eHealth usage patterns of European general practitioners: A five-year (2002–2007) comparative study

Ortega Egea, José Manuel; González, María Victoria Román; Menéndez, Manuel Recio

doi:10.1016/j.ijmedinf.2010.05.003

Cited by 31Electronic Health Records SystemsHealth Literacy and Information AccessibilityTelemedicine and Telehealth Implementation

eHealth usage patterns of European general practitioners: A five-year (2002–2007) comparative study

Ortega Egea, José Manuel, González, María Victoria Román, Menéndez, Manuel Recio·2010·International Journal of Medical Informatics

DOI 10.1016/j.ijmedinf.2010.05.003

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Abstract

Purpose This paper provides a five-year (2002-2007) comparative segmentation analysis of how the Internet and dedicated health networks are used by European general practitioners (GPs) and the extent to which external factors affect their use of various eHealth services.Methods Two cross-national sets of survey data collected in 2002 (n=3512) and 2007 (n=3948) have been analyzed. These databases provide information on physicians' eHealth uses in EU-15 countries, including sociodemographic indicators such as country, age, sex, location, and size of the medical practice.Results A total of 3512 and 3948 physicians, respectively, participated in the 2002 and 2007 studies. The percentage of GPs accessing the Internet or a dedicated health network increased from 64.5% in 2002 to 77.1% in 2007. Only these physicians were included in the latent class cluster analyses performed on both datasets, yielding three segments of eHealth users plus a group of non-Internet users. Thus, the following four final segments were identified in the years 2002 and 2007: 'Information Searchers/Average Users', 'Advanced Users/Adv. Users (ePrescribers)', 'Laggards', and 'Non-Internet Users'. Contingency table analyses relating external indicators to physicians' usage patterns of eHealth services confirmed strong country differences, low to moderate age influences reflecting a cohort effect, and moderate effects of practice size, both in 2002 and 2007. Conversely, very weak influences were observed for physicians' sex and location of the medical practice.Conclusion A positive evolution is clearly observable in European primary care physicians' use of eHealth, mainly with regard to online medical information searches, use of electronic health care records, and (to a lesser extent) electronic transfers of patient data. The international comparative profiling of European GPs' eHealth usage patterns contributes to more efficient and continually adapted promotion strategies, aimed at fostering the diffusion of eHealth applications among medical professionals of the analyzed EU-15 countries.

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Previous research has shown that the correlation of Internet affinity and Internet usage of physicians based on general demographic data such as age is continuously decreasing.
“As previous research has shown that the correlation of Internet affinity and Internet usage of physicians based on general demographic data such as age is continuously decreasing [8-10], we argue that motive research might prove a useful technique for increasing our understanding of physicians’ professional Internet use and related variables.”
From Physicians’ motives for professional Internet use and differences in attitudes toward the Internet-informed patient, physician–patient communication, and prescribing behavior (2012) · cites this paper as [10]

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Authors: Ortega Egea, J. M., González, M. V. R., & Menéndez, M. R.
Affiliations: University of Almería (ES)
Venue: International Journal of Medical Informatics
Publisher: Elsevier BV
Published: 2010-08
Volume: 79
Issue: 8
Pages: 539-553
ISSN: 1386-5056 (ISSN-L)
DOI: 10.1016/j.ijmedinf.2010.05.003
OpenAlex: W1982044773
Cited by: 31
References: 50
Citations by year: 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 7 · 2015: 1 · 2014: 3 · 2013: 3 · 2012: 2
FWCI: 2.99
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: International Journal of Medical Informatics (publishedVersion)
PubMed (publishedVersion)
Funders: European Commission
Topics: Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords: digital health adoption, general practitioners, health networks, electronic prescribing, electronic health records, primary care, cross-national comparison, practice size, cohort effects
MeSH terms: European Union, Geography, Information Services, Physicians, Family, Cluster Analysis, Internet

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eHealth usage patterns of European general practitioners: A five-year (2002–2007) comparative study

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