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dc.contributor.authorTorrent-Sellens, Joan-
dc.contributor.authorDíaz-Chao, Ángel-
dc.contributor.authorSoler Ramos, Iván-
dc.contributor.authorSaigí-Rubió, Francesc-
dc.contributor.otherUniversidad Rey Juan Carlos-
dc.contributor.otherUniversitat Oberta de Catalunya. Estudis d'Economia i Empresa-
dc.contributor.otherUniversitat Oberta de Catalunya. Estudis de Ciències de la Salut-
dc.date.accessioned2019-04-15T11:37:21Z-
dc.date.available2019-04-15T11:37:21Z-
dc.date.issued2018-10-22-
dc.identifier.citationTorrent-Sellens, J., Díaz Chao, Á., Soler Ramos, I. & Saigí-Rubió, F. (2018). Modeling and Predicting Outcomes of eHealth Usage by European Physicians: Multidimensional Approach from a Survey of 9196 General Practitioners. Journal of Medical Internet Research, 20(10), 1-16. doi: 10.2196/jmir.9253-
dc.identifier.issn1438-8871MIAR
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dc.identifier.urihttp://hdl.handle.net/10609/93220-
dc.description.abstractThe literature has noted the need to use more advanced methods and models to evaluate physicians' outcomes in the shared health care model that electronic health (eHealth) proposes. The goal of our study was to design and evaluate a predictive multidimensional model of the outcomes of eHealth usage by European physicians. We used 2012-2013 survey data from a sample of 9196 European physicians (general practitioners). We proposed and tested two composite indicators of eHealth usage outcomes (internal practices and practices with patients) through 2-stage structural equation modeling. Logistic regression (odds ratios, ORs) to model the predictors of eHealth usage outcomes indicators were also calculated. European general practitioners who were female (internal practices OR 1.15, 95% CI 1.10-1.20; practices with patients OR 1.19, 95% CI 1.14-1.24) and younger-aged <35 years (internal practices OR 1.14, 95% CI 1.02-1.26; practices with patients OR 1.32, 95% CI 1.13-1.54) and aged 36-45 years (internal practices OR 1.16, 95% CI 1.06-1.28; practices with patients OR 1.21, 95% CI 1.10-1.33)-had a greater propensity toward favorable eHealth usage outcomes in internal practices and practices with patients. European general practitioners who positively valued information and communication technology (ICT) impact on their personal working processes (internal practices OR 5.30, 95% CI 4.73-5.93; practices with patients OR 4.83, 95% CI 4.32-5.40), teamwork processes (internal practices OR 4.19, 95% CI 3.78-4.65; practices with patients OR 3.38, 95% CI 3.05-3.74), and the doctor-patient relationship (internal practices OR 3.97, 95% CI 3.60-4.37; practices with patients OR 6.02, 95% CI 5.43-6.67) had a high propensity toward favorable effects of eHealth usage on internal practices and practices with patients. More favorable eHealth outcomes were also observed for self-employed European general practitioners (internal practices OR 1.33, 95% CI 1.22-1.45; practices with patients OR 1.10, 95% CI 1.03-1.28). Finally, general practitioners who reported that the number of patients treated in the last 2 years had remained constant (internal practices OR 1.08, 95% CI 1.01-1.17) or increased (practices with patients OR 1.12, 95% CI 1.03-1.22) had a higher propensity toward favorable eHealth usage outcomes.CONCLUSIONS: We provide new evidence of predictors (sociodemographic issues, attitudes toward ICT impacts, and working conditions) that explain favorable eHealth usage outcomes. The results highlight the need to develop more specific policies for eHealth usage to address different realities.en
dc.language.isoeng-
dc.publisherJournal of medical Internet research-
dc.relation.ispartofJournal of Medical Internet Research, 2018, 20(10)-
dc.relation.urihttps://www.jmir.org/2018/10/e279/PDF-
dc.rightsCC BY-
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/es/-
dc.subjecteHealthen
dc.subjectEuropeen
dc.subjectEuropaca
dc.subjectEuropaes
dc.subjectstructural equation modelingen
dc.subjectecuaciones estructuraleses
dc.subjectequacions estructuralsca
dc.subjectinformation and communication technologiesen
dc.subjecttecnologías de la información y la comunicaciónes
dc.subjecttecnologies de la informació i la comunicacióca
dc.subjecthealth empowermenten
dc.subjectempoderamiento en materia de saludes
dc.subjectapoderament en matèria de salutca
dc.subjecthealth informationen
dc.subjectinformación médicaes
dc.subjectinformació mèdicaca
dc.subjecthealth attitudeen
dc.subjectactitut mèdicaca
dc.subjectactitud médicaes
dc.subjecthealth barriersen
dc.subjectbarreras sanitariases
dc.subjectbarreres sanitàriesca
dc.subjectconductores de la saludes
dc.subjectconductors de la salutca
dc.subjecthealth driversen
dc.subjecthealth careen
dc.subjectatención médicaes
dc.subjectatenció mèdicaca
dc.subjectsalud electrónicaes
dc.subjectsalut electrònicaca
dc.subject.lcshHealthen
dc.titleModeling and predicting outcomes of eHealth usage by European physicians: Multidimensional approach from a survey of 9196 general practitioners-
dc.typeinfo:eu-repo/semantics/article-
dc.subject.lemacSalutca
dc.subject.lcshesSaludes
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess-
dc.identifier.doi10.2196/jmir.9253-
dc.gir.idAR/0000006508-
dc.type.versioninfo:eu-repo/semantics/publishedVersion-
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