Informatics Final- Week 10 Flashcards
Define Consumer Health Informatics.
Branch of informatics that studies, develops and implements health applications for consumers
What is the goal of consumer health informatics?
Empower consumers
Why do we study consumer health informatics?
- Contain healthcare costs (emphasis on prevention and health self-managment)
- People actively looking for online health-related content
What percent of Americans go online?
78%
What percent of internet users look for health info?
72%
What percent of internet users purchased medications online?
12.8%
What are the advantages of online health?
24/7/365 availability, fast, private, reduced geographical barriers, reduced travel barriers, large reach
What are the concerns of online health?
Variable quality, privacy, hard to use, fees, takes time, no accountability
What percent of internet users use email?
92%
What percent of internet users use a search engine?
92%
What are the types of consumer E-Health tools?
- Health information (component of all tools)
- Behavior Change/Health self-management
- Online communities
- Decision support system
- Disease management
- Healthcare tools
What is behavior change/health self-management?
used to achieve and maintain health behavior in various lifestyle areas such as diet and fitness
What are online communities?
allow for interaction among patients, providers, caregivers about shared health concerns
What are decision support systems?
Structured support for making decisions, usually around treatment options or choosing providers/insurance
What is disease management?
Monitoring, record keeping, and communication devices for managing a chronic disease, often with health care providers
What are healthcare tools?
Means of maintaining or accessing health records and interacting with healthcare providers
Are interment interventions effective?
Yes, according to meta-analysis and randomized control trials
What are important components for a behavior change website?
- Personalization
- Individual tailoring
- Behavioral feedback
- Grounded in health behavior theory
- Use of text messages and email to supplement
How do you minimize attrition and promote utilization?
- Use ‘push’ reminders
- Use of incentives
- Minimizing usability challenges
- Use of a human counselor
- Keep content fresh
What issues need to be addressed with internet health?
Evaluate immediate outcomes, scale for large scale development, determine actual reach, report actual website usage, research lags behind technological innovations
What is user-centered design?
Approach for product development that incorporates end-users in all phases of the development process
What are the design stages?
Needs assessment, determine mode of delivery, ID theoretical framework, develop & organize content, design look and feel, evaluate, user input
Is the design stage linear?
No… it is cyclical
What is the digital divide?
Gap between who has and who doesn’t have access, literary, language, diversity, and or quality/judgement (??)
What is access?
Original concern of digital divide; where do people have access? do they have a computer? smart phone? high speed internet? etc
What is the approximate trend in internet adoption in the past 15 years?
Increase from around 15 percent to almost 90 percent
Who uses the internet?
Men and women about even, race about even, younger 50 more likely to use than over fifty, wealthier people more likely to use internet, higher education more likely to use internet, disability= less likely to use internet
Who are non-users (of the internet)?
About 15% of Americans
What are the main reasons of internet non-use?
Not relevant to them (34%)
Internet not easy to use (32%)
Cost (19%)
Don’t have access (7%)
What is the trend in broadband vs. dial up internet access?
Broadband now makes up most of the internet connections, dial up only used by 2% of americans (gap reflects trends seen in general internet usage)
In what areas is broadband less common?
Rural ares
How has gadget use changed?
Increase in use of cellphones, smartphones, desktops/latptops, mp3 players, readers, game consoles, tablets
How do we assess quality of online health information?
authority, purpose and content, currency, design and ease of use, accreditation (e.g. HON code), reality check
What is the HON code?
Based on 8 principles:
Authority, Complementarity,
Privacy, Attribution, Justifiability, Transparency, Financial disclosure, Advertising
Does NOT rate on medical accuracy