E-Health: Benefits & Barriers; Tailoring &

Technology- Based Health

Communication Day 36 & 37

Agenda Review Ch. 12 Activity Homework

E-Health

(Lillie; Mattson & Hall, 2011)

Health IT=health information technology

History/Milestones

(Lillie; Mattson & Hall, 2011)

Types of E-Health Health IT: comprehensive management of medical information and its secure exchange b/t pats or health care consumers

_________________ Benefits

Allows for searchable health data Efficient and easy to access ________________ Increased efficiencies of administrative tasks and coordination for caregivers Ex. __________

(Lillie; Mattson & Hall, 2011)

Types ______: adults who search for health info online E-health: health services and info delivered or enhanced through the Internet or related technologies

_____________________

(Lillie; Mattson & Hall, 2011)

Types Telehealth: use of telecommunication technologies to provide health care services, educating providers and patients, and facilitate medical reach across distances

Medical tourism Ex.___________

(Lillie; Mattson & Hall, 2011)

E-health vs. Telehealth e-Health

Any application of communication technology to health care

Telehealth Use of telecommunication technologies to provide health care services, educate providers and patients, and facilitate medical reach across distances

Textbook prefers “e-health” ___________ _____________

We will use _____________ (Mattson & Hall, 2011; McCullock)

Types Telemedicine: using advanced com technologies to deliver health care across distances

________: pats visits provider live over video for immediate care ________: captures video and/or still images which are stored and forwarded to providers for diagnosis and or followup treatment

(Lillie; Mattson & Hall, 2011)

(Lillie; McCiullock)

Telemedicine vs. Telehealth

While _______ refers specifically to remote clinical services,______ can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services.

(Lillie; Mattson & Hall, 2011)(Lillie; Mattson & Hall, 2011)

Types Electronic medical record:large electronic clinical record for a patient that is created in and owned by a health care facility

__________ Electronic health record: longitudinal electronic record, including patient input and access, spanning episodes of health care and may include multiple institutions (across states, etc)

(Lillie; Mattson & Hall, 2011)

Types

(Lillie; Mattson & Hall, 2011)

Electronic Medical Records are created in, used, and owned by a _____________.

Pros: _______ Cons: ________

(Lillie; Mattson & Hall, 2011; McCullock)

Electronic health records are longitudinal records that may span multiple organizations.

(Lillie; Mattson & Hall, 2011; McCullock)

Pros: ____________ Cons: _____________

**patients maintain

The government is incentivizing moving to electronic health

records (vs. paper).

(Lillie; Mattson & Hall, 2011)

Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the ____________________________________

What are the benefits/drawbacks of electronic vs. paper medical records?

(Lillie; Mattson & Hall, 2011)

More secure storage (can’t be hacked) ______________ Costs more money to store, fax, copy, etc.

BUT this may be cheaper for smaller businesses

Paper Privacy concerns Better quality??

__________________ Easier to send

_____________ Entire patient history is compiled Learning curve/reduced productivity

Electronic

Create/maintain your own personal health record

Where can you keep/store these? You should get information from…

__________ ___________ _______________

If you are creating an electronic health record, consider… Who has access to the information How can the information be used (e.g., can it be sold, insurance use) ____________________ Cost (e.g., to maintain, to share with new providers)

(Lillie; Mattson & Hall, 2011)

Understanding E-Health 3 of 10 Es of E-Health

1. _______: sharing health information 2. _______: broadening scope of health care both geographically and conceptually, allowing for access and input 3. _________: allowing for access and quality comparisons by patients and consumers

Flashlight application __________

(Lillie; Mattson & Hall, 2011)

Communication Barriers to E- Health

(Lillie; Mattson & Hall, 2011)

1. Patient Privacy 2. Costs 3. Organizational concerns 4, Interpersonal Concerns 5. Information overload

1. Having digital health records increases the chance of privacy breaches.

(Lillie; Mattson & Hall, 2011; McCullock)

Information that is now electronic is accessible Information that was managed by 1-3 is now managed by 12-15

“Instead of just the primary physician and immediate staff having access to a patient’s information, as many as 17 people now have authorized access”

___________ You work at a hospital in a data entry job. You see the medical records of your mother’s best friend.

2. The costs related to e-health are both benefits and barriers.

(Lillie; Mattson & Hall, 2011)

Cost of ______ Cost of ________

Harvard study showed that they didn’t reduce costs long term. However, did ___________________

3. There are communication and workflow issues that arise because e-health is virtual.

(Lillie; Mattson & Hall, 2011; McCullock)

Affects work flow What happens when technology is down? Communication b/t providers (texting/email)

4. The relationships and interactions between patient and provider change when virtual.

(Lillie; Mattson & Hall, 2011)

What are the benefits and drawbacks of communicating with your healthcare provider online, face-to-face, or on the phone?

When to use each type of channel

(Lillie; Mattson & Hall, 2011)

5. Patients can get overloaded with information.

(Lillie; Mattson & Hall, 2011)

Communication Benefits of E- Health

(Lillie; Mattson & Hall, 2011)

_______________

Happier patients who participate in e-health _________________ Ability to get care for those who cannot travel

1. transcendence of geographic boundaries 2. transcendence of temporal boundaries

3. patient satisfaction

4. wide distribution of health information 5. interactive: __________

1. Health care can occur between patients and providers who are located in ___________.

(Lillie; Mattson & Hall, 2011)

2. E-health transcends ____________.

(Lillie; Mattson & Hall, 2011)

3. Many patients feel more _______, __________, and _______ when they participate in e-health.

(Lillie; Mattson & Hall, 2011)

WHY?

4. E-health allows for _____________ of health information.

(Lillie; Mattson & Hall, 2011)

What health apps do you use?

(Lillie; Mattson & Hall, 2011)

While wide distribution of health information is a benefit, the digital divide is also an issue.

(Lillie; Mattson & Hall, 2011)

Motivational access ambition to use new COM tech

___________ access to computer and internet

Skills access ability and confidence to use digital tech. effectively

_________________ These gaps are largest Who has more access to broadband (vs. dial-up)

Younger or older populations? Urban or rural? More educated or less educated?

5. Finally, e-health has the ability to be interactive.

(Lillie; Mattson & Hall, 2011)

Tailoring: What is it and why do we care?

Audience Segmentation: dividing audience members _______according to some meaningful criteria Targeting: the strategic selection and use of communication channels to reach the ______________ Tailoring: any combination of information or change strategies intended to reach __________based on characteristics that are unique to that person, related to the outcome of interest, and have been __________________

( Mattson & Hall, 2011; McCullock)

Tailoring Phases Use a ______________ filled out by individuals within the target population

Computer system creates individual profiles based on assessment A ________is created which contains message segments for the individual profiles An __________________ places the message segments in order based on the user profile

1.

a. 2.

3.

( Mattson & Hall, 2011; McCullock)

Tailoring Steps Match message content to ________________and interests Frame health information in a _________________to the individual Use design and production elements that ____________________ Provide health information in the ___________________ preferred by the individual

1.

2.

3.

4.

( Hildenbrand; Mattson & Hall, 2011; McCullock)

Tailoring works and for whom when...

_______________ Print tailored materials in the form of pamphlets, newsletters, or magazines are most effective.

_______________________ People tend to not read materials that are too lengthy.

( Mattson & Hall, 2011; McCullock)

Tailoring works and for whom when...

Studies that tailor on _______________________ characteristics are most effective

Compared to studies that tailored information on just one of these domains.

Tailored messages are most effective when disseminated at _____________

( Mattson & Hall, 2011; McCullock)

Stages of Change Precontemplation

individual has no intention to take action within the next ________

_____________ individual intends to take action within the next 6 months

_______ individual intends to take action within next 30 days, taken some behavioral steps in that direction, has plan of action

( Hildenbrand; Mattson & Hall, 2011; McCullock)

Stages of Change Action

Individual behavior has changed for less than 6 months

Maintenance Behavior change for over 6 months. Leary of behavior change

Termination Individual experiences complete self-efficacy and no longer succumbs to temptation to return to previous lifestyle ( Hildenbrand; Mattson & Hall, 2011; McCullock)

Technology Acceptance Model ________

( Hildenbrand; Mattson & Hall, 2011; McCullock)

Technology Acceptance Model External Factors ______________________ Intent to use leads to actual use/ negative behavioral intention does not lead to use of technology ___________________ Other theories: DOI can be applied to technology as well

( Hildenbrand; Mattson & Hall, 2011; McCullock)

FRIDAY Wind et al. (2020) Ossebaard & Van Gemert-Pijnen (2016) Schreiweis et al. (2019) RA 22 Due by 11:59 pm ET