Patient-centred e-health supports value cocreation and quality of medical care in Taiwan

Health Info Libr J. 2022 Mar;39(1):68-78. doi: 10.1111/hir.12372. Epub 2021 Jun 11.

Abstract

Background: Patient-centred e-health (PCEH) focusses on the interaction between patients and physicians. However, only a limited number of studies have focussed on the design of physician-patient value cocreation mechanisms in the PCEH context. Thus, we extend Grönroos' concept of value cocreation to understand how PCEH might improve the quality of care.

Objectives: This study proposes a theoretical framework to embody PCEH-supported value cocreation and presents some empirical validation. We expect that PCEH-supported value cocreation should comprise capabilities for patient empowerment, intention for information sharing, complementation for checking and verifying information, and interaction for shared understanding.

Methods: This study surveyed a small group of patients that have used PCEH, 'My Health Bank' in Taiwan. The questionnaires were delivered to patients in hospitals (n = 167 questionnaires, 98% response rate).

Results: Results indicate that certain PCEH-supported value cocreation mechanisms-capabilities for patient empowerment and interaction for shared understanding-affect the perceived quality of medical care.

Limitations: The survey only considered patient perceptions of value cocreation.

Conclusion: This study shows the patient perception of value cocreation in patient-centred e-Health. Further research needs to validate the framework for health professionals and in other e-Health record information sharing settings.

Keywords: access to information; digital information resources; eHealth; health care; patient participation.

MeSH terms

  • Health Personnel
  • Humans
  • Patient Care
  • Patient Participation*
  • Taiwan
  • Telemedicine*