An exploratory study of medical outpatients’ use of mobiles and internet in Malta

Abstract

Introduction: Medical services face inexorably rising demand, due to ageing populations, who tend to suffer from chronic diseases. Self-management is advocated to better chronic disease outcomes; mobile technology and Internet are potential channels for improving patient self- care models. It enables targeted patient information and feedback, as well the potential to improve effectiveness via better adherence. The evidence base to date looks promising, but is limited and needs further assessment. Malta has a mobile subscription rate of 117%, with 64.3% of the population being Internet users;70% of households have internet access, rising to 96% of households with children; older persons are least likely to have internet access. Objectives: To assess mobile phone ownership, SMS (short messaging service) and Internet access by patients attending Medical Outpatients in two Health Centres. Methods: Consecutive medical outpatients attending between Oct 2011-Jan 2012 were asked about their mobile phone ownership, SMS usage and Internet access; demographic data including age decile and gender were also noted. Data was completely anonymised. Results: 205 patients were included in this pilot sample, comprising 44.7% men, 55.3% women. The mean ages were 63 years for men and 65 years for women. 77% use a mobile phone, over half use SMSs and just over a third have Internet access at home. There was no gender difference for mobile and SMS usage; Internet usage was somewhat commoner in men, but the numbers were too small to achieve significance. Conclusions: Mobile phone usage is common in this group of medical outpatients, especially in the deciles most likely to suffer from chronic disease. SMS usage is common. Home Internet usage reflects the older patient population - but compares favourably with the national rate of 31.7% to 12.7% quoted for individuals ranging from 55-74 years. Use of these channels is feasible-although this will require a ‘blended’ approach so as to target patients appropriately.