CONSUMERS\u27 PERCEPTIONS OF A VIRTUAL HEALTH CHECK: AN EMPIRICAL INVESTIGATION

After years of the development of information systems (IS) designed primarily for healthcare managers and professionals, there is an increasing interest in reaching consumers and patients directly through consumer health information technology (IT). Consumer-centric health information systems enable individuals to manage their health better and maintain a healthier lifestyle. However, the foremost challenge in developing systems for health behavior change is that there is modest knowledge of how individuals interact with these systems and how they process and act on information. In addition, technologies cannot have the capacity to help facilitate self-monitoring and self-management or improve consumers\u27 health outcomes if the consumers do not adopt them. The objective of this study is to investigate consumers? perceptions of a virtual health check. Specifically, we propose and test factors affecting perceived persuasiveness of the system and whether perceived persuasiveness predicts intention to adopt virtual health coaching. A theoretically driven research model is constructed, and a structural equation modeling (SEM) approach, namely partial least squares (PLS), is used to test the model against the data gathered from 130 subjects. The results of the study lend support to the proposed model. Studying the adoption, use, and impact of innovative consumer health IT is worthwhile, as it will guide future implementations

Rehabilitation Through Empowerment: Adopting the Consumer-Participation Model for Treatment Planning in Mental Health Courts

Part I of this Note is a brief overview of the mental health court system. It is broken into two subparts: first, a brief description of the system’s goals and success; and, second, a brief overview of mental health courts’ general structure. The theme here is that the term “system” is really a misnomer, and there is plenty of room for development. In Part II, I introduce some of the barriers to achieving voluntary participation. This section also has two subparts: first, a discussion on target participants’ reduced capacities; and, second, a description of the structural shortcomings in mental health courts. The general theme here is that target participants do not suffer from a depreciated decision-making capacity despite not having the tools to control their illnesses. Instead, it suggests that participants have a reduced capacity for voluntarism that can be improved through increasing education and empowerment. Finally, in Part III, I discuss the possible adoption of the consumer participation model from private mental health treatment as a tool for improving access to information and reducing coercion in the mental health court process. I suggest that this model will help alleviate some of the problems with voluntariness in mental health court programs. Further, I suggest that the benefits obtained from adopting the consumer-participation model also address many of the concerns that mental health court opponents raise

Consumers\u27 acceptance and use of personal health record systems: A theoretical model

Recently, there has been a growing trend towards consumer-based healthcare in which consumers are increasingly becoming partners in their own care. One way of accomplishing this is to provide consumers with access to their health records through the use of Personal Health Record (PHR) systems. In spite of their potential benefits, recent research has shown that PHRs are not yet popular or well known to consumers. The overall objective of this research is to investigate the influences of various personal, behavioral, and environmental factors on the adoption and use of PHR systems by Canadian consumers. Drawing on both the information systems and behavioral healthcare literatures such a model is developed and presented. The proposed model will be validated using a longitudinal design over a period of 16 months involving patients from two local clinics. The study participants will be introduced to an existing PHR system at those clinics. The system will subsequently be made available for their potential use. Users will be surveyed at various points in time regarding their perceptions about the system utilizing both close-ended and open-ended questions. Collected data will be analyzed using structure equation modeling and qualitative data analysis techniques

Enhancing Personal Health Record Adoption Through the Community Pharmacy Network: A Service Project

Personal Health Records, or PHRs, are designed to be created, maintained and securely managed by patients themselves. PHRs can reduce medical errors and increase quality of care in the health care system through efficiency and improving accessibility of health information. Adoption of PHRs has been disappointingly low. In this paper a project is described—essentially a call for action—whereby the skills, expertise, and accessibility of the community pharmacist is utilized to address the problem of poor PHR adoption. The objective of this proposed project is to promote the expansion of PHR adoption directly at the consumer level by utilizing the existing infrastructure of community pharmacies. The ADDIE model can provide the framework for PHR adoption in community pharmacies. ADDIE is an acronym that stands for the 5 phases contained in the model: 1) Analysis, 2) Design, 3) Development, 4) Implementation, and 5) Evaluation. ADDIE is a versatile educational model used for creating instructional materials, and has found utility as a guidance model for managing projects of all types. By bringing together these concepts: the highly accessible infrastructure of community pharmacies with the educational resources to inform consumers on the proper use of PHRs, the quality of care for patients will be greatly enhanced.   Type: Idea Pape

Using Insurance Standards and Policy Levers to Build a High Performance Health System

Analyzes Rhode Island's use of state health insurance regulatory authority to promote healthcare reform, including improved accessibility, quality, and affordability. Outlines the rationale for and process of developing standards and the expected impact

Smart technology for healthcare: Exploring the antecedents of adoption intention of healthcare wearable technology

© The Author(s), 2019. Technological advancement and personalized health information has led to an increase in people using and responding to wearable technology in the last decade. These changes are often perceived to be beneficial, providing greater information and insights about health for users, organizations and healthcare and government. However, to date, understanding the antecedents of its adoption is limited. Seeking to address this gap, this cross-sectional study examined what factors influence users’ adoption intention of healthcare wearable technology. We used self-administrated online survey to explore adoption intentions of healthcare wearable devices in 171 adults residing in Hong Kong. We analyzed the data by Partial least squares – structural equation modelling (PLS-SEM). The results reveal that perceived convenience and perceived irreplaceability are key predictors of perceived useful ness, which in turn strengthens users’ adoption intention. Additionally, the results also reveal that health belief is one of the key predictors of adoption intention. This paper contributes to the extant literature by providing understanding of how to strengthen users’ intention to adopt healthcare wearable technology. This includes the strengthening of perceived convenience and perceived irreplaceability to enhance the perceived usefulness, incorporating the extensive communication in the area of healthcare messages, which is useful in strengthening consumers’ adoption intention in healthcare wearable technology

Patient Access to Electronic Health Records: Strengths, weaknesses and what’s needed to move forward

Electronic health records (EHRs) are desired by both physicians and patients, but the transition to and acceptance of sensitive health information online has been slow. This paper reviews the current literature on EHR adoption and outlines barriers, advantages and explicit steps for moving toward the EHR ubiquity. Potential benefits of EHRs to patients and physicians include reduced costs for patients, hospitals and insurance providers, patient empowerment, less errors in records and better health outcomes, but security and privacy concerns, cost of implementation and poor electronic records management system design have proved barriers to adoption

Smartphones Adoption and Usage of 50+ Adults in the United Kingdom

This is an Accepted Manuscript of a book chapter published by Routledge in Jyoti Choudrie, Sherah Kurnia, and Panayiota Tsatsou, eds., Social Inclusion and Usability of ICT-enabled Services, on October 2017, available online at: https://www.routledge.com/Social-Inclusion-and-Usability-of-ICT-enabled-Services/Choudrie-Kurnia-Tsatsou/p/book/9781138935556. Under embargo until 30 April 2019.Peer reviewedFinal Accepted Versio

Integrated Personal Health Records: Transformative Tools for Consumer-Centric Care

<p>Abstract</p> <p>Background</p> <p>Integrated personal health records (PHRs) offer significant potential to stimulate transformational changes in health care delivery and self-care by patients. In 2006, an invitational roundtable sponsored by Kaiser Permanente Institute, the American Medical Informatics Association, and the Agency for Healthcare Research and Quality was held to identify the transformative potential of PHRs, as well as barriers to realizing this potential and a framework for action to move them closer to the health care mainstream. This paper highlights and builds on the insights shared during the roundtable.</p> <p>Discussion</p> <p>While there is a spectrum of dominant PHR models, (standalone, tethered, integrated), the authors state that only the integrated model has true transformative potential to strengthen consumers' ability to manage their own health care. Integrated PHRs improve the quality, completeness, depth, and accessibility of health information provided by patients; enable facile communication between patients and providers; provide access to health knowledge for patients; ensure portability of medical records and other personal health information; and incorporate auto-population of content. Numerous factors impede widespread adoption of integrated PHRs: obstacles in the health care system/culture; issues of consumer confidence and trust; lack of technical standards for interoperability; lack of HIT infrastructure; the digital divide; uncertain value realization/ROI; and uncertain market demand. Recent efforts have led to progress on standards for integrated PHRs, and government agencies and private companies are offering different models to consumers, but substantial obstacles remain to be addressed. Immediate steps to advance integrated PHRs should include sharing existing knowledge and expanding knowledge about them, building on existing efforts, and continuing dialogue among public and private sector stakeholders.</p> <p>Summary</p> <p>Integrated PHRs promote active, ongoing patient collaboration in care delivery and decision making. With some exceptions, however, the integrated PHR model is still a theoretical framework for consumer-centric health care. The authors pose questions that need to be answered so that the field can move forward to realize the potential of integrated PHRs. How can integrated PHRs be moved from concept to practical application? Would a coordinating body expedite this progress? How can existing initiatives and policy levers serve as catalysts to advance integrated PHRs?</p

Impact factors for mobile internet applications in the agri-food sectors

Mobile communication and the mobile Internet can provide important opportunities, economic advantages for enterprises end organisations and support their more efficient operating as they can be used anytime and anywhere. We can make their wide spread use, innovative effects and advantages economical if we consider the effect system of technologies and services. The technological, social and economical complex effect system puts a pressure on the spreading of business applications. The types of applicable equipment are increasing. According to social aspects there are four player groups: manufacturers, enterprises, customers and workers. The Internet technology and the Internet network have become essential communication tools in business processes recently. Using the Internet by means of mobile appliances increases the possibilities. By studying the business process the expenses, advantages, disadvantages can well be seen. Nowadays these applications are more and more successful in areas such as agriculture, different parts of the food industry, extension services, precision agriculture and logistics. It can be stated that the international and the Hungarian development tendencies of the mobile Internet, the RTD Programmes of EU help the wide-spread use of mobile services. The rapid development of the Hungarian domestic mobile market over the last years is the basis for the wide spread use of new broadband mobile services and applications. This system can contribute to the development of agriculture, enterprises and rural areas and can support production, commerce, services and product tracing. But for successful applications we have to consider the impact factors