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Israel Journal of Health Policy Research
Published in: Israel Journal of Health Policy Research 1/2016

Open Access 01-12-2016 | Original research article

Factors affecting compliance with use of online healthcare services among adults in Israel

Authors: Shosh Shahrabani, Yonathan Mizrachi

Published in: Israel Journal of Health Policy Research | Issue 1/2016

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Abstract

Background

The use of online health services (henceforth, OHS) among middle-aged to older adults can make health-related actions more accessible to this population group as well as help reduce the burden on the health system and avoid unnecessary costs. The study’s objectives were to examine the responsiveness and willingness of individuals aged 45+ to use different OHS and to characterize the attitudes and main factors influencing that responsiveness.

Methods

We conducted a telephone survey among a sample of 703 individuals constituting a representative sample of the Israeli population of individuals aged 45+. The research questionnaire integrates the principles of the Adopting Medical Information Technologies model and includes socio-demographic attributes.

Results

The results indicate that 78 % of internet users claimed to use at least one OHS (79 % of the Jewish sector and 66 % of the non-Jewish sector). Nevertheless, 22 % of internet users do not use OHS. Most online use is on Health Maintenance Organizations (HMO) websites to obtain administrative information. Frequency of OHS use increases as the following factors increase: perceived ease of online use; extent of encouragement for online use; perceived reliability of online health services; and extent of advertisement exposure. The study found that OHS use is much more prevalent among wealthy populations. In addition, individuals’ attitudes and the extent of their exposure to advertisement influence their use and intention to use OHS.

Conclusions

A number of recommendations emerge from the study: 1) For OHS use to increase online health websites should be made more accessible to middle aged-older adults individuals and those of different languages and cultures. 2) Programs should be developed to teach HMO staff to encourage patients to use OHS. 3) Media advertising that encourages the use of OHS should be expanded.
Appendix
Available only for authorised users
Footnotes
1
The cultural characteristics of Jews and Arabs differ significantly. Arab society has been characterized as relatively traditional, and collectivist-oriented [50]. Oyserman [51] found that Israeli Arabs are characterized by greater collectivism than are Israeli Jews.
 
2
The sample size was calculated according to Whitehead’s [52] approach, while considering the nature of dependent and independent variables, and for OR = 1.3, power = 0.8, alpha = 0.05.
 
3
CBS, Localities in Israel, http://www.cbs.gov.il/ishuvim/ishuvim_main.htm
 
4
The firm conducted the telephone survey five days a week, at different hours and on different days. For the purpose of controlling and extracting the sample, the names of respondents who were not interviewed were recorded on a special list that controlled repeated trials (up to four repetitions per household) on different days and hours. In other cases repeated trials were conducted at specific dates determined in accordance with the interviewees. In addition, the firm conducted a persuasion conversation with those who refused to participate in the survey
 
5
With respect to the other HIAM categories, no significant differences were found between OHS users and non-users.
 
6
With respect to the other barrier category items, no significant difference was found between OHS users and non-users.
 
7
The explanatory variables which relate to the extent of use of HMO websites to obtain administrative information, are different from the explanatory variables which relate to the extent of use of HMO websites for doctor consultation and medical information on the web. For example : the extent of fear of technical difficulties in online use and the HMO advertisements in the media on online use are relevant to the use of HMO websites to obtain administrative information, but are less relevant for searching medical information on the web.
 
8
The results are not shown in a table.
 
9
See Table 6 in Appendix 2
 
10
The majority of HMO sites are available in Hebrew with limited information in English. Most of the sites are not available in Arabic, or Russian.
 
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Metadata
Title
Factors affecting compliance with use of online healthcare services among adults in Israel
Authors
Shosh Shahrabani
Yonathan Mizrachi
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Israel Journal of Health Policy Research / Issue 1/2016
Electronic ISSN: 2045-4015
DOI
https://doi.org/10.1186/s13584-016-0073-8

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