• Accessibility and Acceptability of Digital Healthcare Services among People Living in Southwestern Nigeria

      Okeke, Emeka Benjamin; Hessel, Franz; Ibisola, Babalola Adeniyi; Odunola, Modupe (Walter de Gruyter GmbH, 2021-09-20)
      Abstract Background: The advent of digital healthcare services has become paramount in the world we live in today. Digital healthcare involves the use of information and communication technologies in addressing the medical problems and health-related challenges faced by people seeking medical treatment. This study assesses the impact of digital healthcare among technologically literate people in Southwestern Nigeria (SWN) and seeks to understand its accessibility and acceptability among them. Methods: The study was a cross-sectional study. Our study data was obtained through an online questionnaire survey of 427 individuals (aged ≥15 years) living in SWN. The data were analyzed using the SPSS version 25 software. Results: The study found that roughly half of the respondents (52.0%) have heard about digital healthcare while only 44.0% have accessed it. Over seven-tenth (76.3%) of the respondents considered digital healthcare to be an acceptable form of receiving healthcare while 64.4% were willing to pay for it. Age (X2=7.702, p-value = 0.021), occupation (X2=20.685, p-value = 0.004) and awareness about digital healthcare (X2=55.507, p-value = 0.001) were significantly associated with accessibility of digital healthcare. Conclusion: The findings obtained from this study showed that awareness of digital healthcare was high among people in SWN; however, its accessibility was low. Also, digital healthcare was highly acceptable amongst them and they were willing to pay for such service.
    • The impact of factor infusion frequency on health-related quality of life in people with haemophilia

      Pedra, Gabriel; orcid: 0000-0002-2023-5224; Christoffersen, Pia; orcid: 0000-0002-9584-8922; Khair, Kate; orcid: 0000-0003-2001-5958; Lee, Xin Ying; orcid: 0000-0002-1102-3756; O’Hara, Sonia; orcid: 0000-0002-9119-8336; O’Hara, Jamie; orcid: 0000-0001-8262-034X; Pasi, John; orcid: 0000-0003-3394-2099 (Walter de Gruyter GmbH, 2020-08-15)
      Abstract Background Some studies suggest that people with haemophilia (PwH) who use prophylaxis value low frequency of clotting factor administration more than a lower risk of bleeding. However, more frequent infusions offer the potential of reducing joint disease and pain, which in turn may improve functioning and quality of life. Aims To explore the impact on health-related quality of life (HRQoL) aspects of haemophilia associated with adherence and annual infusion rate in the context of factors influencing treatment that are important to patients, including prophylaxis, chronic pain, concomitant conditions and hospital admission. Materials and methods HRQoL was assessed in participants with severe haemophilia in the ‘Cost of Haemophilia in Europe: a Socioeconomic Survey’ (CHESS) study who were using prophylaxis. Patients using on-demand treatment were excluded. This multivariate analysis examined the interaction between factors potentially influencing treatment and HRQoL, and minor and major bleeds. Results From the total CHESS population (n=1,285), 338 (26%) participants provided responses for major and minor bleeds and target joints, and 145 (11%) provided EQ-5D-3L responses. Major and minor bleeds were associated with pain. Patients with severe chronic pain reported a substantial negative impact on HRQoL; but this was significantly improved by increases in the annual infusion rate. This was not apparent in participants with mild or moderate pain. Conclusion Increasing the frequency of prophylaxis infusions is associated with improved quality of life in PwH who have severe chronic pain. However, increasing the number of infusions per week in those with mild or moderate chronic pain with the intention of improving prophylactic effect may not have the same effect.