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dc.contributor.authorHansen, Anne Helen
dc.contributor.authorBrož, Jan
dc.contributor.authorClaudi, Tor
dc.contributor.authorÅrsand, Eirik
dc.date.accessioned2019-03-26T10:38:01Z
dc.date.available2019-03-26T10:38:01Z
dc.date.issued2018-11-07
dc.description.abstract<p><i>Background</i>: The prevalence of diabetes and the use of electronic health (eHealth) are increasing. People with diabetes need frequent monitoring and follow-up of health parameters, and eHealth services can be of great value. However, little is known about the association between the use of eHealth and provider-based health care services among people with diabetes.</p> <p><i>Objective</i>: The objective of this study was to investigate the use of 4 different eHealth platforms (apps, search engines, video services, and social media sites) and associations with the use of provider-based health care visits among people diagnosed with type 1 diabetes mellitus (T1DM).</p> <p><i>Methods</i>: We used email survey data collected from 1250 members of the Norwegian Diabetes Association (aged 18 to 89 years) in 2018. Eligible for analyses were the 523 respondents with T1DM. Using descriptive statistics, we estimated the use of eHealth and the use of general practitioners (GPs) and somatic specialist outpatient services. By logistic regressions, we studied the associations between the use of these provider-based health services and the use of eHealth, adjusted for gender, age, education, and self-rated health.</p> <p><i>Results</i>: Of the sample of 523 people with T1DM, 90.7% (441/486) had visited a GP once or more, and 61.0% (289/474) had visited specialist services during the previous year. Internet search engines (such as Google) were used for health purposes sometimes or often by 84.0% (431/513), apps by 55.4% (285/514), social media (such as Facebook) by 45.2% (232/513), and video services (such as YouTube) by 23.3% (118/506). Participants aged from 18 to 39 years used all forms of eHealth more than people aged 40 years and older, with the exception of social media. The use of search engines was positively associated with the use of somatic specialist services (odds ratio 2.43, 95% CI 1.33-4.45). GP visits were not associated with any kind of eHealth use.</p> <p><i>Conclusions</i>: eHealth services are now widely used for health support and health information by people with T1DM, primarily in the form of search engines but often in the form of apps and social media as well. We found a positive association between the use of search engines and specialist visits and that people with T1DM are frequent users of eHealth, GPs, and specialist services. We found no evidence that eHealth reduces the use of provider-based health care; these services seem to be additional rather than alternative. Future research should focus on how health care services can meet and adapt to the high prevalence of eHealth use. Our results also indicate that many patients with T1DM do not visit specialist clinics once a year as recommended. This raises questions about collaboration in health care services and needs to be followed up in future research.</p>en_US
dc.description.sponsorshipThe Norwegian Diabetes Association The Northern Norway Health Authoritiesen_US
dc.descriptionThe following article, Hansen, A.H., Brož, J., Claudi, T. & Årsand, E. (2018). Relations between the use of electronic health and the use of general practitioner and somatic specialist visits in patients with type 1 diabetes: Cross-sectional study. <i>Journal of Medical Internet Research, 20</i>(11), can be accessed at <a href=https://doi.org/10.2196/11322> https://doi.org/10.2196/11322</a>.en_US
dc.identifier.citationHansen, A.H., Brož, J., Claudi, T. & Årsand, E. (2018). Relations between the use of electronic health and the use of general practitioner and somatic specialist visits in patients with type 1 diabetes: Cross-sectional study. <i>Journal of Medical Internet Research, 20</i>(11). https://doi.org/10.2196/11322en_US
dc.identifier.cristinIDFRIDAID 1639568
dc.identifier.doi10.2196/11322
dc.identifier.issn1438-8871
dc.identifier.urihttps://hdl.handle.net/10037/15069
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.journalJournal of Medical Internet Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.subjecteHealthen_US
dc.subjectinterneten_US
dc.subjecthealth care utilizationen_US
dc.subjectgeneral practitionersen_US
dc.subjectspecialisten_US
dc.subjectcross-sectional studyen_US
dc.subjectdiabetes mellitus, type 1en_US
dc.subjectNorwayen_US
dc.titleRelations between the use of electronic health and the use of general practitioner and somatic specialist visits in patients with type 1 diabetes: Cross-sectional studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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