the value of patient education kiosks jackie a. smith, ph.d. april 12, 2000

The Value of Patient Education Kiosks

Jackie A. Smith, Ph.D.

April 12, 2000

Presentation Topics

Introduction Use of Kiosks + and - Findings Kiosk in learning

centers

Kiosk providers Format options Costs Research,

evaluation Future directions

What is Kiosk?

Types

Advertise product Dispense information Exchange information

Design Factors Services provided Goals Functional requirements Filtering needed Target population Location Monitoring

Issue

The Web “A Competing Medium”

Issue

Technology is changing.

Issue

Leaders change

Kiosks in Health Care

Information Interactive

Uses Direction giving Discussion groups Decision making Referral tools Links to providers Profile the “at risk”

Medical reminders Handouts Disease monitoring Self-care

Interactive Programs

CD-based Interactive videodisk Shared-decision making Health risk assessment Simulations

Advantages Interactive Big databases Stores and

organizes Fast retrieval Recent info.

Patients in control Time efficient Increases

satisfaction Increases

compliance Better outcomes

Disadvantages Cognitive domain Expensive Complex Limited use for

some patients Hardware failure Space

Immovable Time required to

teach staff Patients require help Maintenance Hard to evaluate

Findings

Patients welcome computers across groups.

Findings

Clinic 3

Findings

Cost Savings

Review of Literature

Lewis (JAMIA, Jul/Aug 1999) All computer-based approaches had

positive impact.

Impacts

Knowledge Clinical outcomes Self-care Skill development

Topics

Urine collection Sexual history Rheumatoid arthritis Asthma Diabetes Arthritis

Medication recall Coronary artery

disease Medication

knowledge Hyperlipidemia

Kiosks in Patient Learning Centers

Providers HealthWise Helios X-Plain HealthTouch HealthVision

Evaluating Software

Validity Value Use

Format

Networked or Stand-alone computer

Factors Printing Location Simplicity Interface Internet failure Remote monitoring Visual consistency

Measuring response Key board Other options Languages Other options ADA compliant

Building a Kiosk

Hardware Software Components

Evaluating a System - Morris et. al.

Choice of application Quality of application Security Cost/benefit analysis Overall interface Screens Turnaround Accessibility Comfort

Convenience Accessibility Output Standards Enabling evaluation Security Auditing Response

Costs

Shared -decision making programs

License = $1,000/year

Video system = $6,000 to $8,000/year

Costs HUD

$16,000/unit

Costs

If purchase 100 Kiosks, average monthly cost over 5 years is $250/month or $15,000 total.

Costs

Renting - 2x cost of purchase per month.

Value must be greater than $500/month to be cost effective.

Evaluating Use Videotape Verbal Online feedback Personal interviews Focus groups Automatic tracking Manger feedback

Future Directions Long-term outcomes Interaction of culture, etc. Age and learning styles Knowledge acquisition Retention Cost-benefit analysis Consequences of providing information Customized information

Future Directions

Information Appliances

Questions?