Towards Patient-Centered Care: The Role of E-Health in Enabling Patient Access to Health Information

Towards Patient-Centered Care: The Role of E-Health in Enabling Patient Access to Health Information

Juanita Dawson (Claremont Graduate University, USA), Bengisu Tulu (Worcester Polytechnic Institute, USA) and Thomas A. Horan (Claremont Graduate University, USA)
Copyright: © 2009 |Pages: 9
DOI: 10.4018/978-1-60566-016-5.ch001
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This chapter provides a conceptual foundation by exploring the existing literature on traditional healthcare, patient-centered healthcare, and the progression of e-health in enabling the movement towards patient-centered care. This chapter also discusses enhancing the relationship between the patient and the healthcare provider through e-health. We conclude with a discussion of the future of patient-centered e-health and future research opportunities in this area.
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Access to information is important for enabling effective collaboration between patients and their healthcare providers. Use of information systems (IS) in patient-centered care renders an opportunity to provide individuals access to their own health information (Bailey, 1998) as well as other resources. Today, technological advances have changed how patients and healthcare providers regard health information.

  • The concept of individual access anytime, anyplace, and anywhere is taking shape with the help of online applications that promise greater participation of patients in their own healthcare decisions (Wickramasinghe & Goldberg, 2005).

  • Patients’ access to information can be of benefit or detriment to health outcomes (Carrigan, 1993), and it is important to optimize information delivery and guidance to promote benefits.

  • Individuals from all social and economic backgrounds need to better manage their health, so it is important that an information divide is not created as an unintended consequence of e-health (Currie & Guah, 2006; Luce, Phillips, Benjamin, & Wasson, 2006; Wasson, 2006).

It is important to make the distinction between patient-centered e-health (PCEH) and traditional health IS before we continue our discussion. Traditional health IS were designed to meet the needs of healthcare providers and were used by health workers to assist them in patient care. Many healthcare providers are now developing e-health for use by patients to support searches for health information as well as other interactions with the provider. Key distinctions between traditional health IS and these new forms of PCEH are presented in Table 1. The authors’ vision is that patients’ ability to access to information through PCEH can be used to economically empower them to better manage their health.

Table 1.
Traditional health IS and PCEH
Traditional Health ISPCEH
EmphasisRecord-keepingAccess to patient information
UsersProvider personnelPatient and provider
InteractionProvider → PatientProvider ← → Patient
SupportsProvider activitiesPatient health management
Services availableAt hospital locationAnywhere, anytime
System accessibilityAccessed locallyAccessed globally
Patient accessPatient has only indirect access to patient informationPatient has direct access to patient information

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
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