参与并告知患者:在社区卫生中心使用健康信息技术
Seongwon Choi1, Thomas Powers2
1Department of Management, California State University Los Angeles, College of Business and Economics, 5154 University Dr, Los Angeles, CA 90032, USA.
International journal of medical informatics
|July 26, 2023
概括
社区卫生中心 (CHC) 拥有更多弱势患者,使用不太全面的患者参与健康信息技术 (HIT). 这限制了患者的信息和参与,可能会扩大健康差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 通过健康信息技术 (HIT) 参与患者参与,对于现代医疗保健提供至关重要.
- 社区卫生中心 (CHCs) 服务于各种患者群体,包括那些处于社会经济不利地位的人.
- 对患者参与的HIT的全面性可能因CHC患者人口统计学而异.
研究的目的:
- 检查CHC患者组合和患者参与HIT的全面性之间的关系.
- 确定患者的社会经济特征是否会影响采用先进的患者参与HIT.
主要方法:
- 分析了2016年至2018年的3,592个CHC年数据.
- 测量患者参与度 HIT综合性,使用评估患者参与度和信息的框架.
- 应用单变量和多变量有序逻辑回归来分析关系.
主要成果:
- 确定了四个患者参与HIT全面性的水平:既不参与也不通知,主要通知,主要参与,并参与和通知.
- 服务于具有不利社会经济特征的患者比例较高的CHC不太可能采用全面的患者参与HIT.
- 在较高比例的具有不利社会人口统计背景的患者和患者参与HIT的全面性之间发现了负相关性.
结论:
- 在CHC之间,患者参与HIT使用存在显著差异.
- 患者群体的社会经济因素与CHC患者参与HIT的全面性有负面关联.
- 调查结果表明,基于患者的社会经济地位,数字健康工具的采用可能存在差异.
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