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The Value of Patient Education Kiosks

The Value of Patient Education Kiosks. Jackie A. Smith, Ph.D. April 12, 2000. Introduction Use of Kiosks + and - Findings Kiosk in learning centers. Kiosk providers Format options Costs Research, evaluation Future directions . Presentation Topics. What is Kiosk? . Types.

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The Value of Patient Education Kiosks

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  1. The Value of Patient Education Kiosks Jackie A. Smith, Ph.D. April 12, 2000

  2. Introduction Use of Kiosks + and - Findings Kiosk in learning centers Kiosk providers Format options Costs Research, evaluation Future directions Presentation Topics

  3. What is Kiosk?

  4. Types • Advertise product • Dispense information • Exchange information

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

  6. Issue The Web “A Competing Medium”

  7. Issue Technology is changing.

  8. Issue Leaders change

  9. Kiosks in Health Care • Information • Interactive

  10. Direction giving Discussion groups Decision making Referral tools Links to providers Profile the “at risk” Medical reminders Handouts Disease monitoring Self-care Uses

  11. Interactive Programs • CD-based • Interactive videodisk • Shared-decision making • Health risk assessment • Simulations

  12. Interactive Big databases Stores and organizes Fast retrieval Recent info. Patients in control Time efficient Increases satisfaction Increases compliance Better outcomes Advantages

  13. 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 Disadvantages

  14. Findings Patients welcome computers across groups.

  15. Findings Clinic 3

  16. Findings Cost Savings

  17. Review of Literature • Lewis (JAMIA, Jul/Aug 1999) • All computer-based approaches had positive impact.

  18. Impacts • Knowledge • Clinical outcomes • Self-care • Skill development

  19. Urine collection Sexual history Rheumatoid arthritis Asthma Diabetes Arthritis Medication recall Coronary artery disease Medication knowledge Hyperlipidemia Topics

  20. Kiosks in Patient Learning Centers

  21. Providers • HealthWise • Helios • X-Plain • HealthTouch • HealthVision

  22. Evaluating Software • Validity • Value • Use

  23. Format Networked or Stand-alone computer

  24. Printing Location Simplicity Interface Internet failure Remote monitoring Visual consistency Measuring response Key board Other options Languages Other options ADA compliant Factors

  25. Building a Kiosk • Hardware • Software • Components

  26. 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 Evaluating a System - Morris et. al.

  27. Costs Shared -decision making programs License = $1,000/year Video system = $6,000 to $8,000/year

  28. Costs HUD $16,000/unit

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

  30. Costs • Renting - 2x cost of purchase per month. • Value must be greater than $500/month to be cost effective.

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

  32. 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

  33. Future Directions Information Appliances Questions?

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