EP01.06 - Consensus around Technology-Facilitated Health Care Options
e-Health ePoster Library. Gogovor A. Jun 7, 2016; 131550; EP01.06
Amédé Gogovor
Amédé Gogovor
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Abstract
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Purpose/Objectives: To compare the perceptions of public and professional stakeholders on the importance of e-health technology, particularly in relation to patient-centred care priorities. Methodology/Approach: The Health Care in Canada (HCIC) Survey is a national population-based survey assessing the perceptions of the Canadian public, as well as physician, nurse, pharmacist and managerial health professionals on a range of healthcare related areas. For the 2013-2014 HCIC survey, nationally representative samples of the adult Canadian public (n=1000) and, key health care professional groups were polled: doctors (n=101), nurses (n= 100), pharmacists (n=100); and, administrators (n= 104). The online survey was conducted between November 2013 and January 2014 by Pollara Inc. A weighting variable based on the 2011 Census data was used to correct for age and sex within regions for the public sample. Finding/Results: The most important health care issue cited by both public and professional respondents in the 2013-2014 HCIC survey was the lack of timely access to care. Technology, specifically use of the Internet and electronic health records, was supported by more than three quarters of the public and professionals. Among the new technology-facilitated options for care delivery, the public strongly supported Internet use as a valuable tool to learn about, and understand, health issues; to enable patients to live independently in their home for as long as possible; and, to help people communicate better within their health care team. Despite the high level of general support as tools to improve care, increasing electronic health records use was rated near the bottom of professionals' list of priorities. Lastly, accelerating the use of patient access to their personal electronic health records was negatively correlated with patients' top-rated attributes defining patient-centred care: that is, care readily and timely accessed; and, delivered in a caring, respectful context. Conclusion/Implications/Recommendations: There have been recent changes in stakeholders' perceptions of the state of national health and disease; and, evolution of inter-stakeholder differences in preferences for interventions to make care better. While intellectual support for patient-centred, computer-facilitated and evidence-based care has increased among all stakeholder groups, inter-stakeholder differences in implementation priorities for these care strategies have emerged. Whether these trends will become more concordant, or more divisive, is uncertain. It is likely, however, their continued evolution will play a key role in shaping our health care future. 140 Character Summary: Strong support for patient-centred and computer-facilitated care among all stakeholder groups, but different implementation priorities.
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