患者对电子访问的看法:对老年人的定性研究,以告知卫生系统实施情况
Timothy J Judson1, Meera Subash2, James D Harrison1
1Department of Medicine, University of California San Francisco, San Francisco, CA, United States.
JMIR aging
|May 26, 2023
概括
老年人接受电子访问 (e-visits),但更喜欢实时沟通. 了解患者的感知是改善电子访问实施和减少健康差异的关键.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
背景情况:
- 电子访问 (e-visits) 是可计费的,异步的患者发起的消息,需要提供者做出医疗决策.
- 不平等地使用电子访问可能会加剧健康差异.
- 对老年人对电子访问的看法缺乏定性评估.
研究的目的:
- 探索患者对电子访问的看法.
- 识别对电子访问使用的感知实用性和障碍.
- 了解对护理的影响,重点关注弱势群体.
主要方法:
- 使用深入结构化的个人访谈进行定性研究.
- 采访评估了电子访问与其他沟通方法的知识和看法.
- 用内容分析来分析采访数据.
主要成果:
- 对65岁以上的成年人进行了20次采访.
- 参与者普遍接受电子访问,但更喜欢同步通信 (近三分之二).
- 担忧包括"e-visit"名称,适当的用例和技术访问;财务障碍是不常见的.
结论:
- 老年人对电子访问很开心,但可能更喜欢同步沟通.
- 实施策略应考虑沟通偏好和技术舒适性.
- 有机会加强电子访问的采用和公平的访问.
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