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与对远程皮肤病学的兴趣相关的患者因素:横截面调查
Maham Ghani1, Colin Adler2, Howa Yeung2,3
1City University of New York School of Medicine, City University of New York, New york, NY, United States.
JMIR dermatology
|August 25, 2023
概括
远程皮肤病学兴趣与年龄较小,收入较高和互联网接入有关,而不是性别或种族. 解决诸如信任之类的数字沟因素是公平获得在线皮肤病护理的关键.
科学领域:
- 皮肤病学 皮肤病学
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 远程皮肤病学提供了远程患者-皮肤病学家沟通,潜在地改善了皮肤病学护理的获取.
- 然而,缺乏服务的人群对远程皮肤病学的兴趣,他们可能面临技术障碍,仍然不清楚.
研究的目的:
- 调查人口特征与患者对远程皮肤病学的兴趣之间的关联.
- 具体来说,了解人们对与医疗保健提供者电子交换皮肤病变的数字图像或视频的兴趣.
主要方法:
- 利用了国家癌症研究所的健康信息国家趋势调查 (HINTS) 4周期4 (2014) 的数据.
- 分析了3447名参与者的回答,他们对电子交换皮肤病变图像感兴趣.
- 采用多变量逻辑回归,对共变量进行调整,对结果二分化进行敏感性分析.
主要成果:
- 26.2%的受访者对远程皮肤病学表示高度兴趣 ("非常感兴趣").
- 更高的兴趣与年龄较小,高等教育,收入增加,互联网使用,移动设备所有权,先前的电子健康信息交换以及对基于网络的癌症信息的信任有关.
- 没有发现与性别,种族/族裔,保险状况或定期提供者有任何显著的关联.
结论:
- 影响远程皮肤学采用的因素包括信任,以前的经验和健康应用程序的使用.
- 实施策略必须解决数字沟,包括信任和经验,以确保不同人群平等获得远程皮肤病学服务.
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