scholarly journals Mums Go Online: Is the Internet Changing the Demand for Healthcare?

2021 ◽  
pp. 1-45
Author(s):  
Sofia Amaral-Garcia ◽  
Mattia Nardotto ◽  
Carol Propper ◽  
Tommaso Valletti

Abstract We study the effect of internet diffusion on childbirth procedures performed in England between 2000 and 2011. We show that broadband internet access increased Cesareansections: mothers living in areas with better internet access are 2.5 percent more likely to obtain a C-section. The effect is driven by first-time mothers who are 6 percent more likely to obtain a C-section. The increased C-section rate is not accompanied by changes in health care outcomes, thus health care costs increased with no corresponding medical benefits. We show evidence documenting the growing importance of the internet as a source of health related information.

Author(s):  
Al Lauzon

This chapter examines how technology is supporting the health and health care system for rural/remote people, specifically telehealth and the Internet, with a focus on the Canadian context. I will begin by outlining the opportunities and the challenges that technology presents to rural people and communities. This is followed by highlighting the divide between rural and urban in the Canadian context, with a focus on inequities related to health. This is followed by exploring the role of ICTs in health and health care with a focus on changes in the Canadian healthcare system, telehealth and the Internet as a source of health related information. These issues are then examined through a rural lens, asking the question what, if any are the implications for rural people and communities. I end with a section of reflections followed by the conclusion that ICTs present new opportunities for rural people and communities, but if they are to be able to take advantage of these opportunities they must learn to develop the necessary capacities, both as individuals and as a community. Their challenge is a learning challenge.


2010 ◽  
Vol 92 (8) ◽  
pp. 1-3 ◽  
Author(s):  
TD Reid ◽  
C Beaton ◽  
IL Davies ◽  
D Arnold ◽  
JBM Ward ◽  
...  

Worldwide internet access is increasing exponentially. The UK Government Office for National Statistics reported that between 2002 and 2009 the proportion of UK households with internet access increased from 46% to 70%. Between 2007 and 2009 the proportion of UK adults using the internet to access health information rose from 27% to 42%. Similar situations exist in Continental Europe and the USA, where 52% of internet users and 61% of adults respectively search online for medical information. In 2003 it was estimated that 4.5% of all internet searches globally were for health related information. Moreover, patients now frequently choose to seek health information online. Indeed Hesse et al reported that almost one in two patients search the internet before consulting a physician.


2017 ◽  
pp. 1284-1306
Author(s):  
Al Lauzon

This chapter examines how technology is supporting the health and health care system for rural/remote people, specifically telehealth and the Internet, with a focus on the Canadian context. I will begin by outlining the opportunities and the challenges that technology presents to rural people and communities. This is followed by highlighting the divide between rural and urban in the Canadian context, with a focus on inequities related to health. This is followed by exploring the role of ICTs in health and health care with a focus on changes in the Canadian healthcare system, telehealth and the Internet as a source of health related information. These issues are then examined through a rural lens, asking the question what, if any are the implications for rural people and communities. I end with a section of reflections followed by the conclusion that ICTs present new opportunities for rural people and communities, but if they are to be able to take advantage of these opportunities they must learn to develop the necessary capacities, both as individuals and as a community. Their challenge is a learning challenge.


JMIR Nursing ◽  
10.2196/14194 ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. e14194 ◽  
Author(s):  
Anna E Sjöström ◽  
Åsa Hörnsten ◽  
Senada Hajdarevic ◽  
Agneta Emmoth ◽  
Ulf Isaksson

Background Most people in modern societies now use the Internet to obtain health-related information. By giving patients knowledge, digital health information is considered to increase patient involvement and patient-centered interactions in health care. However, concerns are raised about the varying quality of health-related websites and low health literacy in the population. There is a gap in the current knowledge of nurses’ experiences with Internet-informed patients. Objective The objective of this study was to explore primary health care nurses’ experiences of consultations with patients who present health-related information from the Internet. Methods This is a qualitative study based on interviews with 9 primary health care nurses. Data were analyzed using qualitative content analysis. Results are reported according to the consolidated criteria for reporting qualitative research guidelines. Results The phenomenon of Internet-informed patients was considered to change the usual rules in health care, affecting attributes and actions of patients, patterns of interactions in consultations, and roles of nurses and patients. Three categories were identified: (1) Facing the downsides of Googling, (2) Patients as main actors, and (3) Nurse role challenged. Although the benefits of health-related Internet information were described, its negative consequences were emphasized overall. The problems were mainly ascribed to inaccurate Internet information and patients’ inability to effectively manage the information. Conclusions Our study suggests ambivalent attitudes among nurses toward health-related Internet information. In order to promote equitable care in the digital era, increased awareness in health care about useful strategies for overcoming the difficulties and embracing the benefits of conferring with Internet-informed patients seems to be a legitimate goal.


2018 ◽  
Author(s):  
HongMin Li ◽  
Jin Xu ◽  
Lingui Li ◽  
Qingyue Meng

BACKGROUND The expanding use of the internet contributes to more effective searches for health-related information and opens up opportunities for direct Web-based communication with health care professionals. However, little is known about how users’ characteristics on the demand side influence health-related internet use, especially in remote and rural areas within developing countries. The absence of accurate estimates of users’ characteristics and their impact on adaptations of health care services in developing countries constrains focused policy-centered discussions and the design of appropriate policies. OBJECTIVE The aim of this study was to assess the prevalence of health-related internet use and to identify its determinants in a remote province in China. METHODS We conducted a cross-sectional survey in June and July of 2018 in Ningxia, located in northwestern China. Rural households were selected by multistage random sampling, and households’ key members were interviewed face-to-face at the respondents’ home. Dependent variables were whether the households use Web health services or not. Independent variables were chosen based on the Andersen behavioral model. Sociodemographic characteristics were compared between households that used health-related Web services with nonusers. We applied logistic regression models to evaluate multivariate associations between respondents’ characteristics and their usage of Web-based health services and obtained odds ratios with 95% CI. RESULTS A total of 1354 respondents from rural households were interviewed, of whom 707 (52.22%) were men. The mean age of the respondents was 44.54 years (SD 10.22). Almost half of the surveyed households (640/1354, 47.27%) reported using 1 or more Web-based health care services, whereas 37.8% (502/1354) reported using the internet to obtain health-related information, 15.51% (210/1354) used the internet to communicate with professionals about health issues, and 7.24% (98/1354) had engaged in Web-based consultations in the last year. After controlling for potential confounders, households engaged in health-related internet use were found to be wealthier, have higher health demands, and have less geographic access to high-quality health care compared with other households. CONCLUSIONS The internet has become a major health information resource in rural Ningxia. Social structures, family enabling factors, health needs, and characteristics relating to health care access were significant predictors of households’ health-related internet use in rural and remote areas in China. Those who belong to older age groups, have low income, and whose education levels do not extend beyond primary school education are significantly less likely to use Web-based health care services and to benefit from Web-based health care programs. A need for continued collaborative efforts involving multiple stakeholders, including communities, Web-based and other health care providers, family members, and the government is needed.


2017 ◽  
Vol 35 (2) ◽  
pp. 155-166 ◽  
Author(s):  
Howard J. Osofsky ◽  
Carl F. Weems ◽  
Tonya Cross Hansel ◽  
Anthony H. Speier ◽  
Joy D. Osofsky ◽  
...  

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