Background: Internet connectivity is spreading around the globe, and in some countries, connectivity is almost universal. When connected, the internet user has before them, an unparalleled information resource. Among the billions of web pages, are many devoted to health information, from academic resources to patient online health forums. In increasing numbers, patients are turning to these resources for information. Healthcare professionals including nurses, find themselves relating to increasingly knowledgeable patients and the very nature of the relationship is changing. Understanding this change and its consequences is an important research task and as part of this endeavour, this thesis reports on the effects of patient online self-diagnosis and health information-seeking on the patient-healthcare professional relationship and medical authority.
Methods: First, a mixed methods systematic review examines and synthesises the current literature on the effects of patient online self-diagnosis on the patient-healthcare professional relationship. Second, a qualitative descriptive method was adopted for investigating heart failure online health forums. Finally, online semi-structured interviews were conducted with a sample of 16 patients and 15 healthcare professionals, to gain their perceptions of the use of the internet for seeking online health information. Data were analysed thematically, and Normalization Process Theory provided the underlying conceptual lens to inform analysis.
Findings: The findings indicated that patients found the internet to be a complementary information source alongside healthcare professionals. Healthcare professionals were perceived to be the most reliable and valued information source. The most common reason to use online health forums was to plug information gaps surrounding diagnosis or treatments. Forums were used to aid decision-making such as whether to seek further medical attention, and to source information on lifestyle choices, medications and other advice. Forum responses were analysed for diagnostic accuracy and only a small minority were found to be evidence based. Signposting to other sources and responses containing unsubstantiated advice were far more common. The interview study found similarities and differences in public and healthcare professional perceptions. Healthcare professionals had hesitancies and were cautious of patient’s using the internet for health information but were in favour of patients becoming more knowledgeable and working together to make informed decisions. Likewise, public participants searched online to understand information gained from their healthcare professional and hoped to work in a professional partnership and become more involved in the decision-making process.
Conclusion and Implications: Rather than online health information seeking inevitably undermining the patient-healthcare professional relationship, using a broad and triangulated research design, this study provides evidence that potentially beneficial outcomes may result from this growing phenomenon. The research offers insights into peer-focused resources such as online health forums and the perceptions of the public and healthcare professionals. Recommendations relate to the adapting of behavioural and communicative approaches appropriate for internet-informed patients. The nursing profession should recognise the significance of the phenomenon and incorporate it into education and development programmes.
Item Type: | Thesis (PhD) |
---|---|
Qualification Level: | Doctoral |
Subjects: | > |
Colleges/Schools: | > |
Supervisor's Name: | Johnston, Professor Bridget and Mair, Professor Frances |
Date of Award: | 2021 |
Depositing User: | |
Unique ID: | glathesis:2021-82637 |
Copyright: | Copyright of this thesis is held by the author. |
Date Deposited: | 18 Jan 2022 09:56 |
Last Modified: | 08 Apr 2022 16:58 |
Thesis DOI: | |
URI: |
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Digital Commons @ USF > USF Health > College of Public Health > Public Health Practice > Theses and Dissertations
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This article represents two-firsts for the feature--it is the first to report on a study outside the UK and the first to examine the health information needs of community health workers. Sonika Raj is pursuing PhD at the Centre for Public Health, Panjab University, Chandigarh, in India and she conducted her research in Chandigarh. The article outlines the important role that health workers at community level play in determining health outcomes in the developing world, including Chandigarh. It demonstrates that while those workers recognise their information needs, there are many issues affecting their ability to access health information effectively, not least their limited access to appropriate technology and training. AM.
Keywords: PhD thesis; community health workers; information need; information seeking behaviour; questionnaires.
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Degree grantor, degree level, degree name, committee member, thesis type, usage metrics.
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Health information systems (HISs) are critical tools that have been widely adopted and implemented in healthcare settings around the world, intending to improve the quality of healthcare services ...
Background: Health information systems offer many potential benefits for healthcare, including financial benefits and for improving the quality of patient care. ... Master's thesis. Manya and ...
The E ect of Health Information Technology on Hospital Quality of Care by Ruirui Sun. Advisor: Professor Partha Deb Health Information Technology (Health IT) is designed to store patients records safely and clearly, to reduce input errors and missing records, and to make communications more e ciently.
Abstract: The literature on the topic of health information systems (HISs) is reviewed in this paper. Specifically, the paper. reviews the literature on (i) the theoretical concept o f HISs (The ...
1. Introduction. Health information systems (HIS) are critical systems deployed to help organizations and all stakeholders within the healthcare arena eradicate disjointed information and modernize health processes by integrating different health functions and departments across the healthcare arena for better healthcare delivery [1,2,3,4,5,6].Over time, the HIS has transformed significantly ...
This dissertation adds to our understanding of how information technology use impacts health care delivery organizations and how policymakers and health system leaders can work towards using EHRs to improve care. Chapter one examines organizational practices of the adoption and use of electronic health records using a novel national hospital ...
Health information systems (HIS) are critical systems deployed to help organizations and all stakeholders within the healthcare arena eradicate disjointed information and modernize health processes by integrating different health functions and departments across the healthcare arena for better healthcare delivery [1,2,3,4,5,6].Over time, the HIS has transformed significantly amidst several ...
My Thesis posits a novel method of utilizing emerging web semantics, through HTML5 markup; to improve experience of Health Information seekers through a framework for creating functional, tailored Health Information Resource Collections potentially hosted by their own Health Information Support Networks; and based upon long-standing principles of online Information Retrieval.
The thesis begins by reviewing the theory of health insurance, information management and then finally the rural-urban digital divide. In addition to semi-structured interviews with key personnel within the scheme and observation, a survey questionnaire was also handed out to staff in nine different district schemes to obtain the raw data for ...
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles. Consult the top 50 dissertations / theses for your research on the topic 'Health informatics.'. Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the ...
Ongoing Information and Support Needs of Parents of Children with Epilepsy, Mary C. Secco. PDF. Realist Evaluation of Health Equity Indicators for Local Public Health Agencies, Shamiram Zendo. Theses/Dissertations from 2019 PDF. Understanding the Development of a Logic Model in a Multi-Agency Resource Centre, Alexandra M. Boston. PDF
The purpose of this thesis is to describe the importance of health information technology in assisting nurses to provide quality care. The aim of this thesis is to raise awareness on the benefits of Health Information Technology in nursing care, and to encourage nurses to keep an up-to-date knowledge on Health Information Technology.
Collectively, health information is needed to support efficient, effective, and high-quality healthcare delivery across the entirety of the healthcare ecosystem. Systematic approaches to support the generation, transmission, and receiving of health information are a major motivation for the use of commonly templated medical charts [ 1, 2].
The health information systems field has a unique opportunity to learn from and extend the work that has already been done by the highly correlated information systems field. As a result, this research article presents a past, present and future meta-analysis of health information systems research in information systems journals over the 2000 ...
Hanife Rexhepi, 2015 Title: Improving healthcare information systems - A key to evidence based medi- cine University of Skövde 2015, Sweden www.his.se Printer: Runit AB, Skövde ISBN 978-91-981474-7-6 Dissertation Series, No. 7 (2015)
This dissertation investigates the use of health information technology by health care providers and patients as well as its outcomes. This dissertation consists of three essays studying workflow optimization in hospital emergency departments, people's search for online health information, and the relationships between EMR (Electronic Medical ...
Background: Internet connectivity is spreading around the globe, and in some countries, connectivity is almost universal. When connected, the internet user has before them, an unparalleled information resource. Among the billions of web pages, are many devoted to health information, from academic resources to patient online health forums. In increasing numbers, patients are turning to these ...
Health information seeking behaviour conceptual understanding in scholarly literature is influenced by the academic domain of the authors. Background. Health information seeking behaviour (HISB) is a complex concept when addressing health promotion and individuals' psychological state of dealing with or being diagnosed with a medical condition. ...
FACTORS INFLUENCING UTILIZATION OF HEALTH INFORMATION DATA IN NAIROBI COUNTY PUBLIC HEALTH FACILITIES, KENYA DUNCAN CHEGE NJUGUNA ... OCTOBER, 2022 . ii DECLARATION This thesis is my original work and has not been presented for a degree in any other University. Signature Date 22nd Oct. 2022 Duncan Njuguna HSM-3-2533-1/2014 Approval by the ...
Theses/Dissertations from 2023. PDF. Needs Assessment for a Web-Based Support Resource for Patients with a Pathogenic Variant in LMNA, Dylan M. Allen. PDF. Evaluation of a Story-telling Approach to Educate Minority Populations About Inherited Cancer, Celestyn B. Angot. PDF.
This page will lead you to sources for finding credible information on health information management. Continue below for these four (4) sections:. Find in-depth information in monographs (books) and find non-print material such as videos, audios, software, and multimedia.; Find current information in magazine and journal articles and reports.; Find federal and state rules and regulations ...
This article represents two-firsts for the feature--it is the first to report on a study outside the UK and the first to examine the health information needs of community health workers. Sonika Raj is pursuing PhD at the Centre for Public Health, Panjab University, Chandigarh, in India and she conducted her research in Chandigarh.
International S ymposium for Health Information Management Research (ISHIMR), 2011, Sept 8-9 (pp. 241-251). ... thesis and is followed by a presentation of the r esearch process.
Sensor-based Structural Health Monitoring (SHM) has been identified as one of the most important approaches to ensure structural safety, and the resilience of civil constructions. Brillouin scattering-based distributed fiber optic sensors have been distinguished as a great tool for SHM. ... thesis. posted on 2024-05-01, 00:00 authored by ...
The Faculty of Natural and Agricultural Sciences (NAS) recently hosted a two-day Flash Fact Competition, where postgraduate students (Masters, PhD, and Postdocs) and staff presented and shared their research.Co-organisers Liesl van der Westhuizen and Heidiry White, from the Dean's Office, noted that "the main purpose of this competition is to disseminate information across departments ...