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?