Computer generated self-care advice via web-based triage of complaints in primary care

Nicol Nijland, Karlijn Cranen, Stef F.F. Verlinden, Saskia M. Kelders, Henk Boer, Julia E.W.C. van Gemert-Pijnen

    Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademic

    4 Citations (Scopus)
    38 Downloads (Pure)

    Abstract

    Computer generated self-care advice systems are used in health care to support self-management and to respond to an increasing demand for care. Web-based triage is an innovative system aimed at empowering patients and saving costs while maintaining the same or better quality of care. Such systems consist of a symptom driven questionnaire for minor ailments based on the criteria: high frequency, no physical contact required to assess medical situation, and the possibility to rule out emergencies. We evaluated the feasibility of such a system for self-care. A retrospective analysis was carried out among 6538 patients by investigating the frequencies of complaints that have been entered to the system and the frequencies of the kinds of generated advice; online surveys (n=192) based on behavioral theories were held to determine factors influencing compliance with generated self-care advice. Web-based triage can promote self-management for minor ailments, especially for patients who have a positive attitude towards computer-generated advice. This positive attitude leads to intentions to follow up the advice and to actual follow up. To reduce unnecessary doctors’ visits and to lower health care costs the system has to be brought more in to line with users’ needs because the systems are more medical driven than user-centered.
    Original languageEnglish
    Title of host publication2009 International Conference on eHealth, Telemedicine, and Social Medicine
    Place of PublicationPiscataway, NJ
    PublisherIEEE
    Number of pages7
    ISBN (Electronic)978-0-7695-3532-6
    ISBN (Print)978-1-4244-3360-5
    DOIs
    Publication statusPublished - 1 Feb 2009
    Event1st International Conference on eHealth Telemedicine and social Medicine, eTELEMED 2009 - Fiesta Americana Condesa Cancun, Cancun, Mexico
    Duration: 1 Feb 20097 Feb 2009
    Conference number: 1
    https://www.iaria.org/conferences2009/eTELEMED09.html

    Conference

    Conference1st International Conference on eHealth Telemedicine and social Medicine, eTELEMED 2009
    Abbreviated titleeTELEMED
    CountryMexico
    CityCancun
    Period1/02/097/02/09
    Internet address

    Fingerprint

    Triage
    Self Care
    Primary Health Care
    Delivery of Health Care
    Quality of Health Care
    Health Care Costs
    Emergencies
    Costs and Cost Analysis
    Surveys and Questionnaires

    Keywords

    • Triage
    • Internet
    • Self-care
    • Primary care

    Cite this

    Nijland, N., Cranen, K., Verlinden, S. F. F., Kelders, S. M., Boer, H., & van Gemert-Pijnen, J. E. W. C. (2009). Computer generated self-care advice via web-based triage of complaints in primary care. In 2009 International Conference on eHealth, Telemedicine, and Social Medicine Piscataway, NJ: IEEE. https://doi.org/10.1109/eTELEMED.2009.17
    Nijland, Nicol ; Cranen, Karlijn ; Verlinden, Stef F.F. ; Kelders, Saskia M. ; Boer, Henk ; van Gemert-Pijnen, Julia E.W.C. / Computer generated self-care advice via web-based triage of complaints in primary care. 2009 International Conference on eHealth, Telemedicine, and Social Medicine. Piscataway, NJ : IEEE, 2009.
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    Nijland, N, Cranen, K, Verlinden, SFF, Kelders, SM, Boer, H & van Gemert-Pijnen, JEWC 2009, Computer generated self-care advice via web-based triage of complaints in primary care. in 2009 International Conference on eHealth, Telemedicine, and Social Medicine. IEEE, Piscataway, NJ, 1st International Conference on eHealth Telemedicine and social Medicine, eTELEMED 2009, Cancun, Mexico, 1/02/09. https://doi.org/10.1109/eTELEMED.2009.17

    Computer generated self-care advice via web-based triage of complaints in primary care. / Nijland, Nicol; Cranen, Karlijn; Verlinden, Stef F.F.; Kelders, Saskia M.; Boer, Henk; van Gemert-Pijnen, Julia E.W.C.

    2009 International Conference on eHealth, Telemedicine, and Social Medicine. Piscataway, NJ : IEEE, 2009.

    Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademic

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    AB - Computer generated self-care advice systems are used in health care to support self-management and to respond to an increasing demand for care. Web-based triage is an innovative system aimed at empowering patients and saving costs while maintaining the same or better quality of care. Such systems consist of a symptom driven questionnaire for minor ailments based on the criteria: high frequency, no physical contact required to assess medical situation, and the possibility to rule out emergencies. We evaluated the feasibility of such a system for self-care. A retrospective analysis was carried out among 6538 patients by investigating the frequencies of complaints that have been entered to the system and the frequencies of the kinds of generated advice; online surveys (n=192) based on behavioral theories were held to determine factors influencing compliance with generated self-care advice. Web-based triage can promote self-management for minor ailments, especially for patients who have a positive attitude towards computer-generated advice. This positive attitude leads to intentions to follow up the advice and to actual follow up. To reduce unnecessary doctors’ visits and to lower health care costs the system has to be brought more in to line with users’ needs because the systems are more medical driven than user-centered.

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    PB - IEEE

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    Nijland N, Cranen K, Verlinden SFF, Kelders SM, Boer H, van Gemert-Pijnen JEWC. Computer generated self-care advice via web-based triage of complaints in primary care. In 2009 International Conference on eHealth, Telemedicine, and Social Medicine. Piscataway, NJ: IEEE. 2009 https://doi.org/10.1109/eTELEMED.2009.17