Insurance coverage & Whither Thou Goest for health information in 2012.
OBJECTIVE
Examine use of the Internet (eHealth) and mobile health (mHealth) technologies by privately insured, publicly insured (Medicare/Medicaid), or uninsured U.S. adults in 2012.


METHODS
Pew Charitable Trust telephone interviews of a nationally representative, random sample of 3,014 adult U.S. residents, age 18+.


METHODS
Estimate health information seeking behavior overall and by segment (i.e., insurance type), then, adjust estimates for individual traits, clinical need, and technology access using logistic regression.


RESULTS
Most respondents prefer offline to online (Internet) health information sources; over half across all segments use the Internet. More respondents communicate with providers offline compared with online. Most self-reported Internet users use online tools for health information, with privately insured respondents more likely to use new technologies. Unadjusted use rates differ across segments. Medicaid beneficiaries are more likely than the privately insured to share health information online, and Medicare beneficiaries are more likely than the privately insured to text with health professionals. After adjustment, these differences were minimal (e.g., Medicare beneficiaries had odds similar to the privately insured of online physician consultations), or the direction of the association reversed (e.g., Medicaid beneficiaries had greater odds than the privately insured of online physician consultations versus lower odds before adjustment).


CONCLUSIONS
Few adults report eHealth or mHealth use in 2012. Use levels appear unevenly distributed across insurance types, which could be mostly attributed to differences in individual traits and/or need. As out-of-pocket costs of medical care increases, consumers may increasingly turn to these generally free electronic health tools.
Harvard University-Cambridge, Massachusetts.
Loren
L
Saulsberry
Massachusetts General Hospital-Mongan Institute for Health Policy.
Mary
M
Price
Massachusetts General Hospital-Mongan Institute for Health Policy.
John
J
Hsu
D000328:Adult; D004522:Educational Status; D005260:Female; D006801:Humans; D057226:Information Seeking Behavior; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D020407:Internet / Q000706:statistics & numerical data; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data; D008875:Middle Aged; D063731:Mobile Applications / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States
Medicaid; Medicare; eHealth; health insurance; interviews; mHealth; private insurance; surveys; technology