experiences of a general practitioner in the daily practice about digital health literacy
TRANSCRIPT
Innovaciones Tecnológicas para la Salud y el Bienestar
19th August 2016
M. Traver, I, Basagoti, A. Martinez‐Millana, C. Fernández Llatas, V. Traver
Experiences of a General Practitionerin the daily practice about Digital Health Literacy. The real needs.
Actual health outcomes are largely produced by the citizen behaviors – not by health care procedures (alone)
Actual health outcomes are largely produced by the citizen behaviors – not by health care procedures (alone)
Health status determinants
Health Care (10%)
Environmental(5%)Behavioral
(40%)
Social(15%)
Genetic(30%)
McGinnis et al., Health Affairs 21(2), 2002
@ Saranummi
The European Health Literacy Survey showedthat 47% of citizens have a poor or problematic
level of Health Literacy
What are our tools NOT good at?
Flickr – Clyde Bentley
What questions other than “does it work” should we ask?
HEALTH TOOLS
How do the GPs select the most useful tools to handle the challenge of patient’s digital health
literacy?
Flickr – Mathieu Struck
It’s key to provide tools and skills for the GPs to promote Digital Health Literacy among patients
Information
Quality
RelevantAppropiate
We need to hear the voices of the main interface with the PATIENT… THE GPs
Health literacy
Health literacy is linked to literacy and entails people’s knowledge, motivation and competenciesto access, understand, appraise, and apply health information in order to make judgments and take decisions in everyday life concerning healthcare, disease prevention and health promotion TO MAINTAIN OR IMPROVE QUALITY OF LIFEduring the life course
Health literacy
Adding digital to the health literacy has pros and cons
PROS CONS
Need of digital literacy
Price
Device dependence
Infoxication
Doubts about reliability
Scalability (time, audience, coverage, impact)
Content reuse
Anywhere, any moment from any device
Personalisation
Health literacy
A. Obtaining. Searchphase
GOOGLE SEARCH CRITERIA ARE NOT VALID FOR HEALTH RELATED ISSUES
Role of the GP
How?
Content and site prescriber
Health literacy
B. Understanding. Comprehension phase
Making personal
FACTORS
Personal Educational Social
Role of the GP
Prescribe tools and apps to helpthis personalisation process
Health literacy
C. Applying. Adoptionphase.
Difference betweenunderstanding and applying
Creatinghealthyhabits
Health coproducer
Role of the GP
Motivation trainer
Behavioral management skills
Moving from needs into action
Know personal (individual level) of HL/DHLKnow personal (individual level) of HL/DHL
Increase the time dedicated to communication and educational activities
Increase the time dedicated to communication and educational activities
Have available information quickly and customised for each patient
Have available information quickly and customised for each patient
Be able to prescribe health digital tools adapted for each patient
Be able to prescribe health digital tools adapted for each patient
Have quick updates on activities, courses and events tailored to patients’ interests
Have quick updates on activities, courses and events tailored to patients’ interests
Be able to provide support to patient’s empowerment Be able to provide support to patient’s empowerment
Needs (1/6)
Need• Know personal (individual level) of HL/DHL
Action• Have standardized, simple user friendly questionnairesintegrated in to medical records
Target
• Adapt profesionals communication skills• Improve understanding of patient needs• Improve efficiency on the patient educational activities
Needs (2/6)
Need• Increase the time dedicated to communication and educational activities
Action• Integrate these activities in the portfolio of medical servicesas any other clinical activity
Target• Improved communication and educational activities in quality and quantity of professional to patients with known impact on adherence, self‐management and prevention
Needs (3/6)
Need• Have available information quickly and customised for eachpatient
Action• Creation of a structured tag‐enriched repository of reliablelinks and multiformat documents to cover personalisedinformation needs from each specific patient
Target• Provide the requested personalised information to patient when needed, improving his/her DHL
Needs (4/6)
Need• Be able to prescribe health digital tools adapted foreach patient
Action• Structured list of links and information about reliableand secure health tools adapted for each patientneeds
Target• Promote and facilitate the use of digital tools to improve the quality of life of patients and / or their knowledge and management of their disease
Needs (5/6)
Need• Have quick updates on activities, courses and events tailoredto patients’ interests
Action• With institutional support, list of related activities withinformation and links should be available
Target• Facilitate patient participation in activities that serve to help in improving their knowledge and skills, as well as enhance the relationship and community activities with other patients
Needs (6/6)
Need• Be able to provide support to patient’s empowerment
Action• Empower GPs and train them to solve doubts and correct errors in the patient's digital health literacy road
Target• Get the empowered patient / activist, use the health professional as a consultant
Discussion/Conclusions
To empower patients, we need to understand the context and empower the
main interface with them, the GPs
An integrated strategy with institutional suppport and policy makers is needed to avoid a fragmented user experience
Main benefits are patient health status improvement, disease prevention and
efficacy in the use of healthcare resources
Innovaciones Tecnológicas para la Salud y el Bienestar
19th August 2016
M. Traver, I, Basagoti, A. Martinez‐Millana, C. Fernández Llatas, V. Traver
Experiences of a General Practitionerin the daily practice about Digital Health Literacy. The real needs.
[email protected] Twitter & Skype: vtraver
Thanks for your attention