在初级保健中调查患者在线预约的使用和经验:混合方法研究
Helen Atherton1, Abi Eccles2, Leon Poltawski3
1Primary Care Research Centre, School of Primary Care, Population Science, and Medical Education, University of Southampton, Southampton, United Kingdom.
Journal of medical Internet research
|July 8, 2024
概括
在一般实践中,在线预约受患者因素的影响,例如长期病情和剥夺状态. 老年患者和贫困地区的患者可能面临挑战,突出了包容性数字健康战略的必要性.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康数字健康
- 一般的做法一般的做法
背景情况:
- 关于在医疗保健中在线预约的证据有限.
- 潜在的好处包括方便性,但对于某些患者群体存在挑战.
- 了解英格兰患者的使用和经验至关重要.
研究的目的:
- 描述与在线预约预订在一般实践中使用相关的患者特征.
- 为了比较患者的人口统计数据和他们对在线预订的参与.
- 调查患者对当前在线预约系统的看法.
主要方法:
- 混合方法研究结合了回顾性分析的全科医院患者调查 (GPPS) (2018-2019) 和半结构面试.
- 追溯分析使用大规模调查数据的混合效应物流回归.
- 与有目的地采样的患者进行半结构面试,探索经验和感知.
主要成果:
- 分析了超过130万名GPPS受访者;进行了43次采访.
- 对于在线预订的认识 (45.11%) 和使用 (15.61%) 根据年龄,贫困和长期状况有很大差异.
- 老年患者 (>75) 和贫困地区的患者表现出较低的意识和使用率; 患有长期疾病的患者更有可能使用它.
结论:
- 患者对在线预约的参与受注册诊所,长期病情和社会经济贫困的影响.
- 这些因素必须考虑在线预订系统的有效设计和实施.
- 这些发现对更广泛的患者参与数字通用诊所服务有影响.
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