Consumer PHIM Going Beyond Paper and Computer Anxiety

Personal health information management (PHIM) refers to an individual’s use of various tools (i.e., email, paper, sticky notes, calendars, health portals) to manage their healthcare information (Jones 2008). With advances in technology, it becomes even more imperative that the healthcare community understand the factors that may influence consumers’ intentions to use various PHIM tools to manage his/her healthcare information. The Theory of Planned Behavior (TPB) and constructs from the Technology Acceptance Model (TAM), and the Computer Anxiety Rating Scale (CARS) guide this investigation into how consumers might use patient health portals to manage their healthcare information

Examining the adoption of telehealth during public health emergencies based on technology organization environment framework

Purpose Disasters and pandemics pose challenges to health-care provision. Accordingly, the need for adopting innovative approach is required in providing care to patient. Therefore, the purpose of this study is to present telehealth as an innovative approach for providing care to patients and reducing spread of the infection and advocates for the adoption of telehealth for digitalized treatment of patients. Design/methodology/approach An integrative review methodology of existing evidence was conducted to provide implications for integration of telehealth for digitalized treatment of patients. This paper draws on Technology Organization Environment (TOE) framework to develop a model and propositions to investigate the factors that influence telehealth adoption from the perspective of the supply side and the demand side of medical services. Findings Findings from this study discuss applications adopted for telehealth and recommendations on how telehealth can be adopted for medical-care delivery. More importantly, the findings and propositions of this study can act as a roadmap to potential research opportunities within and beyond the pandemic. In addition, findings from this study help provide guidelines on how health practitioners can rapidly integrate telehealth into practice for public health emergencies. Originality/value This study identifies the social, technological and organizational factors that influence telehealth adoption, and opportunities of adopting telehealth during the public health emergencies. This study concludes that specific policy changes to improve integration of interoperable solutions; data security; better physical infrastructures; broadband access; better transition and workflow balance; availability of funding and remuneration; regulations and reimbursement; awareness; and training will improve telehealth adoption during public health emergencies.acceptedVersio

Making the Case for Leveraging the Patient-Centered E-Health (PCEH) Context to Expand Information Systems Theory

Patient-centered e-health (PCEH) represents a fascinating area of digitized stakeholder interactions characterized by complex information flows, shared decision making, co-created value, and mutual interest in improving health outcomes. Such a context lies in contrast to often contentious firm-consumer relationships characterized by self-interest, surplus maximization (from both producer and consumer sides), and consumer segmentation. This article suggests that PCEH is an ideal context in which to study the emerging class of information systems that include consumers as empowered influencers, stakeholders, and decision makers, rather than only “purchasers” on the other side of the exchange relationship or “mandated” users in the enterprise context. The PCEH context is proposed as an enormous research opportunity that may significantly contribute to expanding information systems research and theory

Patients\u27 Acceptance of Smartphone Health Technology for Chronic Disease Management: A Theoretical Model and Empirical Test

Les quatre textes ont en commun de présenter certaines évolutions récentes de l’histoire politique en Allemagne. Ils prennent tous position face à trois tournants historiographiques. La notion d’histoire culturelle du politique peut servir d’emblème au premier de ces tournants : le politique est envisagé non plus comme une succession d’événements ni comme le fruit de déterminations structurelles dont il serait la superstructure ou l’écume, mais comme l’expression de valeurs et de procédures o..

Does Personality Matter When We Are Sick? An Empirical Study of the Role of Personality Traits and Health Emotion in Healthcare Technology Adoption Decision

Several studies reported disparities among patients in using healthcare technologies. Although some researchers cited demographic characteristics as possible factors responsible for these disparities, these factors alone may not provide a complete view of adoption issues. Thus, disparities among technology users remain a topic of interest to Health Informatics researchers. Although personality traits are important factors in influencing technology adoption behavior, its’ influence in healthcare technology adoption decision remains unknown. Moreover, individuals’ emotion related to their on-going health issues further complicate the situation. Specifically, the interaction effect between patients’ personality traits and health emotional state is an important and interesting research topic that is yet to be explored. This study proposes and empirically tests a conceptual model incorporating individuals’ personality traits and health emotional states in the context of patient portal use. The results suggest interesting finding – individual’s health emotion supersedes the influence of personality traits in healthcare technology adoption decision

The Empirical Foundations of Telemedicine Interventions in Primary Care

Introduction: This article presents the scientific evidence for the merits of telemedicine interventions in primary care. Although there is no uniform and consistent definition of primary care, most agree that it occupies a central role in the healthcare system as first contact for patients seeking care, as well as gatekeeper and coordinator of care. It enables and supports patient-centered care, the medical home, managed care, accountable care, and population health. Increasing concerns about sustainability and the anticipated shortages of primary care physicians have sparked interest in exploring the potential of telemedicine in addressing many of the challenges facing primary care in the United States and the world. Materials and Methods: The findings are based on a systematic review of scientific studies published from 2005 through 2015. The initial search yielded 2,308 articles, with 86 meeting the inclusion criteria. Evidence is organized and evaluated according to feasibility/acceptance, intermediate outcomes, health outcomes, and cost. Results: The majority of studies support the feasibility/acceptance of telemedicine for use in primary care, although it varies significantly by demographic variables, such as gender, age, and socioeconomic status, and telemedicine has often been found more acceptable by patients than healthcare providers. Outcomes data are limited but overall suggest that telemedicine interventions are generally at least as effective as traditional care. Cost analyses vary, but telemedicine in primary care is increasingly demonstrated to be cost-effective. Conclusions: Telemedicine has significant potential to address many of the challenges facing primary care in today's healthcare environment. Challenges still remain in validating its impact on clinical outcomes with scientific rigor, as well as in standardizing methods to assess cost, but patient and provider acceptance is increasingly making telemedicine a viable and integral component of primary care around the world.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/140293/1/tmj.2016.0045.pd

The Factors That Impact Patient Portal Utilization

Spawned by legislative mandates, such as the American Recovery and Reinvestment Act of 2009’s Health Information Technology for Economic and Clinical Health Act, and individuals desiring to have more personal accountability for their health and healthcare, the introduction and use of electronic personal health information (ePHI) has grown substantially. Given that most ePHI is maintained within the healthcare delivery system, an information portal is required for individuals to have access to the ePHI. As a result, the legislation required the introduction and use of patient portals to grant such access. Despite substantial financial incentives and disincentives for healthcare organizations to provide and promote the use of patient portals, actual utilization of patient portals has fallen significantly short of expectations and desires. It has been posited that limited patient portal utilization may have been related to multiple factors, with no definitive set of factors empirically established as the root cause. While patient age and gender exhibit some relation to patient portal utilization, those factors are not able to be modified, thereby limiting any potential to change utilization. Therefore, there is an interest to identify other variables that can be modified to have an impact on patient portal utilization. The study sought to contribute to the body of knowledge concerning factors that impact the utilization of patient portals, specifically, how patient literacies, i.e., computer/Internet, health, and numeracy impact patient portal utilization. These literacies for 400 University of Maryland Medical System patients were assessed via self-administered surveys, with the results compared to their actual patient portal utilization. The goal was to identify related correlations between literacy scores and utilization, using the correlations to construct a portal use index capable of accurately predicting utilization based on these literacies. However, Kendall tau-b correlation coefficients indicated an absence of significant correlations between patient literacies and patient portal use

Healthcare System-Use Behavior: A Systematic Review of ITs Determinants

To understand patient and physician behavior, researchers have investigated the determinants of using healthcare information systems. Although this stream of research has produced important findings, it has yet to appreciably advance our understanding of system-use behavior in healthcare. To fill this gap, the current paper employs a systematic review to synthesize past research, reveal the key determinants of healthcare system usage, and illuminate a deeper understanding of the topic. This study thus helps healthcare researchers expand their baseline knowledge of these core determinants and conduct more fruitful future research on system-use behavior in healthcare