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.

vtraver@itaca.upv.es Twitter & Skype: vtraver

Thanks for your attention