Perceptions of E-Health in Rural Communities

Perceptions of E-Health in Rural Communities

Ann L. Fruhling (University of Nebraska at Omaha, Peter Kiewit Institute, USA)
Copyright: © 2009 |Pages: 11
DOI: 10.4018/978-1-60566-016-5.ch012
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This chapter is drawn from a comprehensive study that examined the effect Human-Computer Interaction usability factors had on rural residents’ perception of trust in e-health services. Written comments provided by participants were examined to develop a qualitative assessment of dimensions that are important to rural residents’ perceptions of e-health. Identification of these dimensions will aid e-health system designers and administrators in creating better e-health applications.
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Relevant Characteristics Of Rural Residents

Participants for this study were selected based on the location where they live. According to experts at the Nebraska Rural Health Research Center, Nebraska communities that have a population between 2,500 and 5,000 are referred to as “rural.” A list was developed of six Nebraska communities that meet these criteria and are located at least 25 miles from a similar or larger-size community (see Figure 1). The two communities selected for the study, Broken Bow and Ogallala, are located further than 25 miles from a Critical Access Hospital in addition to the above criteria.

Figure 1.

State of Nebraska showing candidate study communities

Letters inviting participation in this study were mailed to people living outside the town boundaries of Ogallala and Broken Bow. There were 3,992 rural resident mailing addresses eligible for simplified bulk mailing in the Broken Bow area, and 4,758 eligible in the Ogallala area. Because bulk mailing was used, this eliminated the need for individual addressing; however, it did not provide for random sampling.

Participation was voluntary. Each participant was asked to browse the sample e-health Web site to become familiar with its contents and capabilities, and was directed to view various pages on the Web site. Participants were then asked to complete one of four health risk assessments and complete a Web site usability questionnaire survey. Each health risk assessment asked a series of questions about the individual’s personal health and then provided a risk assessment analyzing the individual’s health condition, based on the participant’s responses. If the results of the health risk assessment suggested a serious health problem, the participant was directed to follow up with his or her personal physician. Figure 2 displays the introductory page of the sample e-health Web site.

Figure 2.

Alegent Health homepage

Complete Chapter List

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List of Reviewers
Table of Contents
Joseph Tan
E. Vance Wilson
Chapter 1
Juanita Dawson, Bengisu Tulu, Thomas A. Horan
This chapter provides a conceptual foundation by exploring the existing literature on traditional healthcare, patient-centered healthcare, and the... Sample PDF
Towards Patient-Centered Care: The Role of E-Health in Enabling Patient Access to Health Information
Chapter 2
Alejandro Mauro
This chapter introduces a series of techniques and tools useful for developing patient-centered e-health. As information technology (IT) is... Sample PDF
Patient-Centered E-Health Design
Chapter 3
Jan-Are K. Johnsen
In this chapter, we look at some fundamental aspects of communicating about ourselves and our health through technology. In particular, we examine... Sample PDF
Connecting with Ourselves and Others Online: Psychological Aspects of Online Health Communication
Chapter 4
Ebrahim Randeree
An increasing focus on e-health and a governmental push to improve healthcare quality while giving patients more control of their health data have... Sample PDF
Personal Health Records: Patients in Control
Chapter 5
Elaine A. Blechman
Newly disabled workers are often unemployed, uninsured, and indigent. They are in desperate need of Social Security OASDI monthly benefits, and the... Sample PDF
Disability Determinations and Personal Health Records
Chapter 6
E-Health Marketing  (pages 70-80)
Muhammad F. Walji, John A. Valenza, Jiajie Zhang
In this chapter, we review key concepts, using the marketing mix framework, to identify the needs of healthcare consumers, and the tools and... Sample PDF
E-Health Marketing
Chapter 7
Olli P. Järvinen
This chapter introduces the privacy management framework as a means of studying patient-centered e-health. The chapter raises some important issues... Sample PDF
Privacy Management of Patient-Centered E-Health
Chapter 8
Richard Klein
Patient-centered e-health (PCEH) offerings see the emergence of divergent, new third parties, through initiatives, including (a) medical content... Sample PDF
Trust in Patient-Centered E-Health
Chapter 9
John Powell, Natalie Armstrong
This chapter deals with the principles and practice of patient and public involvement in e-health research, and discusses some of the issues raised.... Sample PDF
Involving Patients and the Public in E-Health Research
Chapter 10
Stefano Forti, Barbara Purin, Claudio Eccher
This chapter presents a case study of using interaction design methods for exploring and testing usability and user experience of a Personal Health... Sample PDF
Using Interaction Design to Improve Usability of a PHR User Interface Based on Visual Elements
Chapter 11
Jiao Ma
This chapter explores the use of Web sites to provide patients with understandable information about the quality and price of healthcare (healthcare... Sample PDF
Healthcare Quality and Cost Transparency Using Web-Based Tools
Chapter 12
Ann L. Fruhling
This chapter is drawn from a comprehensive study that examined the effect Human-Computer Interaction usability factors had on rural residents’... Sample PDF
Perceptions of E-Health in Rural Communities
Chapter 13
Elizabeth Cummings, Stephen Chau, Paul Turner
This chapter explores how in developing patient-centred e-health systems it is possible to accommodate heterogeneous characteristics of end-users... Sample PDF
Assessing a Patient-Centered E-Health Approach to Chronic Disease Self-Management
Chapter 14
Michel J. Sassene
This chapter investigates asthmatics’ reasons for not adopting an e-health system for asthma selfmanagement. An understanding of these reasons is... Sample PDF
Incompatible Images: Asthmatics' Non-Use of an E-Health System for Asthma Self-Management
Chapter 15
Linda M. Gallant, Cynthia Irizarry, Gloria M. Boone
An extended version of the technology acceptance model (TAM) is applied to study hospital Web sites, one specific area of e-health. In a review of... Sample PDF
Exploring the Technology Adoption Needs of Patients Using E-Health
Chapter 16
E. Vance Wilson, Nancy K. Lankton
This chapter presents a new rational-objective (R-O) model of e-health use that accounts for effects of facilitating conditions as well as patients’... Sample PDF
Predicting Patients' Use of Provider-Delivered E-Health: The Role of Facilitating Conditions
About the Contributors