J. Med. Internet Res. - Acceptance of Internet-based health care services among households in Poland: secondary analysis of a population-based survey.

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Resumo

CKGROUND: Polish society is benefiting from growing access to the Internet, but the use of advanced e-services is still limited. The provision of Internet-based health services depends not only on the penetration of the Internet into society, but also on the acceptance of this technology by potential users.OBJECTIVE: The main objective of this study was focused on the assessment of predictors of acceptance of Internet use for provision of health services (eg, sociodemographic status, the use of information technologies, and consumption of health care services) among households in Poland.METHODS: The study was based on a secondary analysis of the dataset from the 2011 Social Diagnosis survey (a biannual survey conducted since 2001 about economic and non-economic aspects of household and individual living conditions in Poland). Analysis of the questionnaire results focused on the situations of the households included in the study. The predictors for 2 outcome variables describing the acceptance of households for Internet use for provision of a full health care service, or at least access to information and download of required forms, were assessed using multivariate logistic regression.RESULTS: After excluding those households that would not consider the use of health care services or for which predictor variables assumed missing values, the final analyses were conducted on data from 8915 households. Acceptance of the use of the Internet for provision of full health care services in Polish households was significantly higher among households in urban locations with = 200,000 inhabitants than among households in rural areas; it was also higher with salaried employment as the source of income than with self-employment in agriculture (odds ratio [OR] = 0.53, 95% CI 0.40 - 0.70), retirement pension (OR = 0.46, 95% CI 0.39 - 0.54), disability pension (OR = 0.48, 95% CI 0.34 - 0.68), or with several simultaneous income sources (OR = 0.66; 95% CI 0.57 - 0.79). Furthermore, acceptance of Internet-based health care was higher in households with a higher monthly net income per capita (OR = 2.11, 95% CI 1.75 - 2.53 for households from the lowest and the highest income interval), among households with > 1 child aged < 15 years (OR = 1.38, 95% CI 1.20 - 1.59), among households with at least some books (with OR = 3.33, 95% CI 2.39 - 4.64 for household with no books and those with over 500 books). Acceptance was also higher in households with a computer (OR = 1.86, 95% CI 1.35 - 2.56), Internet access (OR = 1.95, 95% CI 1.37 - 2.76), and Internet access for a longer duration (OR = 1.36, 95% CI 1.06 - 1.75 and OR = 1.81, 95% CI 1.40 - 2.33 for households with access < 1 year versus those with access for 1-5 years and > 5 years, respectively). Greater self-declared confidence in using technology was also associated with higher acceptance of the Internet for health care services (OR = 2.94, 95% CI 2.21 - 3.91 for the least confident households versus those with the highest confidence). Furthermore, recent use of health care services increased acceptance of using the Internet for at least some health-related services (OR = 1.49, 95% CI 1.16 - 1.91), but not for full provision of online health care services (OR = 1.20, 95% CI 0.92 - 1.55). Neither the hospitalization of a member of a household nor the opinion about satisfying health care needs of a household affected the degree of acceptance.CONCLUSIONS: The acceptance of health care services through the Internet is higher in households from larger cities, with stable income from an employee salary, as well as with higher income levels per capita. Furthermore, general computer and Internet use in the household influenced the perception of eHealth. Paradoxically, the use of health care services or the level of satisfaction with the coverage of the household's health needs has a limited influence on acceptance of Internet-based health care services.

Resumo Limpo

ckground polish societi benefit grow access internet use advanc eservic still limit provis internetbas health servic depend penetr internet societi also accept technolog potenti usersobject main object studi focus assess predictor accept internet use provis health servic eg sociodemograph status use inform technolog consumpt health care servic among household polandmethod studi base secondari analysi dataset social diagnosi survey biannual survey conduct sinc econom noneconom aspect household individu live condit poland analysi questionnair result focus situat household includ studi predictor outcom variabl describ accept household internet use provis full health care servic least access inform download requir form assess use multivari logist regressionresult exclud household consid use health care servic predictor variabl assum miss valu final analys conduct data household accept use internet provis full health care servic polish household signific higher among household urban locat inhabit among household rural area also higher salari employ sourc incom selfemploy agricultur odd ratio ci retir pension ci disabl pension ci sever simultan incom sourc ci furthermor accept internetbas health care higher household higher month net incom per capita ci household lowest highest incom interv among household child age year ci among household least book ci household book book accept also higher household comput ci internet access ci internet access longer durat ci ci household access year versus access year year respect greater selfdeclar confid use technolog also associ higher accept internet health care servic ci least confid household versus highest confid furthermor recent use health care servic increas accept use internet least healthrel servic ci full provis onlin health care servic ci neither hospit member household opinion satisfi health care need household affect degre acceptanceconclus accept health care servic internet higher household larger citi stabl incom employe salari well higher incom level per capita furthermor general comput internet use household influenc percept ehealth paradox use health care servic level satisfact coverag household health need limit influenc accept internetbas health care servic

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