DUOWAP

Patients’ use of and preferences for a practice homepage – how to

improve service and access?

DUOWAP

Patients’ use of and preferences for a practice homepage – how to improve service and access?

Improvements?

What do the patients want?

DUOWAP

Objectives

Quality development project concerning Quality development project concerning improvement of web-based services in general improvement of web-based services in general practicepractice

Present use of the homepage and the internet?Present use of the homepage and the internet? The patients needs and wishes for a practice The patients needs and wishes for a practice

homepage?homepage? Identification and description of new ways to Identification and description of new ways to

use a practice homepage.use a practice homepage.

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Methods QuestionnaireQuestionnaire

300 consecutive patients300 consecutive patients Two focus group interviewsTwo focus group interviews

Selected patients Selected patients

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Questionnaire

Patient related infoPatient related info Present use of the homepage and the Present use of the homepage and the

internetinternet Interest in future initiativesInterest in future initiatives

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Patient related data

0 10 20 30 40

18-29

30-39

40-49

50-59

60-69

70-79

80+ 64% women64% women 44% on daily 44% on daily

medicationmedication 39% with chronic 39% with chronic

diseasedisease 13% keep a health 13% keep a health

record at home record at home ~50 % had < 5 annual ~50 % had < 5 annual

contactscontacts

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Present use of the homepage and internet 66% had visited the present homepage66% had visited the present homepage What had they used it for?What had they used it for?

Email consultationEmail consultation 42%, 42%, Prescription renewalPrescription renewal 23,5%23,5% Appointment schedulingAppointment scheduling 31%31% Seeking practice informationSeeking practice information 49,5%49,5% Seeking health information Seeking health information 16%16%

DUOWAP 1) Janne Rasmussen et al, 2009

Where do patients seek health information?

> 50 % consider the > 50 % consider the internet to be an internet to be an important or very important or very important source of important source of health informationhealth information11

Primarily used to Primarily used to decide whether to decide whether to contact GPcontact GP11

0

10

20

30

40

50

60

70

The presenthomepageThe internetin generel

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Seeking health information on the Internet

0%

20%

40%

60%

80%

100%NotansweredPast 6monthsPastmonthPastweek

14 % of all the patients 14 % of all the patients in the waiting room in the waiting room had used the Internet had used the Internet searching for health searching for health information prior to information prior to consultation that day.consultation that day.

Did they find what they Did they find what they were looking for?were looking for?

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Where do the patients seek health information on the Internet

Netdoktor.dkSundhed.dkGoogle.dkOther

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Interest in future initiatives:Forms? 88 % were interested in filling in forms via 88 % were interested in filling in forms via

the homepage as a part of preparation for a the homepage as a part of preparation for a consultation consultation Certificate for drivers licenseCertificate for drivers license Pregnancy check-upPregnancy check-up Record of symptoms (e.g. head-ache, Record of symptoms (e.g. head-ache,

urination, pain, anxiety)urination, pain, anxiety)

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Interest in future initaitives:A Personal Health Record?

87% were interested in the possibility of a 87% were interested in the possibility of a safe ”archive” for personal health safe ”archive” for personal health information via the homepage accessible information via the homepage accessible only for patient and doctor:only for patient and doctor: A Personal Health RecordA Personal Health Record

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Interests in future initaitives:Discussion group?

38 % were interested in the possibility to 38 % were interested in the possibility to share thoughts and experiences with others share thoughts and experiences with others from the local area via the homepagefrom the local area via the homepage

(chat room, forum)(chat room, forum)

1: Lober et al, 2: Ralston et al, 2007

Background knowledge

Increasing use of a Personal Health Record Barriers?

Disabilities, computer literacy or anxiety1

Providers?

High satisfaction with web-based Medical refills, messaging, test results2

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Focus group interviews

Qualitative investigation of the Qualitative investigation of the questionnaire resultsquestionnaire results

Selected patients from the practice Selected patients from the practice

by direct doctor – patient contactby direct doctor – patient contact Divided into a spontaneus patient driven Divided into a spontaneus patient driven

part and a guided partpart and a guided part

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Wishes for a practice homepage:

A personal page – a personal health recordA personal page – a personal health record Access for both patient and doctor Access for both patient and doctor Patient generated data and automatically Patient generated data and automatically

generated data from the recordgenerated data from the record Diary/calendar for symptom or data Diary/calendar for symptom or data

recordingrecording Access to record and test resultsAccess to record and test results

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Wishes for a practice homepage:

Flexible and flawless basic functions:Flexible and flawless basic functions: Email, prescription request, schedulingEmail, prescription request, scheduling

Quality linksQuality links Possibility for signing up for newsmails divided Possibility for signing up for newsmails divided

into topics.into topics. Contact with other patients via the homepage.Contact with other patients via the homepage.

Prior face-to-face contact in e.g. a motivation Prior face-to-face contact in e.g. a motivation group or educational utilitygroup or educational utility

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Wishes for a practice homepage:

Profiled and personal homepageProfiled and personal homepage Who is ”my doctor”? Who is ”my doctor”?

Presentation, subspecialized? Presentation, subspecialized? Comments on topic in the mediaComments on topic in the media Knowledge sharing (e.g. clinical guidelines Knowledge sharing (e.g. clinical guidelines

for chronic diseases)for chronic diseases) Information about collaboratorsInformation about collaborators

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Conclusion

The accessible basic functions are importantThe accessible basic functions are important A wish and potential for a homepage that is:A wish and potential for a homepage that is:

PersonalPersonal FlexibleFlexible InteractiveInteractive

Interpretation of results

User driven innovation Recognition of potential for the homepage

among the patients Commited and involved patients wanting

knowledge sharing

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Potentials and advantages by the possible initiatives

Improved knowledge sharingImproved knowledge sharing Well-prepared patient and doctorWell-prepared patient and doctor Time savingTime saving Open communicationOpen communication Improved self-care?Improved self-care? EmpowermentEmpowerment

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Questions?

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