ArticleInquiry : a journal of medical care organization, provision and financing
Digital Health Use Across Socioeconomic Groups Among Patients With Chronic Diseases: A Cross-Sectional Study.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
IntroductionPeople with a low socio-economic position (SEP) are disproportionally affected by both chronic diseases and with reduced access to, use of, and perceived benefits from e-health. People with one or more chronic diseases are likely to experience a greater burden of disease and have more frequent interactions with the healthcare system and e-health. This study provides insights in whether socio-economic differences in e-health use exist in a Dutch population of people with one or more chronic diseases.MethodsIn 2023 a questionnaire was sent out to 2,113 members of a Dutch panel consisting of people with one or more chronic diseases. Participants were asked about the use of five e-health applications and their inclination to use e-health. E-health applications included: websites, apps, wearables, patient portal and digital communication. Educational attainment was used as a proxy for SEP. Results were stratified by level of educational attainment.ResultsThe response rate was 1,543/2,113, 73%, the final study sample was 1,517. Results show that participants with a lower educational attainment used significantly less websites (OR 4.78, 95% CI, 3.50-6.53), apps (OR 2.88, 95% CI, 2.00-4.16), wearables (OR 2.12, 95% CI, 1.52-2.95) and patient portals (OR 3.24, 95% CI, 2.38-4.41) compared to higher educational attainment groups. Participants with a high educational attainment were more likely to be inclined (RRR 2.21, 95% CI 1,48-3,31) and less likely to be uncertain about e-health use (RRR 0.56, 95% CI 0,39-0.81) compared to participants with a low educational attainment.ConclusionDifferences in e-health use and positive inclination towards e-health use also exist between socio-economic groups in a population of people with a chronic disease. These findings show that current practice and implementation of e-health for people with chronic disease does not serve all patients equally, demanding more attention towards inclusive organization of e-health.
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