Informed citizen and empowered citizen in health: results from an European survey
Identifieur interne : 000724 ( Ncbi/Curation ); précédent : 000723; suivant : 000725Informed citizen and empowered citizen in health: results from an European survey
Auteurs : Silvina Santana [Portugal] ; Berthold Lausen [Royaume-Uni] ; Maria Bujnowska-Fedak [Pologne] ; Catherine E. Chronaki [Grèce] ; Hans-Ulrich Prokosch [Allemagne] ; Rolf Wynn [Norvège]Source :
- BMC Family Practice [ 1471-2296 ] ; 2011.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Adolescent, Adulte, Adulte d'âge moyen, Attitude, Comportement de recherche d'information, Entretiens comme sujet, Europe, Femelle, Groupes d'entraide (), Humains, Internet (), Jeune adulte, Modèles logistiques, Mâle, Pouvoir (psychologie), Relations médecin-patient, Sujet âgé, Sujet âgé de 80 ans ou plus.
- MESH :
- Acceptation des soins par le patient, Adolescent, Adulte, Adulte d'âge moyen, Attitude, Comportement de recherche d'information, Entretiens comme sujet, Europe, Femelle, Groupes d'entraide, Humains, Internet, Jeune adulte, Modèles logistiques, Mâle, Pouvoir (psychologie), Relations médecin-patient, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Attitude, Consumer Participation, Europe, Female, Humans, Information Seeking Behavior, Internet (statistics & numerical data), Interviews as Topic, Logistic Models, Male, Middle Aged, Patient Acceptance of Health Care (statistics & numerical data), Physician-Patient Relations, Power (Psychology), Self-Help Groups (statistics & numerical data), Young Adult.
- MESH :
- geographic : Europe.
- statistics & numerical data : Internet, Patient Acceptance of Health Care, Self-Help Groups.
- Adolescent, Adult, Aged, Aged, 80 and over, Attitude, Consumer Participation, Female, Humans, Information Seeking Behavior, Interviews as Topic, Logistic Models, Male, Middle Aged, Physician-Patient Relations, Power (Psychology), Young Adult.
Abstract
The knowledge about the relationship between health-related activities on the Internet (i.e. informed citizens) and individuals' control over their own experiences of health or illness (i.e. empowered citizens) is valuable but scarce. In this paper, we investigate the correlation between four ways of using the Internet for information on health or illness and citizens attitudes and behaviours toward health professionals and health systems and establish the profile of empowered eHealth citizens in Europe.
Data was collected during April and May 2007 (N = 7022), through computer-assisted telephone interviews (CATI). Respondents from Denmark, Germany, Greece, Latvia, Norway, Poland and Portugal participated in the survey. The profiles were generated using logistic regressions and are based on: a) socio-demographic and health information, b) the level of use of health-related online services, c) the level of use of the Internet to get health information to decide whether to consult a health professional, prepare for a medical appointment and assess its outcome, and d) the impact of online health information on citizens' attitudes and behavior towards health professionals and health systems.
Citizens using the Internet to decide whether to consult a health professional or to get a second opinion are likely to be frequent visitors of health sites, active participants of online health forums and recurrent buyers of medicines and other health related products online, while only infrequent epatients, visiting doctors they have never met face-to-face. Participation in online health communities seems to be related with more inquisitive and autonomous patients.
The profiles of empowered eHealth citizens in Europe are situational and country dependent. The number of Europeans using the Internet to get health information to help them deal with a consultation is raising and having access to online health information seems to be associated with growing number of inquisitive and self-reliant patients. Doctors are increasingly likely to experience consultations with knowledgeable and empowered patients, who will challenge them in various ways.
Url:
DOI: 10.1186/1471-2296-12-20
PubMed: 21496309
PubMed Central: 3101118
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sortKey="Lausen, Berthold" sort="Lausen, Berthold" uniqKey="Lausen B" first="Berthold" last="Lausen">Berthold Lausen</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Mathematical Sciences, University of Essex, Colchester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Mathematical Sciences, University of Essex, Colchester</wicri:regionArea><wicri:noRegion>Colchester</wicri:noRegion></affiliation></author><author><name sortKey="Bujnowska Fedak, Maria" sort="Bujnowska Fedak, Maria" uniqKey="Bujnowska Fedak M" first="Maria" last="Bujnowska-Fedak">Maria Bujnowska-Fedak</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Family Medicine, Wrocław Medical University, Wrocław, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Family Medicine, Wrocław Medical University, Wrocław</wicri:regionArea><wicri:noRegion>Wrocław</wicri:noRegion></affiliation></author><author><name sortKey="Chronaki, Catherine E" sort="Chronaki, Catherine E" uniqKey="Chronaki C" first="Catherine E" last="Chronaki">Catherine E. Chronaki</name><affiliation wicri:level="1"><nlm:aff id="I4">Institute of Computer Science, Foundation for Research & Technology-Hellas (FORTH), Heraklion, Crete, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Computer Science, Foundation for Research & Technology-Hellas (FORTH), Heraklion, Crete</wicri:regionArea><wicri:noRegion>Crete</wicri:noRegion></affiliation></author><author><name sortKey="Prokosch, Hans Ulrich" sort="Prokosch, Hans Ulrich" uniqKey="Prokosch H" first="Hans-Ulrich" last="Prokosch">Hans-Ulrich Prokosch</name><affiliation wicri:level="3"><nlm:aff id="I5">Chair of Medical Informatics, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Chair of Medical Informatics, Friedrich-Alexander-University Erlangen-Nürnberg, Erlangen</wicri:regionArea><placeName><settlement type="city">Erlangen</settlement><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Moyenne-Franconie</region></placeName></affiliation></author><author><name sortKey="Wynn, Rolf" sort="Wynn, Rolf" uniqKey="Wynn R" first="Rolf" last="Wynn">Rolf Wynn</name><affiliation wicri:level="1"><nlm:aff id="I6">Institute of Clinical Medicine (FT), University of Tromsø, Norway and Division of Substance Abuse and Specialized Psychiatry, University Hospital of North Norway, Tromsø, Norway</nlm:aff><country xml:lang="fr">Norvège</country><wicri:regionArea>Institute of Clinical Medicine (FT), University of Tromsø, Norway and Division of Substance Abuse and Specialized Psychiatry, University Hospital of North Norway, Tromsø</wicri:regionArea><wicri:noRegion>Tromsø</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Family Practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Attitude</term><term>Consumer Participation</term><term>Europe</term><term>Female</term><term>Humans</term><term>Information Seeking Behavior</term><term>Internet (statistics & numerical data)</term><term>Interviews as Topic</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Physician-Patient Relations</term><term>Power (Psychology)</term><term>Self-Help Groups (statistics & numerical data)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude</term><term>Comportement de recherche d'information</term><term>Entretiens comme sujet</term><term>Europe</term><term>Femelle</term><term>Groupes d'entraide ()</term><term>Humains</term><term>Internet ()</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Pouvoir (psychologie)</term><term>Relations médecin-patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Europe</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Internet</term><term>Patient Acceptance of Health Care</term><term>Self-Help Groups</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Attitude</term><term>Consumer Participation</term><term>Female</term><term>Humans</term><term>Information Seeking Behavior</term><term>Interviews as Topic</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Physician-Patient Relations</term><term>Power (Psychology)</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude</term><term>Comportement de recherche d'information</term><term>Entretiens comme sujet</term><term>Europe</term><term>Femelle</term><term>Groupes d'entraide</term><term>Humains</term><term>Internet</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Mâle</term><term>Pouvoir (psychologie)</term><term>Relations médecin-patient</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The knowledge about the relationship between health-related activities on the Internet (i.e. informed citizens) and individuals' control over their own experiences of health or illness (i.e. empowered citizens) is valuable but scarce. In this paper, we investigate the correlation between four ways of using the Internet for information on health or illness and citizens attitudes and behaviours toward health professionals and health systems and establish the profile of empowered eHealth citizens in Europe.</p></sec><sec><title>Methods</title><p>Data was collected during April and May 2007 (N = 7022), through computer-assisted telephone interviews (CATI). Respondents from Denmark, Germany, Greece, Latvia, Norway, Poland and Portugal participated in the survey. The profiles were generated using logistic regressions and are based on: a) socio-demographic and health information, b) the level of use of health-related online services, c) the level of use of the Internet to get health information to decide whether to consult a health professional, prepare for a medical appointment and assess its outcome, and d) the impact of online health information on citizens' attitudes and behavior towards health professionals and health systems.</p></sec><sec><title>Results</title><p>Citizens using the Internet to decide whether to consult a health professional or to get a second opinion are likely to be frequent visitors of health sites, active participants of online health forums and recurrent buyers of medicines and other health related products online, while only infrequent epatients, visiting doctors they have never met face-to-face. Participation in online health communities seems to be related with more inquisitive and autonomous patients.</p></sec><sec><title>Conclusions</title><p>The profiles of empowered eHealth citizens in Europe are situational and country dependent. The number of Europeans using the Internet to get health information to help them deal with a consultation is raising and having access to online health information seems to be associated with growing number of inquisitive and self-reliant patients. Doctors are increasingly likely to experience consultations with knowledgeable and empowered patients, who will challenge them in various ways.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rappaport, J" uniqKey="Rappaport J">J Rappaport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zimmerman, Ma" uniqKey="Zimmerman M">MA Zimmerman</name></author><author><name sortKey="Rappaport, J" uniqKey="Rappaport J">J Rappaport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gibson, Ch" uniqKey="Gibson C">CH Gibson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rappaport, J" uniqKey="Rappaport J">J Rappaport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fox, Nj" uniqKey="Fox N">NJ Fox</name></author><author><name sortKey="Ward, Kj" uniqKey="Ward K">KJ Ward</name></author><author><name 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Dibble</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Calabretta, N" uniqKey="Calabretta N">N Calabretta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Santana, S" uniqKey="Santana S">S Santana</name></author><author><name sortKey="Lausen, B" uniqKey="Lausen B">B Lausen</name></author><author><name sortKey="Bujnowska Fedak, M" uniqKey="Bujnowska Fedak M">M Bujnowska-Fedak</name></author><author><name sortKey="Chronaki, C" uniqKey="Chronaki C">C Chronaki</name></author><author><name sortKey="Kummervold, Pe" uniqKey="Kummervold P">PE Kummervold</name></author><author><name sortKey="Rasmussen, J" uniqKey="Rasmussen J">J Rasmussen</name></author><author><name sortKey="Sorensen, T" uniqKey="Sorensen T">T Sorensen</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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