Early Experiences with e-Health Services (1999–2002)
Promise, Reality, and Implications
Bibliographic Data
| ID | 9104492 |
|---|---|
| Authors | Vicki Fung (0000-0001-8078-5431, corresponding author), Eduardo Ortiz (0000-0002-9196-5523, Veterans Health Administration), Jie Huang (0009-0007-4279-2914, Kaiser Permanente, corresponding author), Bruce Fireman (0000-0003-1652-985X, Kaiser Permanente, corresponding author), Robert H Miller (0000-0001-9050-4154, University of California, San Francisco), Robert Miller (0000-0002-6801-6506), Joseph V Selby (Kaiser Permanente, corresponding author), John Hsu (0000-0001-8244-231X, Kaiser Permanente, corresponding author) |
| Year | 2006 |
| Volume | 44 |
| Issue | 5 |
| Pages | 491-496 |
| Publication date | 2006-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000207917.28988.dd |
| PMID | 16641669 |
| OpenAlex | W2065391964 |
| Language | EN |
| Citations received | 1 |
| References cited | 18 |
BACKGROUND: E-health services may improve the quality and efficiency of care; however, there is little quantitative data on e-health use. OBJECTIVE: The objective of this study was to examine trends in e-health use and user characteristics. RESEARCH DESIGN: This was a longitudinal study of e-health use (1999-2002) within an integrated delivery system (IDS). We classified 4 e-health services into transactional (drug refills and appointment scheduling) and care-related (medical and medication advice) services. SUBJECTS: Approximately 3.3 million members of a large, prepaid IDS. MEASUREMENTS: Amount and frequency of e-health use over time and characteristics of users. RESULTS: The number of members registered for access to e-health increased from 20,617 (0.7% of all members) in Q1 1999 to 270,987 (8.6%) in Q3 2002. Between Q1 and Q3 2002, 42,845 members (1.3%) used the drug refill service and 55,901 (1.7%) used the appointment scheduling service compared with 10,756 members (0.3%) who used the medical advice service and 3069 (0.1%) who used the medication advice service. Over the same period, transactional service users averaged 3.5 uses/user versus 1.6 uses/user among care-related service users. Members most likely to use e-health services had a high level of clinical need, a regular primary care provider, were 30 to 64 years old, female, white, and lived in a nonlow socioeconomic status neighborhood. These findings were consistent across e-health service types. CONCLUSIONS: Although use of all e-health services grew rapidly, use of care-related services lagged significantly behind use of transactional services. Subjects with greater clinical need and better ties to the health system were more likely to use both types of e-health services
MEDLINE · Political science · Electronic Health Records Systems · Mobile Health and mHealth Applications · Telemedicine and Telehealth Implementation
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,14 |
| Citation span | 2019 - 2019 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |