Applications of E-health Technologies
• Self-care advice and routine transactions• Self-management of long-term
conditions• Enabling people to remain at home
Implementation Challenges
• Policy support for e-health technologies• Availability of relevant technologies• Evidence of beneficial effects• Patients willing to use them• Clinicians willing to use them
Internet Activities by Age Group, UK 2013
Reading news Social networking Travel services Internet banking Health information0
10
20
30
40
50
60
70
80
90
100
Source: Office of National Statistics
16-24 25-34 35-44 45-54 55-64 65+
Access to Primary Care
• 25% of GP patients reported problems booking appointments by phone
• Only 6% booked appointments online• Only 10% ordered prescriptions online• Only 0.5% accessed their medical record
online• 12% of GP consultations carried out by
phone• 10% of those who cannot get a convenient
GP appointment go to A&E departments
Access to Medical Records
• % general practices offering record access in 2014 = 32%• % general practices offering
record access in 2015 = 97%
• Policy • Availability • Evidence • Patients • Clinicians
Technologies for Personalised Care Planning
• Policy • Availability • Evidence • Patients • Clinicians
Technology Gaps
• Involving users in design, testing and implementation• Telephone consultation systems• Patient decision aids incorporated into EMRs• IT systems to record patients’ self-management goals• Self-management support
Evidence gaps
• Measuring outcomes that matter• Effects of health information• Multi-channel access to primary care – impact on demand• Record access – patient use and impact• Feedback for quality improvement• Implementation of shared decision making• Effects of personalised care planning• Effects of health coaching• Effects of telehealth
Promoting Use by Clinicians
• Signposting health information to patients• Supporting multi-channel access to primary care• Patient access to medical records• Responding to patient feedback• Patient decision aids• Personalised care planning• Health coaching• Telehealth• Support for innovation