Access to Care and Use of the Internet to Search for Health Information: Results From the US National Health Interview Survey
Identifieur interne : 000101 ( Pmc/Checkpoint ); précédent : 000100; suivant : 000102Access to Care and Use of the Internet to Search for Health Information: Results From the US National Health Interview Survey
Auteurs :Source :
- Journal of Medical Internet Research [ 1439-4456 ] ; 2015.
Abstract
The insurance mandate of the Affordable Care Act has increased the number of people with health coverage in the United States. There is speculation that this increase in the number of insured could make accessing health care services more difficult. Those who are unable to access care in a timely manner may use the Internet to search for information needed to answer their health questions.
The aim was to determine whether difficulty accessing health care services for reasons unrelated to insurance coverage is associated with increased use of the Internet to obtain health information.
Survey data from 32,139 adults in the 2011 National Health Interview Study (NHIS) were used in this study. The exposure for this analysis was reporting difficulty accessing health care services or delaying getting care for a reason unrelated to insurance status. To define this exposure, we examined 8 questions that asked whether different access problems occurred during the previous 12 months. The outcome for this analysis, health information technology (HIT) use, was captured by examining 2 questions that asked survey respondents if they used an online health chat room or searched the Internet to obtain health information in the previous 12 months. Several multinomial logistic regressions estimating the odds of using HIT for each reported access difficulty were conducted to accomplish the study objective.
Of a survey population of 32,139 adults, more than 15.90% (n=5109) reported experiencing at least one access to care barrier, whereas 3.63% (1168/32,139) reported using online health chat rooms and 43.55% (13,997/32,139) reported searching the Internet for health information. Adults who reported difficulty accessing health care services for reasons unrelated to their health insurance coverage had greater odds of using the Internet to obtain health information. Those who reported delaying getting care because they could not get an appointment soon enough (OR 2.2, 95% CI 1.9-2.5), were told the doctor would not accept them as a new patient or accept their insurance (OR 2.1, 95% CI 1.7-2.5 and OR 2.1, 95% CI 1.7-2.5, respectively), or because the doctor’s office was not open when they could go (OR 2.2, 95% CI 1.9-2.7) had more than twice the odds of using the Internet to obtain health information compared to those who did not report such access difficulties.
People experiencing trouble accessing health care services for reasons unrelated to their insurance status are more likely to report using the Internet to obtain health information. Improving the accuracy and reliability of health information resources that are publicly available online could help those who are searching for information due to trouble accessing health care services.
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DOI: 10.2196/jmir.4126
PubMed: 25925943
PubMed Central: 4430679
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Access to Care and Use of the Internet to Search for Health Information: Results From the US National Health Interview Survey</title></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25925943</idno><idno type="pmc">4430679</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4430679</idno><idno type="RBID">PMC:4430679</idno><idno type="doi">10.2196/jmir.4126</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000025</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000025</idno><idno type="wicri:Area/Pmc/Curation">000025</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000025</idno><idno type="wicri:Area/Pmc/Checkpoint">000101</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000101</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Access to Care and Use of the Internet to Search for Health Information: Results From the US National Health Interview Survey</title></analytic><series><title level="j">Journal of Medical Internet Research</title><idno type="ISSN">1439-4456</idno><idno type="eISSN">1438-8871</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec sec-type="background"><title>Background</title><p>The insurance mandate of the Affordable Care Act has increased the number of people with health coverage in the United States. There is speculation that this increase in the number of insured could make accessing health care services more difficult. Those who are unable to access care in a timely manner may use the Internet to search for information needed to answer their health questions.</p></sec><sec sec-type="objective"><title>Objective</title><p>The aim was to determine whether difficulty accessing health care services for reasons unrelated to insurance coverage is associated with increased use of the Internet to obtain health information.</p></sec><sec sec-type="methods"><title>Methods</title><p>Survey data from 32,139 adults in the 2011 National Health Interview Study (NHIS) were used in this study. The exposure for this analysis was reporting difficulty accessing health care services or delaying getting care for a reason unrelated to insurance status. To define this exposure, we examined 8 questions that asked whether different access problems occurred during the previous 12 months. The outcome for this analysis, health information technology (HIT) use, was captured by examining 2 questions that asked survey respondents if they used an online health chat room or searched the Internet to obtain health information in the previous 12 months. Several multinomial logistic regressions estimating the odds of using HIT for each reported access difficulty were conducted to accomplish the study objective.</p></sec><sec sec-type="results"><title>Results</title><p>Of a survey population of 32,139 adults, more than 15.90% (n=5109) reported experiencing at least one access to care barrier, whereas 3.63% (1168/32,139) reported using online health chat rooms and 43.55% (13,997/32,139) reported searching the Internet for health information. Adults who reported difficulty accessing health care services for reasons unrelated to their health insurance coverage had greater odds of using the Internet to obtain health information. Those who reported delaying getting care because they could not get an appointment soon enough (OR 2.2, 95% CI 1.9-2.5), were told the doctor would not accept them as a new patient or accept their insurance (OR 2.1, 95% CI 1.7-2.5 and OR 2.1, 95% CI 1.7-2.5, respectively), or because the doctor’s office was not open when they could go (OR 2.2, 95% CI 1.9-2.7) had more than twice the odds of using the Internet to obtain health information compared to those who did not report such access difficulties.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>People experiencing trouble accessing health care services for reasons unrelated to their insurance status are more likely to report using the Internet to obtain health information. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id><journal-id journal-id-type="iso-abbrev">J. Med. Internet Res</journal-id><journal-id journal-id-type="publisher-id">JMIR</journal-id><journal-title-group><journal-title>Journal of Medical Internet Research</journal-title></journal-title-group><issn pub-type="ppub">1439-4456</issn><issn pub-type="epub">1438-8871</issn><publisher><publisher-name>JMIR Publications Inc.</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25925943</article-id><article-id pub-id-type="pmc">4430679</article-id><article-id pub-id-type="publisher-id">v17i4e106</article-id><article-id pub-id-type="doi">10.2196/jmir.4126</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group><subj-group subj-group-type="article-type"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>Access to Care and Use of the Internet to Search for Health Information: Results From the US National Health Interview Survey</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Eysenbach</surname><given-names>Gunther</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="reviewer"><name><surname>Lee</surname><given-names>Young Ji</given-names></name></contrib><contrib contrib-type="reviewer"><name><surname>Choi</surname><given-names>Namkee</given-names></name></contrib></contrib-group><contrib-group><contrib id="contrib1" contrib-type="author" corresp="yes"><name><surname>Amante</surname><given-names>Daniel J</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="aff1">1</xref><address><institution>Division of Health Informatics and Implementation Science</institution><institution>Department of Quantitative Health Sciences</institution><institution>University of Massachusetts Medical School</institution><addr-line>368 Plantation Street</addr-line><addr-line>Worcester, MA, 01605</addr-line><country>United States</country><phone>1 508 856 8480</phone><fax>1 508 856 8993</fax><email>daniel.amante@umassmed.edu</email></address><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0003-1488-9624</contrib-id></contrib><contrib id="contrib2" contrib-type="author" equal-contrib="yes"><name><surname>Hogan</surname><given-names>Timothy P</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-6888-0927</contrib-id></contrib><contrib id="contrib3" contrib-type="author" equal-contrib="yes"><name><surname>Pagoto</surname><given-names>Sherry L</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff3">3</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-2462-8797</contrib-id></contrib><contrib id="contrib4" contrib-type="author" equal-contrib="yes"><name><surname>English</surname><given-names>Thomas M</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-3924-8391</contrib-id></contrib><contrib id="contrib5" contrib-type="author" equal-contrib="yes"><name><surname>Lapane</surname><given-names>Kate L</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff4">4</xref><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-9957-7747</contrib-id></contrib></contrib-group><aff id="aff1"><sup>1</sup><institution>Division of Health Informatics and Implementation Science</institution><institution>Department of Quantitative Health Sciences</institution><institution>University of Massachusetts Medical School</institution><addr-line>Worcester, MA</addr-line><country>United States</country></aff><aff id="aff2"><sup>2</sup><institution>Center for Healthcare Organization and Implementation Research (CHOIR)</institution><institution>eHealth Quality Enhancement Research Initiative (QUERI)</institution><institution>National eHealth QUERI Coordinating Center</institution><addr-line>Bedford, MA</addr-line><country>United States</country></aff><aff id="aff3"><sup>3</sup><institution>Division of Preventive and Behavioral Medicine</institution><institution>Department of Medicine</institution><institution>University of Massachusetts Medical School</institution><addr-line>Worcester, MA</addr-line><country>United States</country></aff><aff id="aff4"><sup>4</sup><institution>Division of Epidemiology of Chronic Diseases and Vulnerable Populations</institution><institution>Department of Quantitative Health Sciences</institution><institution>University of Massachusetts Medical School</institution><addr-line>Worcester, MA</addr-line><country>United States</country></aff><author-notes><corresp>Corresponding Author: Daniel J Amante <email>daniel.amante@umassmed.edu</email></corresp></author-notes><pub-date pub-type="collection"><month>4</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>29</day><month>4</month><year>2015</year></pub-date><volume>17</volume><issue>4</issue><elocation-id>e106</elocation-id><history><date date-type="received"><day>17</day><month>12</month><year>2014</year></date><date date-type="rev-request"><day>11</day><month>2</month><year>2015</year></date><date date-type="accepted"><day>18</day><month>2</month><year>2015</year></date></history><permissions><copyright-statement>©Daniel J Amante, Timothy P Hogan, Sherry L Pagoto, Thomas M English, Kate L Lapane. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 29.04.2015. </copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0/">http://creativecommons.org/licenses/by/2.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="http://www.jmir.org/,">http://www.jmir.org/,</ext-link> as well as this copyright and license information must be included.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="http://www.jmir.org/2015/4/e106/"></self-uri><abstract><sec sec-type="background"><title>Background</title><p>The insurance mandate of the Affordable Care Act has increased the number of people with health coverage in the United States. There is speculation that this increase in the number of insured could make accessing health care services more difficult. Those who are unable to access care in a timely manner may use the Internet to search for information needed to answer their health questions.</p></sec><sec sec-type="objective"><title>Objective</title><p>The aim was to determine whether difficulty accessing health care services for reasons unrelated to insurance coverage is associated with increased use of the Internet to obtain health information.</p></sec><sec sec-type="methods"><title>Methods</title><p>Survey data from 32,139 adults in the 2011 National Health Interview Study (NHIS) were used in this study. The exposure for this analysis was reporting difficulty accessing health care services or delaying getting care for a reason unrelated to insurance status. To define this exposure, we examined 8 questions that asked whether different access problems occurred during the previous 12 months. The outcome for this analysis, health information technology (HIT) use, was captured by examining 2 questions that asked survey respondents if they used an online health chat room or searched the Internet to obtain health information in the previous 12 months. Several multinomial logistic regressions estimating the odds of using HIT for each reported access difficulty were conducted to accomplish the study objective.</p></sec><sec sec-type="results"><title>Results</title><p>Of a survey population of 32,139 adults, more than 15.90% (n=5109) reported experiencing at least one access to care barrier, whereas 3.63% (1168/32,139) reported using online health chat rooms and 43.55% (13,997/32,139) reported searching the Internet for health information. Adults who reported difficulty accessing health care services for reasons unrelated to their health insurance coverage had greater odds of using the Internet to obtain health information. Those who reported delaying getting care because they could not get an appointment soon enough (OR 2.2, 95% CI 1.9-2.5), were told the doctor would not accept them as a new patient or accept their insurance (OR 2.1, 95% CI 1.7-2.5 and OR 2.1, 95% CI 1.7-2.5, respectively), or because the doctor’s office was not open when they could go (OR 2.2, 95% CI 1.9-2.7) had more than twice the odds of using the Internet to obtain health information compared to those who did not report such access difficulties.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>People experiencing trouble accessing health care services for reasons unrelated to their insurance status are more likely to report using the Internet to obtain health information. Improving the accuracy and reliability of health information resources that are publicly available online could help those who are searching for information due to trouble accessing health care services.</p></sec></abstract><kwd-group><kwd>health services accessibility</kwd><kwd>health information technology</kwd><kwd>information-seeking behavior</kwd><kwd>Patient Protection and Affordable Care Act</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:25925943" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a TelematiV1
| This area was generated with Dilib version V0.6.31. |  |