1. Patient Engagement and Health Information Technology Angela Coulter and Ben Mearns

2. Applications of E-health Technologies Self-care advice and routine transactions Self-management of long-term conditions Enabling people to remain at home

3. Implementation Challenges Policy support for e-health technologies Availability of relevant technologies Evidence of beneficial effects Patients willing to use them Clinicians willing to use them

4. Internet Activities by Age Group, UK 2013

5. Access to Primary Care 25% of GP patients reported problems booking appointments by phone Only 6% booked appointments online Only 10% ordered prescriptions online Only 0.5% accessed their medical record online 12% of GP consultations carried out by phone 10% of those who cannot get a convenient GP appointment go to A&E departments

6. Clinicians’ Concerns

7. Finding Reliable Information Policy  Availability  Evidence  Patients  Clinicians  Policy  Availability  Evidence  Patients  Clinicians 

8. Multi-Channel Access Policy  Availability  Evidence  Patients  Clinicians 

9. Access to Medical Records % general practices offering record access in 2014 = 32% % general practices offering record access in 2015 = 97% Policy  Availability  Evidence  Patients  Clinicians 

10. Online Feedback Policy  Availability  Evidence  Patients  Clinicians 

11. Patient Decision Aids Policy  Availability  Evidence  Patients  Clinicians 

12. Technologies for Personalised Care Planning Policy  Availability  Evidence  Patients  Clinicians 

13. Health Coaching for Self-Management Policy  Availability  Evidence  Patients  Clinicians 

14. Remote Monitoring Policy  Availability  Evidence  Patients  Clinicians 

15. Policy Gaps Shared decision making Health coaching

16. Technology Gaps Involving users in design, testing and implementation Telephone consultation systems Patient decision aids incorporated into EMRs IT systems to record patients’ self-management goals Self-management support

17. Evidence gaps Measuring outcomes that matter Effects of health information Multi-channel access to primary care – impact on demand Record access – patient use and impact Feedback for quality improvement Implementation of shared decision making Effects of personalised care planning Effects of health coaching Effects of telehealth

18. Promoting Use by Patients Multi-channel access to primary care Access to medical records

19. Promoting Use by Clinicians Signposting health information to patients Supporting multi-channel access to primary care Patient access to medical records Responding to patient feedback Patient decision aids Personalised care planning Health coaching Telehealth Support for innovation