Developing Trust Practices for E-Health

2011 ◽  
pp. 235-258 ◽  
Author(s):  
Elizabeth Sillence ◽  
Pamela Briggs ◽  
Peter Harris ◽  
Lesley Fishwick
Keyword(s):  
Design Guidelines ◽  
Qualitative Studies ◽  
Health Needs ◽  
The Internet ◽  
Health Advice ◽  
Staged Model

The number of people turning to the Internet to meet their various health needs is rising. As the prevalence of this form of e-health increases, so the issue of trust becomes ever more important. This chapter presents a brief overview of e-health and describes how and why people are using the Internet for health advice and information. In order to understand the trust processes behind this engagement, a staged model of trust is proposed. This model is explored through a series of in-depth qualitative studies and forms the basis for a set of design guidelines for developing trust practices in e-health.

Developing Trust Practices for E-Health

2011 ◽  
pp. 1976-1996
Author(s):  
Elizabeth Sillence ◽  
Pamela Briggs ◽  
Peter Harris ◽  
Lesley Fishwick
Keyword(s):  
Design Guidelines ◽  
Qualitative Studies ◽  
Health Needs ◽  
The Internet ◽  
Health Advice ◽  
Staged Model

The number of people turning to the Internet to meet their various health needs is rising. As the prevalence of this form of e-health increases, so the issue of trust becomes ever more important. This chapter presents a brief overview of e-health and describes how and why people are using the Internet for health advice and information. In order to understand the trust processes behind this engagement, a staged model of trust is proposed. This model is explored through a series of in-depth qualitative studies and forms the basis for a set of design guidelines for developing trust practices in e-health.

Examining the role of the Internet in health behaviour

2012 ◽  
Author(s):  
Elizabeth Sillence ◽  
Pam Briggs
Keyword(s):  
Health Behaviour ◽  
Information Quality ◽  
Healthcare Professionals ◽  
The Internet ◽  
Health Advice ◽  
Qualitative Work ◽  
Staged Model ◽  
The Impact ◽  
User Motivation

This article explores the role of the Internet in health behaviour, with particular emphasis on the issue of trust and trusting behaviours, as this is seen as key to determining the impact of the Internet on health outcomes. It is organized as follows. The first section discusses the role of the Internet in the context of health information and advice, exploring broader issues such as user motivation and outcomes in terms of perceived health benefits, as well as interactions with healthcare professionals. The article then goes on to examine the types of health websites available, and explores issues of advice and information quality. The following section examines the context of trust in relation to online health advice and information, and presents a staged model of trust that helps reconcile differences in the literature. The last section presents a validation of the staged model through in-depth, longitudinal qualitative work.

What Types of Difficulties do Seniors Encounter When Using the Internet to Make Health Care Decisions?

2007 ◽  
Vol 51 (1) ◽  
pp. 11-14
Author(s):  
Thomas Kuhn ◽  
Sara J. Czaja ◽  
Sankaran N. Nair ◽  
Joseph Sharit ◽  
Tamer El-Attar ◽  
...  
Keyword(s):  
Design Guidelines ◽  
Community Dwelling ◽  
The Internet ◽  
Website Design ◽  
Health Care Decisions ◽  
Screen Capture ◽  
Age Related ◽  
Health Related ◽  
Make Health Care ◽  
Time Accuracy

The Internet is an important source of information for health-related topics and services. Currently, however, an age-related digital divide exists, especially for lower SES minority elderly. This study examined the ability of a sample of 40 community dwelling adults aged 50–85 yrs. to use the Internet to make choices related to Medicare services. Performance data included response time, accuracy, and search behavior (based on videotape recordings) and ratings of usability. Overall the data indicate that although most of the of participants were able to find the needed information many of them made errors, used inefficient search strategies, and encountered search problems. Furthermore, most of the sample indicated problems with usability and that they were frustrated interacting with the website. These findings are discussed in terms of recommendations for training and website design. The paper will also discuss how screen capture data can be used in the development of design guidelines.

Revisiting the Issue of Trust in E-Health

2017 ◽  
pp. 241-259
Author(s):  
Elizabeth Sillence ◽  
Pam Briggs ◽  
Peter R. Harris
Keyword(s):  
Health Information ◽  
Mobile Health ◽  
Information Needs ◽  
The Internet ◽  
Sources Of Information ◽  
Information Models ◽  
Health Advice ◽  
Mobile Health Applications ◽  
Health Field ◽  
Health Applications

As people continue to go online for their health information needs we revisit the issue of trust in relation to e-health. This chapter begins by briefly presenting an overview of e-health and describing current ways in which people are using the Internet for health advice and information. Models of trust are revisited and we then explore two emerging areas within the e-health field: peer resources and mobile health applications. Finally, we revisit and update our guidelines and point to further sources of information in this field.

scholarly journals Elaborating Models of eHealth Governance: Qualitative Systematic Review (Preprint)

2019 ◽  
Author(s):  
Anne Granstrom Ekeland ◽  
Line Helen Linstad
Keyword(s):  
Systematic Review ◽  
Health Policy ◽  
Full Text ◽  
Large Scale ◽  
Unintended Consequences ◽  
Qualitative Studies ◽  
The Internet ◽  
Policy Goals ◽  
Qualitative Systematic Review ◽  
Pubmed Database

BACKGROUND Large-scale national eHealth policy programs have gained attention not only for benefits but also for several unintended consequences and failed expectations. Given the complex and mixed accounts of the results, questions have been raised on how large-scale digitalization programs are governed to reach health policy goals of quality improvement and equal access along with necessary digital transformations. In this qualitative systematic review, we investigate the following question: How is governance implemented and considered in the studies included in the qualitative review? OBJECTIVE The aim of this study is to arrive at informed and recognizable conceptualizations and considerations of models of governance connected to eHealth, as presented and discussed in the scientific literature. In turn, we hope our results will help inform the discussion of how to govern such processes to obtain collectively negotiated objectives. METHODS A qualitative systematic review is a method for integrating or comparing with the findings from qualitative studies. It looks for “themes” or “constructs” that lie in or across individual qualitative studies. This type of review produces a narrative synthesis with thematic analysis and includes interpretive conceptual models. The goal is an interpretation and broadens the understanding of a particular phenomenon. We searched the PubMed database using predefined search terms and selected papers published in 2010. We specified the criteria for selection and quality assessment. RESULTS The search returned 220 papers. We selected 44 abstracts for full-text reading, and 11 papers were included for full-text synthesis. On the basis of the 11 papers, we constructed four governance models to categorize and conceptualize the findings. The models are political governance, normally depicting top-down processes; medical governance, which normally depicts bottom-up processes; the internet and global model, emphasizing international business strategies coupled with the internet; self-governance, which builds upon the development of the internet and Internet of Things, which has paved the way for personal governance and communication of one’s own health data. CONCLUSIONS Collective negotiations between the nation-state and global policy actors, medical and self-governance actors, and global business and industry actors are essential. Technological affordances represent both positive and negative opportunities concerning the realization of health policy goals, and future studies should scrutinize this dynamic.

scholarly journals You Get What You Pay for on Health Care Question and Answer Platforms: Nonparticipant Observational Study

10.2196/13534 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e13534
Author(s):  
Fatemeh Ameri ◽  
Kathleen Keeling ◽  
Reza Salehnejad
Keyword(s):  
Health Information ◽  
The Internet ◽  
Design Features ◽  
High Quality ◽  
Platform Design ◽  
Web Based ◽  
Health Advice ◽  
Quality Health ◽  
Advice Quality

Background Seeking health information on the internet is very popular despite the debatable ability of lay users to evaluate the quality of health information and uneven quality of information available on the Web. Consulting the internet for health information is pervasive, particularly when other sources are inaccessible because of time, distance, and money constraints or when sensitive or embarrassing questions are to be explored. Question and answer (Q&A) platforms are Web-based services that provide personalized health advice upon the information seekers’ request. However, it is not clear how the quality of health advices is ensured on these platforms. Objective The objective of this study was to identify how platform design impacts the quality of Web-based health advices and equal access to health information on the internet. Methods A total of 900 Q&As were collected from 9 Q&A platforms with different design features. Data on the design features for each platform were generated. Paid physicians evaluated the data to quantify the quality of health advices. Guided by the literature, the design features that affected information quality were identified and recorded for each Q&A platform. The least absolute shrinkage and selection operator and unbiased regression tree methods were used for the analysis. Results Q&A platform design and health advice quality were related. Expertise of information providers (beta=.48; P=.001), financial incentive (beta=.4; P=.001), external reputation (beta=.28; P=.002), and question quality (beta=.12; P=.001) best predicted health advice quality. Virtual incentive, Web 2.0 mechanisms, and reputation systems were not associated with health advice quality. Conclusions Access to high-quality health advices on the internet is unequal and skewed toward high-income and high-literacy groups. However, there are possibilities to generate high-quality health advices for free.

Sexual health advice for MSM and WSW in general practice

2019 ◽  
Vol 30 (5) ◽  
pp. 232-236
Author(s):  
Sally Kelsey
Keyword(s):  
Sexual Health ◽  
Health Needs ◽  
Sexually Transmitted ◽  
Practice Nurses ◽  
Sexual Behaviours ◽  
Increased Risk ◽  
Health Advice ◽  
Sex With Men ◽  
Asymptomatic Individuals ◽  
Specific Health

Men who have sex with men and women who have sex with women need specialised health considerations regarding their sexual health. Sally Kelsey describes what these health needs are and what practice nurses can do to ensure health inequalities are reduced People who identify as lesbian, gay or bisexual (LGB) make up a minority of the population, but carry a large burden of sexually transmitted infections (STIs). Some behaviours among men who have sex with men lead to an increased risk of some STIs and women who have sex with women have specific health needs. While specialist sexual health services are well placed to provide services for these patients, many people choose not to or are not able to access these services. Therefore, primary care has a prime opportunity to offer advice and screening for asymptomatic individuals, and to offer opportunistic advice. Health professionals should be educated in these specific health needs, develop awareness of patient risks and discuss sexual behaviours and risks in an open and non-judgmental way.

scholarly journals The Internet Hospital as a Telehealth Model in China: Systematic Search and Content Analysis (Preprint)

2020 ◽  
Author(s):  
Yangyang Han ◽  
Reidar K Lie ◽  
Rui Guo
Keyword(s):  
Descriptive Analysis ◽  
Health Needs ◽  
The Internet ◽  
Consumer Health ◽  
Joint Effort ◽  
Original Intention ◽  
Medical Supplies ◽  
Service Mode ◽  
The Government ◽  
Province Level

BACKGROUND The internet hospital is an innovative organizational form and service mode under the tide of internet plus in the Chinese medical industry. It is the product of the interaction between consumer health needs and supply-side reform. However, there has still been no systematic summary of its establishment and definition, nor has there been an analysis of its service content. OBJECTIVE The primary purpose of this study was to understand the definition, establishment, and development status of internet hospitals. METHODS Data on internet hospitals were obtained via the Baidu search engine for results up until January 1, 2019. Based on the results of the search, we obtained more detailed information from the official websites and apps of 130 online hospitals and formed a database for descriptive analysis. RESULTS By January 2019, the number of registered internet hospitals had expanded to approximately 130 in 25 provinces, accounting for 73.5% of all provinces or province-level municipalities in China. Internet hospitals, as a new telehealth model, are distinct but overlap with online health, telemedicine, and mobile medical. They offer four kinds of services—convenience services, online medical services, telemedicine, and related industries. In general, there is an underlying common treatment flowchart of care in ordinary and internet hospitals. There are three different sponsors—government-led integration, hospital-led, and enterprise-led internet hospitals—for which stakeholders have different supporting content and responsibilities. CONCLUSIONS Internet hospitals are booming in China, and it is the joint effort of the government and the market to alleviate the coexistence of shortages of medical resources and wasted medical supplies. The origin of internet hospitals in the eastern and western regions, the purpose of the establishment initiator, and the content of online and offline services are different. Only further standardized management and reasonable industry freedom can realize the original intention of the internet hospital of meeting various health needs.

scholarly journals The Internet Hospital as a Telehealth Model in China: Systematic Search and Content Analysis

10.2196/17995 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e17995
Author(s):  
Yangyang Han ◽  
Reidar K Lie ◽  
Rui Guo
Keyword(s):  
Descriptive Analysis ◽  
Health Needs ◽  
The Internet ◽  
Consumer Health ◽  
Joint Effort ◽  
Original Intention ◽  
Medical Supplies ◽  
Service Mode ◽  
The Government ◽  
Province Level

Background The internet hospital is an innovative organizational form and service mode under the tide of internet plus in the Chinese medical industry. It is the product of the interaction between consumer health needs and supply-side reform. However, there has still been no systematic summary of its establishment and definition, nor has there been an analysis of its service content. Objective The primary purpose of this study was to understand the definition, establishment, and development status of internet hospitals. Methods Data on internet hospitals were obtained via the Baidu search engine for results up until January 1, 2019. Based on the results of the search, we obtained more detailed information from the official websites and apps of 130 online hospitals and formed a database for descriptive analysis. Results By January 2019, the number of registered internet hospitals had expanded to approximately 130 in 25 provinces, accounting for 73.5% of all provinces or province-level municipalities in China. Internet hospitals, as a new telehealth model, are distinct but overlap with online health, telemedicine, and mobile medical. They offer four kinds of services—convenience services, online medical services, telemedicine, and related industries. In general, there is an underlying common treatment flowchart of care in ordinary and internet hospitals. There are three different sponsors—government-led integration, hospital-led, and enterprise-led internet hospitals—for which stakeholders have different supporting content and responsibilities. Conclusions Internet hospitals are booming in China, and it is the joint effort of the government and the market to alleviate the coexistence of shortages of medical resources and wasted medical supplies. The origin of internet hospitals in the eastern and western regions, the purpose of the establishment initiator, and the content of online and offline services are different. Only further standardized management and reasonable industry freedom can realize the original intention of the internet hospital of meeting various health needs.

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