荷兰背景下不同社会经济群体在电子健康获取,使用和感知益处方面的差异:二级跨部门研究
Lucille Standaar1,2,3, Lilian van Tuyl2, Anita Suijkerbuijk1
1Department of Population Health and Health Services Research, Centre for Public Health, Healthcare and Society, National Institute for Public Health and the Environment, Bilthoven, Netherlands.
JMIR formative research
|January 8, 2025
概括
具有较低社会经济地位 (SEP) 的个人在访问和使用数字医疗保健 (eHealth) 中遇到重大障碍. 解决这些差异对于公平的健康结果至关重要.
科学领域:
- 数字健康 公平数字健康
- 医疗保健中的社会经济差异
- 电子健康的采用和访问
背景情况:
- 人们越来越担心数字医疗保健 (eHealth) 可能会加剧现有的健康差距.
- 数字沟的特点是数字技术的使用和获取不平等,它对社会经济群体的影响不同.
- 现有的研究表明,社会经济地位较低的个人 (SEP) 中电子健康使用率较低.
研究的目的:
- 在荷兰成年人口中调查SEP和电子健康的访问,使用和感知到的好处之间的关联.
- 评估电子卫生在教育,收入和社区社会经济地位的获取,使用和感知效益方面的差异.
主要方法:
- 尼维尔荷兰医疗保健消费者小组数据的二次分析 (n=849).
- 检查了电子健康的访问,使用和感知到的好处,包括一般的电子健康,网站,应用程序和可穿戴设备.
- 根据教育,收入和社区社会经济地位,根据9个SEP人口分层结果;使用后勤回归.
主要成果:
- 证实了SEP和eHealth之间的重要关联;较低SEP的受访者访问 (OR 5.72) 和使用 (OR 4.96) 较少.
- 在电子卫生获取和使用方面的差异在根据教育水平分层时最为明显.
- 社会经济地位指标对电子健康的访问和使用产生了不同的影响,表明它们不能互换.
结论:
- 在电子健康的获取和使用方面存在明显的社会经济梯度.
- 调查结果强调需要有针对性的活动和政策,以改善低SEP群体的eHealth可访问性和使用性.
- 缓解这些差异对于减少不同社会经济群体之间的健康不平等至关重要.
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