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 Evidence-based support for the design and delivery of user-centred online public services.

Health and eHealth

The eHealth part of the survey focused on two main themes – the public’s usage of the Internet to find information about health matters of concern to themselves or their families and the extent of usage of the Internet (and phone) for consultation with one’s doctor. This is the first in-depth examination of the role that the Internet is playing in the health practices of European citizens and of the user issues that are arising in this context. The results provide an important benchmarking of this field and have relevance both for policy and for practitioners in the health and eHealth domains.

Highlights

  • In the countries surveyed, 30.6% of the adult population have used the Internet to search for health information (Chart 1); this has risen from just 19.1% in 2002 (Chart 2)
  • Amongst those who do not currently use the Internet for this purpose there are substantial levels of interest in the possibility of doing so; more then three-quarters (78.6%) of Internet users are interested and more than half (53.9%) of non Internet users (Chart 7)
  • In the countries surveyed, the Internet is already the most important method of looking for health information for 17.2% of the adult population overall, and for 28.2% of people who ever search for health information from any source; in some countries (Denmark, Ireland and the UK) its importance is much higher (Chart 8; Chart 9)
  • Most people who use the Internet to get health information have little difficulty in finding what they want, but more than one-in-four (28.9%) have experienced some barriers to usage (Chart 13); the main user problems have been difficulties to find an appropriate site (14.8%) and usability of the site once found (16.3%); language has been a barrier for 7.8% (Chart 14)
  • The majority of eHealth users (70.2%) typically rely on standard search engines to find health information, and only 1-in-10 go directly to a known health site; this suggests a lack of availability and / or awareness of suitable eHealth portals (Chart 15)
  • eHealth users reported that they attach considerable importance to various quality features of eHealth resources they visit; about one-in-eight eHealth users have come across health-related information or advice that they considered to be wrong (Chart 16)
  • One in fourteen (7.3%) of the population in the countries surveyed have used the Internet in preparation for a visit to a doctor (this rises to almost one-in-seven in Denmark, Ireland and the UK); one-in-seven (14.4%) of the population have used the Internet to get more information as a follow-up after a visit to a doctor (this rises to 30.5% in Ireland (Chart 19)
  • Most (92.5%) of those who have used the Internet as a source of health information say that it has made them more informed about health matters; overall, 28% of the population say that they have become more informed about health matters through the Internet. (Chart 20)
  • Up to one-in-five of users say that the information they have found on the Internet has informed their decision-making about health matters or encouraged them to change health behaviours. (Chart 21)
  • Telephone-based health information services are also used, but by fewer than one-in-ten (9.1%) of the population in the countries surveyed; telephone-based services are especially important in the UK, being used nearly as much as online services (Chart 23)
  • In contrast, telephone consultation with one’s doctor is much more common than e-mail consultation; more than one-quarter (28.4%) of the population have had a telephone consultation but only 1.4% have consulted by e-mail (Chart 24)
  • The arrival of the Internet as a central feature in the health practices of those who have access to the Internet raises risks of new health divides - at present those gaining the benefits are mainly better educated and generally more advantaged; however, the results of the survey suggest that once people do have access to it, the Internet can become something of an ‘equaliser’ (Chart 25; Chart 26: Chart 27)

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