评估初级保健患者的数字健康体验:混合方法研究
Melinda Ada Choy1,2, Kathleen O'Brien1, Katelyn Barnes1,2
1School of Medicine and Psychology, College of Health and Medicine, The Australian National University, Canberra, Australia.
在社会经济上处于劣势的患者面临着数字健康接入的重大障碍,包括成本,信任和数字素养. 解决数字健康差距需要量身定制的干预措施,认识到个体患者的需求.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 初级保健研究研究初级保健研究
背景情况:
- 数字健康差距加剧了社会经济弱势群体现有的健康差异.
- 了解患者对数字健康的体验对于弥合这一差距至关重要.
- 初级保健患者,特别是患有慢性疾病的患者,是研究数字健康访问的关键人口统计数据.
研究的目的:
- 调查患者的体验和数字健康获取障碍.
- 专注于初级保健机构内的数字健康差距.
主要方法:
- 采用了一种探索性的混合方法设计.
- 对19名社会经济弱势和患有慢性疾病的患者进行了定性访谈.
- 对487名澳大利亚全科医院患者进行了一项调查,以量化定性发现.
主要成果:
- 发现的关键障碍包括对人际交互的偏好,信任度低,成本高,互联网接入不佳,生活压力和数字自我效率低.
- 31%的参与者从未使用过数字健康;10.7%是低至中频用户.
- 高频用户表现出更大的兴趣和自我效能,而低频用户则提到可负担性问题.
结论:
- 数字健康接入受到兴趣,成本和识字程度的影响,但数字健康差距涉及复杂的累积障碍.
- 有效的干预措施必须具有多方面的特点,并针对特定的,连续的障碍进行调整.
- 在初级保健中以患者为中心的护理对于通过识别个体患者的需求和障碍来解决数字健康差距至关重要.
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