Zsombor Zrubka|Óscar Brito Fernandes|Petra Baji|Ottó Hajdú|Levente Kovács|Dionne Kringos|Niek Klazinga|László Gulàcsi|Valentin Brodszky|Fanni Rencz|Márta Péntek
Exploring eHealth Literacy and Patient-Reported Experiences With Outpatient Care in the Hungarian General Adult Population: Cross-Sectional Study
Óbuda University|Corvinus University of Budapest|Public Health Service of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|Corvinus University of Budapest|Corvinus University of Budapest|Eötvös Loránd University|Óbuda University|Public Health Service of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|Public Health Service of Amsterdam|Amsterdam University Medical Centers|University of Amsterdam|Óbuda University|Corvinus University of Budapest|Corvinus University of Budapest|Hungarian Academy of Sciences|Corvinus University of Budapest|Corvinus University of Budapest
background digital health encompasses use information communications technology support health key driving force behind cultural transformation medicine toward peoplecenteredness thus ehealth literacy assisted innovative digital health solutions may support better experiences care objective purpose study explore relationship ehealth literacy patientreported experience measures prems among users outpatient care hungary methods early 2019 conducted crosssectional survey large representative online sample recruited hungarian general population ehealth literacy measured ehealth literacy scale eheals prems outpatient care measured set questions recommended organisation economic cooperation development oecd respondents attended outpatient visit within 12 months preceding survey bivariate relationships explored via polychoric correlation kruskalwallis test chisquare test capture nonlinear associations controlling covariates analyzed relationship eheals quartiles prems using multivariate probit ordinary least squares ordered logit logistic regression models results 1000 survey respondents 666 individuals 364 females 547 included study mean age 489 sd 176 years mean eheals score 293 sd 49 respondents higher eheals scores likely understand health care professionals hcps explanations 29242 p002 involved decision making care treatment 29182 p03 multivariate regression respondents lowest first quartile moderately high third quartile eheals scores differed significantly latter likely overall positive experience p02 experience fewer problems p02 addition respondents better experiences terms easy understand hcps explanations plt001 able ask questions last consultation p04 patientreported experiences individuals highest fourth quartile lowest first quartile eheals levels differ significantly items prem instrument neither composite prem scores generated prem items pgt05 models conclusions demonstrated association ehealth literacy prems potential patient physician systemrelated factors explaining negative experiences among people highest levels ehealth literacy warrant investigation may contribute development efficient ehealth literacy interventions research needed establish causal relationship ehealth literacy patientreported experiences