2006 Citizens Telephone survey Catalonian population 2.000 (M.E. 2.5% - C.I. 95%) October – December 2007 Physicians Identified online survey 16,531 Barcelona (COMB Professional Association) 2,199 (13.3%) June - July 2006 Nurses Identified online survey 13,583 Barcelona (COIB Professional Association) 1,170 (8.6%) October - November 2006 Pharmacists Identified online survey 7,648 Barcelona (COFB Professional Association) 898 (11.7%) November - February 2007
  11. 11. Statistical analysis Methodology <ul><li>The survey instruments were organised into five blocks of questions about, </li></ul><ul><li>socio demographic and practice details; </li></ul><ul><li>access and use of ICTs; </li></ul><ul><li>ICTs and the professional/patient relationship; </li></ul><ul><li>institutional health information systems and </li></ul><ul><li>perception of the role of ICTs. </li></ul>Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  12. 12. Statistical analysis Methodology Although the surveys are not representative of all the members of the Col·legies, the respondents are typical in terms of socio demographic and other characteristics . Consequently the survey results provide an unusually extensive and detailed quantitative database that is amenable to multivariate statistical analysis . In order to model the dependence of a binary response variable on one or more explanatory variables, continuous and categorical explanatory variables could be considered; a logistic regression was applied (Bewick et al , 2005). The interpretation of standardized regression coefficients determines the probability that the independent variables explain the depend variable selected . Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  13. 13. Analysis of Internet Use in Catalonia Health System: Webs, Doctors and Citizens Brown Bag Seminar Series SATSU 23rd June 2009 Visiting Researcher at SATSU Researcher at i2TIC – Internet Interdisciplinary Institute IN3 Lecturer Information and Communication Science at Open University of Catalonia Dr . Francisco Lupiáñez-Villanueva [email_address] [email_address] http://ictconsequences.net Dr . Francisco Lupiáñez-Villanueva http://www.ictconsequences.net/2009/06/24/doctors-citizens-internet-satsu
  14. 14. Dimensions Dimensions Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  15. 15. Dimensions Dimensions Context Variables related to socio demographics and the workplace (for example, age acts as a surrogate for career position) Internet experience Variables that include access and frequency of utilisation of the Internet from home or work Engagement Variables related to the practitioner-lay relationship Expectation of public use of the Internet Variables concerned with the assessment of health information available on the Internet and the potential consequences of patients/clients’ using it Professional expectations Variables that include views about barriers and potential benefits of the Internet access
  16. 16. Dimensions Internet experience Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  17. 17. Engagement Dimensions
  18. 18. Expectation of public use of the Internet Dimensions
  19. 19. Professional expectations Dimensions
  20. 20. Models Models Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  21. 21. Doctors recommending health information available on the Internet Models
  22. 22. Nurses recommending health information available on the Internet Models
  23. 23. Pharmacists recommending health information available on the Internet Models
  24. 24. Models Doctors email patients
  25. 25. Models Nurses email patients
  26. 26. Models Pharmacists email patients
  27. 27. Conclusions Introduction Lupiáñez-Villanueva, F. & Hardey, M. http://www.ictconsequences.net
  28. 28. Comparison Recommend patients going online for health information
  29. 29. Recommend patients going online for health information Context Conclusions Doctors Nurses Community pharmacists Internet experience Engagement with patients/clients Expectations of public use of the Internet Professional expectations Pull - Push
  30. 30. Comparison Utilise the email to communicate with patients
  31. 31. Utilise the email to communicate with patients Context Conclusions Doctors Nurses Community pharmacists Internet experience Engagement with patients/clients Professional expectations Expectations of public use of the Internet Pull - Push
  32. 32. Engagement is shaped and being re-shaped Dimensions Context Variables related to socio demographics and the workplace (for example, age acts as a surrogate for career position) Internet experience Variables that include access and frequency of utilisation of the Internet from home or work Engagement Variables related to the practitioner-lay relationship Expectation of public use of the Internet Variables concerned with the assessment of health information available on the Internet and the potential consequences of patients/clients’ using it Professional expectations Variables that include views about barriers and potential benefits of the Internet access
  33. 33. Dr . Francisco Lupiáñez-Villanueva [email_address] http://ictconsequences.net Thanks for the inspiring workshop Dr . Michael Hardey Michael.Hardey@hyms.ac.uk Workshop Innovative Health Technologies: health systems in transition Barcelona, 27 th November 2009

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