Complexities of health and acceptance of electronic health records for the Austrian elderly population

The European Journal of Health Economics - Tập 24 - Trang 53-66 - 2022
Nicole Halmdienst1, Gerald J. Pruckner1,2, Rudolf Winter-Ebmer1,2,3,4
1Johannes Kepler University of Linz, Department of Economics, Linz, Austria
2Christian Doppler Laboratory Aging, Health and the Labor Market, Linz, Austria
3Linz Institute of Technology, Linz, Austria
4Institute for Advanced Studies, Vienna, Austria

Tóm tắt

We examine the personal health situation and how the complexities thereof affect the elderly Austrians’ willingness to accept electronic health records (EHR). Using data from the sixth wave of the SHARE survey in Austria, we find the complexity of individual health problems and the social integration of individuals influencing the acceptance of EHR. The higher the degree of multimorbidity, the more medication is prescribed, and the higher the number of hospital admissions, the higher is the acceptance of EHR. Having a chronical illness has a positive effect on EHR acceptance, whereas a pessimistic attitude and lack of joy in life, as indicators of depressive mood, have a negative impact. The results are mainly driven by women and younger patients aged between 50 and 70. People with poor social connection express lower acceptance of EHR.

Tài liệu tham khảo

Ammenwerth, E., Duftschmid, G., Al-Hamdan, Z., Bawadi, H., Cheung, N.T., Cho, K.-H., Goldfarb, G., Gülkesen, K.H., Harel, N., Kimura, M., Kırca, Kondoh, H., Koch, S., Lewy, H., Mize, D., Palojoki, S., Park, H.-A., Pearce, C., de Quirós, F. G. B., Saranto, K., Seidel, C., Vimarlund, V., Were, M. C., Westbrook, J., Wong, C. P., Haux, R., and Lehmann, C. U.: International comparison of six basic eHealth indicators across 14 countries: An eHealth benchmarking study. Methods of Information in Medicine 59(S2), e46–e63 (2020) Bachner, F., Bobek, J., Habimana, K., Ladurner, J., Lepuschüt, L., Ostermann, H., Rainer, L., Schmidt, A.E., Zuba, M., et al.: Das österreichische Gesundheitssystem: Akteure, Daten. Analysen. Gesundheitssysteme im Wandel 20(3), 1–288 (2019) Bonomi, S.: The electronic health record: A comparison of some European countries. In: Ricciardi, F., Harfouche, A. (eds.) Information and Communication Technologies in Organizations and Society, pp. 33–50. Springer (2016) Börsch-Supan, A.: Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 6. Release version: 6.0.0. SHARE-ERIC. Data set (2017) Börsch-Supan, A., Malter, F.: SHARE wave 6: Panel innovations and collecting dried blood spots. Munich: Munich Center for the Economics of Aging (MEA) (2017) Börsch-Supan, A., Brandt, M., Hunkler, C., Kneip, T., Korbmacher, J., Malter, F., Schaan, B., Stuck, S., Zuber, S.: Data resource profile: the survey of health ageing and retirement in Europe (SHARE). Int. J. Epidemiol. 42(4), 992–1001 (2013). https://doi.org/10.1093/ije/dyt088 Caumanns, J., Einhaus, J.: Evaluation des ELGA e-Befunds - Ergebnisse der wissenschaftlichen Begleitung. Projektbericht, Fraunhofer-Institut (2019) Chae, Y.M., Park, H.J., Cho, J.G., Hong, G.D., Cheon, K.-A.: The reliability and acceptability of telemedicine for patients with schizophrenia in Korea. Journal of Telemedicine and Telecare 6(2), 83–90 (2000) Dutta, B., Hwang, HG.: The adoption of electronic medical record by physicians. Medicine 99(8), e19290 (2020). https://doi.org/10.1097/MD.0000000000019290 ELGA GmbH (2018). Evaluierung ELGA-e-Befund. https://www.elga.gv.at/fileadmin/user_upload/Dokumente_PDF_MP4/Evaluierung/Bericht_ELGA_e-Befund_Evaluierung.pdf (accessed March 16, 2021) ELGA GmbH (2020a). ELGA im Überblick. https://www.elga.gv.at/elga-die-elektronische-gesundheitsakte/elga-im-ueberblick (accessed June 5, 2020) ELGA GmbH (2020b). Status Quo Evaluierung der elektronischen Gesundheitsakte. Bericht, marketmind, ELGA GmbH ELGA GmbH (2020c). Zahlen-Daten-Fakten. https://www.elga.gv.at/elga-die-elektronische-gesundheitsakte/zahlen-daten-fakten/ (accessed June 5, 2020) ELGA GmbH (2021). ELGA – Ärzte Deep Dive 2021. Bericht, marketmind, ELGA GmbH Gauchat, G.: Politicization of science in the public sphere: A study of public trust in the United States, 1974 to 2010. American Sociological Review 77(2), 167–187 (2012) Hackl, W.O., Hoerbst, A., Duftschmid, G., Gall, W., Janzek-Hawlat, S., Jung, M., Woertz, K., Dorda, W., Ammenwerth, E.: Crucial factors for the acceptance of a computerized national medication list: insights into findings from the evaluation of the Austrian e-medikation pilot. Applied Clinical Informatics 5, 527–537 (2014) Halmdienst, N., Radhuber, M., Winter-Ebmer, R.: Attitudes of elderly Austrians towards new technologies: communication and entertainment versus health and support use. European Journal of Ageing 16(4), 513–523 (2019) Hoerbst, A., Kohl, C.D., Knaup, P., Ammenwerth, E.: Attitudes and behaviors related to the introduction of electronic health records among Austrian and German citizens. International Journal of Medical Informatics 79(2), 81–89 (2010) Hong, S., Trimi, S., Kim, D.: Smartphone use and internet literacy of senior citizens. Journal of Assistive Technologies 10, 27–38 (2016) Jeannot, J.G., Froehlich, F., Wietlisbach, V., Burnand, B., Terraz, O., Vader, J.P.: Patient use of the Internet for health care information in Switzerland. Swiss Medical Weekly 134(21), 307–312 (2004) Kör, H., Erbay, H., Engin, M., Dünder, E.: An examination of the correlation between science and technology attitudes scale, frequency of smartphone usage scale and lifelong learning scale scores using the structural equation model. Journal of Baltic Science Education 16(1), 86 (2017) Leisch, F., Sabutsch, S.: Die elektronische Gesundheitsakte ELGA - Status und Ausblick. Österreichische Zeitschrift für das Ärztliche Gutachten 4, 79–83 (2021) Litwin, H., Stoeckel, K.J.: Social network, activity participation, and cognition: A complex relationship. Research on Aging 38(1), 76–97 (2016) Millard, R.W., Fintak, P.A.: Use of the Internet by patients with chronic illness. Disease Management and Health Outcomes 10, 187–194 (2002) Oderkirk, J.: Readiness of electronic health record systems to contribute to national health information and research. OECD Health Working Paper No. 99, OECD Publishing, Paris (2017) Onofrio, R., Lettieri, E., Gastaldi, L., Beltrami, A., and Boniotti, C.: Acceptance of digital technology in hospitals: What pressure from managers and peers? In 21th International Continuous Innovation Network (CINet) Conference “Practicing Continuous Innovation in Digital Ecosystems”, pages 547–556 (2020) Or, C.K.L., Karsh, B.-T.: A Systematic Review of Patient Acceptance of Consumer Health Information Technology. Journal of the American Medical Informatics Association 16(4), 550–560 (2009) Ploner, N., Neurath, M.F., Schoenthaler, M., Zielke, A., Prokosch, H.-U.: Concept to gain trust for a German personal health record system using public cloud and FHIR. Journal of Biomedical Informatics 95, 103212 (2019) Saeed, K.A., Abdinnour-Helm, S.: Examining the effects of information system characteristics and perceived usefulness on post adoption usage of information systems. Information and Mangement 45(6), 376–386 (2008) Steininger, K., Stiglbauer, B.: EHR acceptance among Austrian resident doctors. Health Policy and Technology 4(2), 121–130 (2015) Tao, D., Shao, F., Liu, S., Wang, T., Qu, X.: Predicting factors of consumer acceptance of health information technologies: A systematic review. Proceedings of the Human Factors and Ergonomics Society Annual Meeting 60(1), 598–602 (2016) Gesundheit, Zielsteuerung: Sektorübergreifende Patientenbefragung. Ergebnisbericht, Bundesministerium für Gesundheit, Wien (2015)