Show simple item record

dc.contributor.authorHansen, Anne Helen
dc.contributor.authorClaudi, Tor
dc.contributor.authorÅrsand, Eirik
dc.date.accessioned2019-08-16T08:56:01Z
dc.date.available2019-08-16T08:56:01Z
dc.date.issued2019-04-26
dc.description.abstract<i>Background</i>: Despite the increasing prevalence of diabetes and increasing use of electronic health (eHealth) among people with diabetes, little is known about the association between the use of eHealth and the use of provider-based health services.<p> <p><i>Objective</i>: The objective of this study was to investigate whether the use of eHealth might change patients’ decisions regarding doctor-seeking behavior and whether information acquired from the internet was discussed with a doctor.<p> <p><i>Methods</i>: We used email survey data collected in 2018 from members of the Norwegian Diabetes Association (aged 18 to 89 years) diagnosed with diabetes. Using logistic regressions, we studied patients’ internet-triggered changes in decisions regarding doctor visits; whether they discussed information from the internet with a doctor; and whether these topics were associated with gender, age, education, self-rated health, and self-reported anxiety/depression.<p> <p><i>Results</i>: Among the 895 informants, 75.4% (645/856) had never made an internet-triggered change of decision in any direction regarding visiting a doctor, whereas 16.4% (41/859) had decided to visit and 17.3% (148/856) had decided not to visit. The probability of changing decisions decreased with higher age and increased with the severity of self-reported anxiety/depression. Around half of the study participants (448/858, 52.2%) had never discussed information from the internet with a doctor. The probability of discussing internet information with a doctor was higher for those in bad/very bad self-rated health (odds ratio 2.12, CI 1.15-3.90) and for those with moderate self-reported anxiety/depression (odds ratio 2.30, CI 1.30-4.10).<p> <p><i>Conclusions</i>: Our findings suggest that using eHealth has a significant impact on doctor-visiting decisions among people with diabetes, especially among people aged 18 to 39 years and among those reporting anxiety/depression. It is of great importance that the information posted is of high quality and that the large differences between internet-users regarding age as well as mental and somatic health status are taken into account. More research is needed to confirm and further explore the findings of this study.en_US
dc.description.sponsorshipNorthern Norway Health Authorities University Hospital of North Norwayen_US
dc.descriptionSource at <a href=https://doi.org/10.2196/13678>https://doi.org/10.2196/13678. </a>en_US
dc.identifier.citationHansen, A.H., Claudi, T. & Årsand, E. (2019). Use of Electronic Health and Its Impact on Doctor-Visiting Decisions Among People With Diabetes: Cross-Sectional Study. <i>Journal of Medical Internet Research, 21</i>(4), e13678en_US
dc.identifier.issn1438-8871
dc.identifier.otherFRIDAID 1707988
dc.identifier.other10.2196/13678
dc.identifier.urihttps://hdl.handle.net/10037/15920
dc.language.isoengen_US
dc.publisherJournal of Medical Internet Researchen_US
dc.relation.journalJournal of Medical Internet Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.subjecteHealthen_US
dc.subjectinterneten_US
dc.subjectinternet informationen_US
dc.subjectdoctor-seeking behavioren_US
dc.subjectcross-sectional studyen_US
dc.subjectdiabetesen_US
dc.subjectNorwayen_US
dc.titleUse of Electronic Health and Its Impact on Doctor-Visiting Decisions Among People With Diabetes: Cross-Sectional Studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record