THE USE AND EFFECTS OF HEALTH INFORMATION

健康信息的使用和影响

基本信息

批准号：
2806218
负责人：
TODD H WAGNER
金额：
$ 2.71万
依托单位：
UNIVERSITY OF CALIFORNIA BERKELEY
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-11-01 至 1999-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2806218
关键词：
behavioral /social science research tag health behavior health care service evaluation health care service utilization health education health services research tag human data information dissemination self care

项目摘要

The supply of health information and self-care resources is rapidly growing, and its dissemination is favored by many on the presumption that informed consumers/patients will use health services more appropriate. This position has been challenged, whereby the predominant concern is that an increase in health information only leads to a state of "information overload" for the patient. To date, research on this topic has been limited due in part to a paucity of relevant, high-quality data. A community-wide, information-intervention (The Healthwide Community Project [HCP]) in Boise, Idaho provides a unique opportunity to study the impact of self-care information on utilization and health status. Pre and post data for the intervention site (i.e., Boise) and two control communities (i.e., Billings, MT and Eugene, OR) will be used in this study. Sample sizes for the baseline survey are 909 in Boise, 890 in Billings and 1,067 in Eugene. Follow-up data are in the process of being collected, but even with a 50% attrition rate, there will be 96% power to detect small changes (effect size = .39) This study has three specific aims: (1) to determine what factors are related to the use of self-care information; (2) to determine if the use of self-care information is associated with changes in utilization and health status; and (3) to assess the intervention's community-level effect on medical utilization and health status. Analysis will be both descriptive and analytical in nature. The multivariate econometrics require logistic, probit and conditional logit models, depending on the dependent variable. We expect that this study will help determine the value of providing consumers with self-care information, as well as address issues about who uses health information and whether giving people self-care information affects health services utilization and health status.

健康信息和自我保健资源的供应迅速许多人在推定的推定下增长和传播知情的消费者/患者将使用更合适的健康服务。这个立场受到了挑战，主要关注的是健康信息的增加只会导致“信息”状态超负荷“对于患者。迄今为止，有关此主题的研究已经限制部分由于缺乏相关的高质量数据。一个社区范围内的信息干预（健康范围内的社区项目 [HCP]）在爱达荷州博伊西（Boise）提供了一个独特的机会来研究影响关于利用和健康状况的自我保健信息。前后干预网站（即博伊西）和两个控制社区的数据（即Billings，MT和Eugene，OR）将在本研究中使用。样本基线调查的尺寸为Boise的909，Billings的尺寸为890，1,067 在尤金。后续数据正在收集过程中，但甚至以50％的流失率，将有96％的功率来检测小变化（效应尺寸= .39）这项研究具有三个具体目的：（1）确定哪些因素与自我保健信息的使用有关；（2）至确定自我保健信息的使用是否与更改相关联利用和健康状况；（3）评估干预措施社区级对医疗利用和健康状况的影响。分析本质上将是描述性和分析性的。多元计量经济学需要物流，概率和有条件的逻辑模型，取决于因变量。我们希望这项研究会有所帮助确定向消费者提供自我保健信息的价值，以及解决谁使用健康信息以及是否给人们自我保健信息会影响卫生服务的利用和健康状况。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Computerized health information and the demand for medical care.

DOI：
10.1046/j.1524-4733.2003.00155.x
发表时间：
2003
期刊：
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
影响因子：
0
作者：
T. Wagner;H. Jimison
通讯作者：
T. Wagner;H. Jimison

When parents are given greater access to health information, does it affect pediatric utilization?