An e-patient is a
health consumer who participates fully in their own
medical care
Health care, or healthcare, is the improvement or maintenance of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is deliver ...
, primarily by gathering information about
medical conditions
A disease is a particular abnormal condition that adversely affects the structure or function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical conditions that are asso ...
that impact them and their families, using the
Internet
The Internet (or internet) is the Global network, global system of interconnected computer networks that uses the Internet protocol suite (TCP/IP) to communicate between networks and devices. It is a internetworking, network of networks ...
and other digital tools.
The term encompasses those who seek guidance for their own ailments, and the friends and family members who research on their behalf. E-patients report two effects of their health research: "better health information and services, and different, but not always better, relationships with their doctors."
E-patients are active in their care and demonstrate the power of the
participatory medicine or
Health 2.0 / Medicine 2.0. model of care. The "e" can stand for "''electronic''" but has also been used to refer to other terms, such as "equipped", "enabled", "empowered" and "expert".
The current state of knowledge on the impact of e-patients on the
healthcare system
A health system, health care system or healthcare system is an organization of people, institutions, and resources that delivers health care services to meet the health needs of target populations.
There is a wide variety of health systems aroun ...
and the quality of care received indicates:
*A growing number of people say the internet played a crucial or important role as they helped another person cope with a major illness.
*Many
clinicians
A clinician is a health care professional typically employed at a skilled nursing facility or clinic. Clinicians work directly with patients rather than in a laboratory, community health setting or in research. A clinician may diagnose, treat a ...
underestimated the benefits and overestimated the risks of online health resources for patients.
*Medical online
support group
In a support group, members provide each other with various types of help, usually nonprofessional and nonmaterial, for a particular shared, usually burdensome, characteristic. Members with the same issues can come together for sharing coping str ...
s are an important healthcare resource.
*"The net friendliness of clinicians and provider organizations—as rated by the e-patients they serve—is becoming an important new aspect of
health care quality
Health care quality is a level of value provided by any health care resource, as determined by some measurement. As with quality in other fields, it is an assessment of whether something is good enough and whether it is suitable for its purpose. ...
."
*According to one study, the advent of patients as partners is one of the most important cultural medical revolutions of the past century.
*In order to understand the impact of the e-patient, clinicians will likely need to move beyond "pre-internet medical constructs".
*
Medical education
Medical education is vocational education, education related to the practice of being a medical practitioner, including the initial training to become a physician (i.e., medical school and internship (medical), internship) and additional trainin ...
must adapt to take the e-patient into account, and to prepare students for medical practice that includes the e-patient.
A 2011 study of European e-patients found that they tended to be "inquisitive and autonomous" and that they noted that the number of e-patients in Europe appeared to be rising. A 2012 study found that e-patients uploading videos about their health experienced a loss of privacy, but also positive benefits from
social support
Social support is the perception and actuality that one is cared for, has assistance available from other people, and, most popularly, that one is part of a supportive social network. These supportive resources can be emotional (e.g., nurturance), ...
. A later 2017 study utilizing
social network analysis
Social network analysis (SNA) is the process of investigating social structures through the use of networks and graph theory. It characterizes networked structures in terms of ''nodes'' (individual actors, people, or things within the network) ...
found that when e-patients are included in health care conferences, they increase information flow, expand propagation, and deepen engagement in the conversation of
tweets when compared to both
physicians
A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis ...
and researchers while only making up 1.4% of the stakeholder mix.
Non-English translations and adaptations of "e-patient"
Japan
According to Maho Isono, PhD, at the
International University of Health and Welfare in
ÅŒtawara
is a Cities of Japan, city located in Tochigi Prefecture, Japan. , the city had an estimated population of 72,189 in 30,136 households, and a population density of 210 persons per km2. The total area of the city is . The city's name may also b ...
, Japan, the term closest to ''e-patient'' in Japanese is ''tojisha-kenkyu'', where "''kenkyu'' means study, investigation and research" and "''tojisha'' refers to interested persons,
disabled persons themselves or patients themselves."
Sweden
Inspired by the seminal work on e-patients by
Tom Ferguson and the e-Patients Scholars Working Group,
Swedish patient and engineer coined a new Swedish word, "
spetspatient", meaning "lead user patient" or "lead patient", in February 2016.
See also
*
Doctor–patient relationship
The doctor–patient relationship is a central part of health care and the practice of medicine. A doctor–patient relationship is formed when a doctor attends to a patient's medical needs and is usually through consent. This relationship is bui ...
*
eHealth
eHealth describes healthcare services which are supported by digital processes, communication or technology such as electronic prescribing, Telehealth, or Electronic Health Records (EHRs). The term "eHealth" originated in the 1990s, initially c ...
*
mHealth
mHealth (also written as m-health or mhealth) is an abbreviation for mobile health, a term used for the practice of medicine and public health supported by mobile devices.
The term is most commonly used in reference to using mobile communicatio ...
*
Patient opinion leader
*
Treatment decision support
*
Virtual patient
References
External links
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The rise of the e-patient, Lee Rainie from th
Pew Internet and American Life Projectpresentation at the Medical Library Association, October 7, 2009
E-patients With a Disability or Chronic Disease from th
Pew Internet and American Life ProjectAssociation of Cancer Online Resources (ACOR), an aggregate of e-patient online communities for knowledge-sharing about cancer.
* Haig, Scott (November 8, 2007)
''
Time
Time is the continuous progression of existence that occurs in an apparently irreversible process, irreversible succession from the past, through the present, and into the future. It is a component quantity of various measurements used to sequ ...
''.
Who CaresBooklet by the Federal Trade Commission, a guide to health information
video at
TED
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