E- health

4 important questions on E- health

What is the answer to needed innovation in global health care?

World Health Organization (WHO):

The World Health Assembly in 2018 acknowledged the potential of digital technologies to play a major role in improving public health, where delegates agreed on a resolution on digital health. The resolution urges Member States to prioritize the development and greater use of digital technologies in health as a means of promoting Universal Health Coverage and advancing the Sustainable Development Goals

What are the barriers for effectiveness?

  • Lack of stakeholder support
  • Cultural, organizational and psychological factors
  • Legal issues
  • Lack of standardization between systems/providers
  • Lack of evidence on (cost-) effectiveness: no uptake by health insurance companies
  • Lack of motivation and ability to use technology
  • Low reach
  • Non-adherence

What is the law of attrition

In any eHealth trial, a substantial proportion of users drop out before completion or stop using the app
  • Dropout attrition
  • Nonusage attrition: ‘Low engagement’


People with higher education, higher literacy and higher social status use the app more
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What are the factors determining the level of attrition?

  • Reversed diffusion of innovation factors
  • Expectation management
  • Reminders
  • Demographics

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