E-patient
An e-patient is a health consumer who participates fully in his/her medical care. E-patients see themselves as equal partners with their doctors in the healthcare process. E-patients gather information about medical conditions that impact them and their families, using the Internet and other digital tools.[1] The term encompasses those who seek guidance for their own ailments and the friends and family members who go online on their behalf. E-patients report two effects of their health research: "better health information and services, and different, but not always better, relationships with their doctors."[2]
E-patients are active in their care and demonstrate the power of the Participatory Medicine or Health 2.0 / Medicine 2.0.[3] model of care. The "e" can stand for "electronic" but has also been used to refer to other terms, such as "equipped", "enabled", "empowered" and "expert".[4][5]
The current state of knowledge on the impact of e-patients on the healthcare system and the quality of care received indicates:
- A growing number of people say the internet played a crucial or important role as they helped another person cope with a major illness.[6][7]
- Many clinicians underestimated the benefits and overestimated the risks of online health resources for patients.[8][9][10]
- Medical online support groups are an important healthcare resource.[11]
- “…the net friendliness of clinicians and provider organizations—as rated by the e-patients they serve—is becoming an important new aspect of healthcare quality.”[12]
- According to one study, the advent of patients as partners is one of the most important cultural medical revolutions of the past century.[12]
- In order to understand the impact of the e-patient, clinicians will likely need to move beyond "pre-internet medical constructs."[12]
- Medical education must adapt to take the e-patient into account, and to prepare students for medical practice that includes the e-patient.[1]
A 2011 study of European e-patients found that they tended to be "inquisitive and autonomous" and that they noted that the number of e-patients in Europe appeared to be rising.[13] A 2012 study found that e-patients uploading videos about their health experienced a loss of privacy, but also positive benefits from social support.[14]
See also
- Doctor–patient relationship
- eHealth
- mHealth
- Patient opinion leader
- Treatment decision support
- Virtual patient
References
- 1 2 Masters K; Ng'ambi D; Todd, G (2010). ""I Found it on the Internet:" Preparing for the e-patient in Oman". SQU Med J. 10 (2): 169–179. doi:10.3923/jms.2010.169.175.
- ↑ Fox, Susannah; Fallows, Deborah. 2003. Health searches and email have become more commonplace, but there is room for improvement in searches and overall Internet access.
- ↑ Eysenbach G Medicine 2.0: Social Networking, Collaboration, Participation, Apomediation, and Openness. J Med Internet Res 2008;10(3):e22
- ↑ Kevin Kruse. "What do you mean, "e-patient"?". Blog.kruresearch.com. Retrieved 2013-09-13.
- ↑ Hewitt-Taylor, Jaqui; Bond, Carol S (8 November 2012). "What E-patients Want From the Doctor-Patient Relationship: Content Analysis of Posts on Discussion Boards". Journal of Medical Internet Research. 14 (6): e155. doi:10.2196/jmir.2068.
- ↑ Finding Answers Online in Sickness and in Health, 5/2/2006, Pew Internet.
- ↑ Eysenbach G (2003). "The impact of the Internet on cancer outcomes". CA Cancer J Clin. 53 (6): 356–71. PMID 15224975. doi:10.3322/canjclin.53.6.356.
- ↑ Jacobson P (2007). "Empowering the physician-patient relationship: The effect of the Internet". Partnership: the Canadian Journal of Library and Information Practice and Research. 2 (1). ISSN 1911-9593. doi:10.21083/partnership.v2i1.244.
- ↑ Ahmad F, Hudak PL, Bercovitz K, Hollenberg E, Levinson W (2006). "Are Physicians Ready for Patients With Internet-Based Health Information?". Journal of Medical Internet Research. 8 (3): e22. PMC 2018833 . PMID 17032638. doi:10.2196/jmir.8.3.e22.
- ↑ Crocco AG, Villasis-Keever M, Jadad AR (June 2002). "Analysis of cases of harm associated with use of health information on the internet". JAMA. 287 (21): 2869–71. PMID 12038937. doi:10.1001/jama.287.21.2869.
- ↑ Feder, Judith; Sands, Daniel Z. (2008-02-25). "A Reader and Author Respond to "ePatients: Engaging Patients in Their Own Care"". Medscape Journal of Medicine. 10 (2): 46. ISSN 1934-1997. PMC 2270894 . PMID 18382715.
- 1 2 3 Ferguson, Tom; Frydman, Gilles (2004-05-15). "The First Generation of E-Patients: These New Medical Colleagues Could Provide Sustainable Healthcare Solutions". British Medical Journal. 328 (7449): 1148–1149. ISSN 0959-8138. PMC 411079 . PMID 15142894. doi:10.1136/bmj.328.7449.1148.
- ↑ Santana, Silvina; Lausen, Berthold; Bujnowska-Fedak, Maria; Chronaki, Catherine E.; Prokosch, Hans-Ulrich; Wynn, Rolf (2011-04-16). "Informed citizen and empowered citizen in health: results from an European survey". BMC Family Practice. 12: 20. ISSN 1471-2296. PMC 3101118 . PMID 21496309. doi:10.1186/1471-2296-12-20.
- ↑ Gómez-Zúñiga, Beni; Fernandez-Luque, Luis; Pousada, Modesta; Hernández-Encuentra, Eulàlia; Armayones, Manuel (2012-04-25). "ePatients on YouTube: Analysis of Four Experiences From the Patients' Perspective". Medicine 2.0. 1 (1). ISSN 1923-2195. PMC 4084771 . PMID 25075229. doi:10.2196/med2.2039.
External links
- van Woerkum CM (1 April 2003). "The Internet and primary care physicians: coping with different expectations". Am. J. Clin. Nutr. 77 (4 Suppl): 1016S–1018S. PMID 12663310.
- Susannah Fox; Pew Internet; American Life Project (2004-09-27). "Today's E-Patients: Hunters and Gatherers of Health Information Online".
- Ferguson, Tom (2007). e-Patients: How They Can Help Us Heal Health Care (PDF).
- Rimer BK, Lyons EJ, Ribisl KM, et al. (July 2005). "How New Subscribers Use Cancer-Related Online Mailing Lists". Journal of Medical Internet Research. 7 (3): e32. PMC 1550655 . PMID 15998623. doi:10.2196/jmir.7.3.e32.
- Meier A, Lyons EJ, Frydman G, Forlenza M, Rimer BK (2007). "How Cancer Survivors Provide Support on Cancer-Related Internet Mailing Lists". Journal of Medical Internet Research. 9 (2): e12. PMC 1874721 . PMID 17513283. doi:10.2196/jmir.9.2.e12.
- The rise of the e-patient, Lee Rainie from the Pew Internet and American Life Project presentation at the Medical Library Association, Oct 7, 2009
- E-patients With a Disability or Chronic Disease, from the Pew Internet and American Life Project
- Association of Cancer Online Resources (ACOR), an aggregate of e-patient online communities for knowledge-sharing about cancer.
- Time Magazine article: "When the patient is a Googler"
- Who Cares Booklet by the Federal Trade Commission, a guide to health information
- Dave deBronkart: Meet e-Patient Dave, video at TED
- Greenwald, Ted. "A Social Network for Crohn’s Disease | MIT Technology Review". Technologyreview.com. Retrieved 2013-09-13.
- Bhargava, Rohit; Johnmar, Fard (2013). ePatient 2015: 15 Surprising Trends Changing Healthcare.