Wild West eHealth: Time to hold our horses?

Jeroen Ruwaard, Robin Niels Kok

Publikation: Bidrag til tidsskriftTidsskriftartikelFormidling

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Abstrakt

In reviews of the eMental health field, the Netherlands are often hailed as a forerunner nation. All that glitters, however, may not be gold. Dutch eMental health upscaling efforts are currently characterized by one of the most dubious mottos of the old Wild West, ‘Shoot first, ask questions later’. Pressed into action by financial incentives from health insurance companies, mental health organisations hastily implement untested e-health interventions on an increasing scale. On introduction, the efficacy and cost-effectiveness of these interventions is simply asserted or assumed. Efficacy trials start after implementation, if ever at all. Arguments do exist for this disconcerting twist in the preferred order of things, but we argue that these do not hold up to closer scrutiny. Large-scale dissemination of unvalidated e-health may kick-start a quality-sacrificing, cost-driven downward spiral in mental health care. It is time to hold our horses.
OriginalsprogEngelsk
TidsskriftThe European Health Psychologist
Vol/bind17
Udgave nummer1
Sider (fra-til)45-49
ISSN2225-6962
StatusUdgivet - 2015
Udgivet eksterntJa

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