There is no shortage of interest in new technologies to streamline and improve the delivery of healthcare, but large majorities of consumers are shut out of what would seem like simple services, such as scheduling appointments online and communicating with care providers via email.
In a new survey of more than 5,000 U.S. adults, the research group Nielsen Strategic Health Perspectives found a significant disconnect between the expectations that consumers have for health IT and the extent to which those applications and services have been put into place by providers.
"We found that really consumer access is quite low to many of these technologies, but interest is not as low," Jennifer Colamonico, Nielsen's vice president of healthcare insights, said during a media presentation unveiling the new research.
And some of the areas covered by the survey were fairly low-tech. So, for instance, 36 percent of survey respondents say that they would be interested in a round-the-clock phone line for medical advice, while just 14 percent say they had used such a service. Twenty-six percent of respondents say that they would like to be able to submit photos of their conditions ahead of an email or phone call with their provider, but just 3 percent say that they had done so.
Indeed, the survey revealed across-the-board disparities between consumers' expectations for health IT and their actual experience, presenting a spate of low usage rates that experts attribute in part to the reluctance of providers to embrace the technology and a payment system that disincentivizes the adoption of new services and applications.
"We find that physicians are quite skeptical themselves of telemedicine," Colamonico says.
So the vision of the remote delivery of care long held by technologists and patient advocates remains a small sliver of the healthcare picture, with a mere 2 percent of survey respondents saying that they have access to video visits with their provider.
Just 21 percent of consumers polled say that they can even schedule an appointment online, while only 15 percent say that they communicate with their provider over email.
Healthcare providers and consumers together can make change happen
Dr. Robert Pearl, chairman of the Council of Accountable Physician Practices, which co-sponsored the survey, is calling on healthcare providers to ramp up their efforts to incorporate technology into their practice to increase the quality and accessibility of care, and ultimately to improve patient outcomes.
"We don't believe that the problems of the 21st century will be solved with the tools and the technology of the past," Pearl says. "We believe that patients should have the same functionality in their healthcare as they have in the rest of their life."
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