Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey

Background: Multimorbidity is becoming increasingly common and is a leading challenge currently faced by societies with aging populations. The presence of multimorbidity requires patients to coordinate, understand, and use the information obtained from different health care professionals, while simu...

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Autores: Lupiáñez-Villanueva, Francisco, Anastasiadou, Dimitra, Codagnone, Cristiano, Nuño Solinís, Roberto, Garcia-Zapirain Soto, Begoña
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Universitat Oberta de Catalunya (UOC)
Repositorio:O2, repositorio institucional de la UOC
OAI Identifier:oai:openaccess.uoc.edu:10609/93219
Acceso en línea:https://hdl.handle.net/10609/93219
Access Level:acceso abierto
Palabra clave:multimorbidity
eHealth
adoption
Europe
multimorbiditat
eSalut
adopció
Europa
multimorbilidad
eSalud
adopción
Health -- Administration -- Data processing
Salut -- Administració -- Informàtica
Salud -- Administración -- Informática
id ES_2e114abeb6b0221d98ae2c201ee7eded
oai_identifier_str oai:openaccess.uoc.edu:10609/93219
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
title Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
spellingShingle Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
Lupiáñez-Villanueva, Francisco
multimorbidity
eHealth
adoption
Europe
multimorbiditat
eSalut
adopció
Europa
multimorbilidad
eSalud
adopción
Europa
Health -- Administration -- Data processing
Salut -- Administració -- Informàtica
Salud -- Administración -- Informática
title_short Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
title_full Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
title_fullStr Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
title_full_unstemmed Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
title_sort Electronic health use in the European Union and the effect of multimorbidity: cross-sectional survey
dc.creator.none.fl_str_mv Lupiáñez-Villanueva, Francisco
Anastasiadou, Dimitra
Codagnone, Cristiano
Nuño Solinís, Roberto
Garcia-Zapirain Soto, Begoña
author Lupiáñez-Villanueva, Francisco
author_facet Lupiáñez-Villanueva, Francisco
Anastasiadou, Dimitra
Codagnone, Cristiano
Nuño Solinís, Roberto
Garcia-Zapirain Soto, Begoña
author_role author
author2 Anastasiadou, Dimitra
Codagnone, Cristiano
Nuño Solinís, Roberto
Garcia-Zapirain Soto, Begoña
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universitat Oberta de Catalunya (UOC)
Universidad de Deusto
Università degli Studi di Milano
dc.subject.none.fl_str_mv multimorbidity
eHealth
adoption
Europe
multimorbiditat
eSalut
adopció
Europa
multimorbilidad
eSalud
adopción
Europa
Health -- Administration -- Data processing
Salut -- Administració -- Informàtica
Salud -- Administración -- Informática
topic multimorbidity
eHealth
adoption
Europe
multimorbiditat
eSalut
adopció
Europa
multimorbilidad
eSalud
adopción
Europa
Health -- Administration -- Data processing
Salut -- Administració -- Informàtica
Salud -- Administración -- Informática
description Background: Multimorbidity is becoming increasingly common and is a leading challenge currently faced by societies with aging populations. The presence of multimorbidity requires patients to coordinate, understand, and use the information obtained from different health care professionals, while simultaneously striving to distinguish the symptoms of different diseases and self-manage their sometimes conflicting health problems. Electronic health (eHealth) tools provide a means to disseminate health information and education for both patients and health professionals and hold promise for more efficient and cost-effective care processes. Objective: The aim of this study was to analyze the use of eHealth tools, taking into account the citizens' sociodemographic and clinical characteristics, and above all, the presence of multimorbidity. Methods: Cross-sectional and exploratory research was conducted using online survey data from July 2011 to August 2011. Participants included a total of 14,000 citizens from 14 European countries aged 16 to 74 years, who had used an eHealth tool in the past 3 months. The variables studied were sociodemographic variables of the participants, the questionnaire items assessing the frequency of using eHealth tools, the degree of morbidity, and the eHealth adoption gradient. Chi-square tests were conducted to examine the relationship between the sociodemographic and clinical variables of participants and the group the participants were assigned to according to their frequency of eHealth use (eHealth user group). A one-way analysis of variance (ANOVA) allowed for assessing the differences in the eHealth adoption gradient average between different groups of individuals according to their morbidity level. A two-way between-groups ANOVA was performed to explore the effects of multimorbidity and age group on the eHealth adoption gradient. Results: According to the eHealth adoption gradient, most participants (68.15%, 9541/14,000) were labeled as rare users, with the majority of them (55.1%, 508/921) being in the age range of 25 to 54 years, with upper secondary education (50.3%, 464/921), currently employed (49.3%, 454/921), and living in medium-sized cities (40.7%, 375/921). Results of the one-way ANOVA showed that the number of health problems significantly affected the use of eHealth tools (F2,13996=11.584; P<.001). The two-way ANOVA demonstrated that there was a statistically significant interaction between the effects of age and number of health problems on the eHealth adoption gradient (F4,11991=7.936; P<.001). Conclusions: The eHealth adoption gradient has proven to be a reliable way to measure different aspects of eHealth use. Multimorbidity is associated with a more intense use of eHealth, with younger Internet users using new technologies for health purposes more frequently than older groups with the same level of morbidity. These findings suggest the need to consider different strategies aimed at making eHealth tools more sensitive to the characteristics of older populations to reduce digital disadvantages.
publishDate 2018
dc.date.none.fl_str_mv 2018
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10609/93219
url https://hdl.handle.net/10609/93219
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Medical Internet Research, 2018, 20(5)
https://doi.org/10.2196/jmir.7299
dc.rights.none.fl_str_mv CC BY
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv CC BY
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Journal of Medical Internet Research
publisher.none.fl_str_mv Journal of Medical Internet Research
dc.source.none.fl_str_mv reponame:O2, repositorio institucional de la UOC
instname:Universitat Oberta de Catalunya (UOC)
instname_str Universitat Oberta de Catalunya (UOC)
reponame_str O2, repositorio institucional de la UOC
collection O2, repositorio institucional de la UOC
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869405378633007104
spelling Electronic health use in the European Union and the effect of multimorbidity: cross-sectional surveyLupiáñez-Villanueva, FranciscoAnastasiadou, DimitraCodagnone, CristianoNuño Solinís, RobertoGarcia-Zapirain Soto, BegoñamultimorbidityeHealthadoptionEuropemultimorbiditateSalutadopcióEuropamultimorbilidadeSaludadopciónEuropaHealth -- Administration -- Data processingSalut -- Administració -- InformàticaSalud -- Administración -- InformáticaBackground: Multimorbidity is becoming increasingly common and is a leading challenge currently faced by societies with aging populations. The presence of multimorbidity requires patients to coordinate, understand, and use the information obtained from different health care professionals, while simultaneously striving to distinguish the symptoms of different diseases and self-manage their sometimes conflicting health problems. Electronic health (eHealth) tools provide a means to disseminate health information and education for both patients and health professionals and hold promise for more efficient and cost-effective care processes. Objective: The aim of this study was to analyze the use of eHealth tools, taking into account the citizens' sociodemographic and clinical characteristics, and above all, the presence of multimorbidity. Methods: Cross-sectional and exploratory research was conducted using online survey data from July 2011 to August 2011. Participants included a total of 14,000 citizens from 14 European countries aged 16 to 74 years, who had used an eHealth tool in the past 3 months. The variables studied were sociodemographic variables of the participants, the questionnaire items assessing the frequency of using eHealth tools, the degree of morbidity, and the eHealth adoption gradient. Chi-square tests were conducted to examine the relationship between the sociodemographic and clinical variables of participants and the group the participants were assigned to according to their frequency of eHealth use (eHealth user group). A one-way analysis of variance (ANOVA) allowed for assessing the differences in the eHealth adoption gradient average between different groups of individuals according to their morbidity level. A two-way between-groups ANOVA was performed to explore the effects of multimorbidity and age group on the eHealth adoption gradient. Results: According to the eHealth adoption gradient, most participants (68.15%, 9541/14,000) were labeled as rare users, with the majority of them (55.1%, 508/921) being in the age range of 25 to 54 years, with upper secondary education (50.3%, 464/921), currently employed (49.3%, 454/921), and living in medium-sized cities (40.7%, 375/921). Results of the one-way ANOVA showed that the number of health problems significantly affected the use of eHealth tools (F2,13996=11.584; P<.001). The two-way ANOVA demonstrated that there was a statistically significant interaction between the effects of age and number of health problems on the eHealth adoption gradient (F4,11991=7.936; P<.001). Conclusions: The eHealth adoption gradient has proven to be a reliable way to measure different aspects of eHealth use. Multimorbidity is associated with a more intense use of eHealth, with younger Internet users using new technologies for health purposes more frequently than older groups with the same level of morbidity. These findings suggest the need to consider different strategies aimed at making eHealth tools more sensitive to the characteristics of older populations to reduce digital disadvantages.Journal of Medical Internet ResearchUniversitat Oberta de Catalunya (UOC)Universidad de DeustoUniversità degli Studi di Milano201920192018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/10609/93219reponame:O2, repositorio institucional de la UOCinstname:Universitat Oberta de Catalunya (UOC)InglésJournal of Medical Internet Research, 2018, 20(5)https://doi.org/10.2196/jmir.7299CC BYhttp://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:openaccess.uoc.edu:10609/932192026-05-28T12:42:01Z
score 15,300724

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