通过"数字化便利化"探索如何支持患者在英格兰的初级保健中使用在线服务:调查研究
Rachel Winder1, John L Campbell1, Nurunnahar Akter1,2
1University of Exeter Medical School, University of Exeter, Exeter, United Kingdom.
Journal of medical Internet research
|August 7, 2024
概括
一般诊所提供有限的数字化促进支持,许多患者不知道可用的资源. 需要有针对性的支持,特别是对于老年人来说,以改善在线初级保健服务的获取.
科学领域:
- 数字健康数字健康
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对数字初级保健服务的不断增长的投资需要了解患者的访问.
- 有关所有患者平等获得在线初级保健的担忧存在.
- 数字化便利化旨在支持患者使用在线初级保健服务.
研究的目的:
- 对实践人员进行数字化便利化提供调查.
- 探索患者在数字化便利化支持方面的经验.
- 识别数字初级保健普及的障碍和促进因素.
主要方法:
- 对英格兰关于数字化促进的500个一般实践的调查.
- 对62家全科医院的12822名患者进行了调查,以了解他们的支持经历.
- 分析实践报告的便利化模式和患者意识/获得支持的情况.
主要成果:
- 大多数实践都使用了被动的数字化促进;积极的支持很少见.
- 超过90%的实践提供了临时支持.
- 只有13.36%的患者报告说他们获得了使用在线服务的支持,老年患者不太可能意识到或使用它.
- 少数民族和非母语英语使用者表现出与意识和使用数字化便利的积极关联.
结论:
- 实践承认数字化便利化的好处,但主要提供被动或临时支持.
- 观察到患者对数字化便利化工作的认识很低.
- 增强和有针对性的支持,特别是对老年患者,对于增加对在线初级保健的参与至关重要.
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