J. Med. Internet Res. - Patients' reported reasons for non-use of an internet-based patient-provider communication service: qualitative interview study.

Tópicos

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Resumo

CKGROUND: The adoption of Internet-based patient-provider communication services (IPPC) in health care has been slow. Patients want electronic communication, and the quality of health care can be improved by offering such IPPCs. However, the rate of enrollment in such services remains low, and the reasons for this are unclear. Knowledge about the barriers to use is valuable during implementation of IPPCs in the health care services, and it can help timing, targeting, and tailoring IPPCs to different groups of patients.OBJECTIVE: The goal of our study was to investigate patients' views of an IPPC that they could use from home to pose questions to nurses and physicians at their treatment facility, and their reported reasons for non-use of the service.METHODS: This qualitative study was based on individual interviews with 22 patients who signed up for, but did not use, the IPPC.RESULTS: Patients appreciated the availability and the possibility of using the IPPC as needed, even if they did not use it. Their reported reasons for not using the IPPC fell into three main categories: (1) they felt that they did not need the IPPC and had sufficient access to information elsewhere, (2) they preferred other types of communication such as telephone or face-to-face contact, or (3) they were hindered by IPPC attributes such as login problems.CONCLUSIONS: Patients were satisfied with having the opportunity to send messages to health care providers through an IPPC, even if they did not use the service. IPPCs should be offered to the patients at an appropriate time in the illness trajectory, both when they need the service and when they are receptive to information about the service. A live demonstration of the IPPC at the point of enrollment might have increased its use.TRIAL REGISTRATION: ClinicalTrials.gov NCT00971139; http://clinicaltrial.gov/ct2/show/NCT00971139 (Archived by WebCite at http://www.webcitation.org/6KlOiYJrW).

Resumo Limpo

ckground adopt internetbas patientprovid communic servic ippc health care slow patient want electron communic qualiti health care can improv offer ippc howev rate enrol servic remain low reason unclear knowledg barrier use valuabl implement ippc health care servic can help time target tailor ippc differ group patientsobject goal studi investig patient view ippc use home pose question nurs physician treatment facil report reason nonus servicemethod qualit studi base individu interview patient sign use ippcresult patient appreci avail possibl use ippc need even use report reason use ippc fell three main categori felt need ippc suffici access inform elsewher prefer type communic telephon facetofac contact hinder ippc attribut login problemsconclus patient satisfi opportun send messag health care provid ippc even use servic ippc offer patient appropri time ill trajectori need servic recept inform servic live demonstr ippc point enrol might increas usetri registr clinicaltrialsgov nct httpclinicaltrialgovctshownct archiv webcit httpwwwwebcitationorgkloiyjrw

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