通过移动医疗应用程序,通报患者和医疗服务提供者参与共同决策
Huan-Ju Shih1, Hong Xue1, Hua Min1
1Department of Health and Human Services, George Mason University, Fairfax City, VA, USA.
Patient preference and adherence
|December 26, 2023
概括
使用移动健康 (mHealth) 应用程序的患有慢性疾病的成年人更有可能与医疗保健提供者接触. 应用程序的采用受到种族和教育等因素的影响,突出了改善患者赋权和共享决策的机会.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 患者参与 患者参与
背景情况:
- 移动健康 (mHealth) 应用程序对于患者提供者参与和创新的医疗保健服务越来越重要.
- 随着COVID-19的流行,mHealth技术的采用加速了,特别是对于患有慢性疾病的人来说.
- 了解影响mHealth应用程序使用的因素对于增强患者赋权和共享决策至关重要.
研究的目的:
- 确定与患者使用mHealth应用程序相关的人口和健康因素.
- 探索长期健康状况的智能手机用户在采用mHealth应用程序时的障碍和促进因素.
- 突出mHealth应用程序升级的机会,以促进患者赋权和共享决策.
主要方法:
- 使用来自健康信息国家趋势调查 (HINTS 5,周期4,2020) 的数据进行横截面研究.
- 分析包括3865名18岁及以上的受访者.
- 用分层分析和加权后勤回归来确定重要因素.
主要成果:
- 在智能手机上使用健康应用程序的人与提供者讨论健康状况的可能性是2.68倍 (p < 0.0001).
- 患有多种慢性健康状况的患者使用mHealth应用程序参与提供者的可能性增加 (OR 1.93,p < 0.01).
- 应用程序使用受到种族,婚姻状况和教育水平的显著影响.
结论:
- 移动健康应用程序对于持续的患者-提供者沟通至关重要,特别是对于那些患有慢性疾病的人来说.
- 不同用户群体在mHealth应用程序使用的差异表明需要包容性设计.
- 开发人员,用户和提供者之间的协作努力可以提高mHealth应用程序的接受度,并促进患者的赋权.
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