在怀孕的有色人种中,尊重患者-提供者沟通和患者门户的使用
Amy H Goh1, Christopher Lee2, Chisolum Nkenke3
1Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Health equity
|July 11, 2025
概括
患者门户网站的使用对孕妇有色人种 (POC) 的沟通质量产生影响. 数字健康素养 (DHL) 起着关键作用,特别是对于那些有公共保险的人来说. 解决数字沟至关重要.
科学领域:
- 卫生公平研究 卫生公平研究
- 数字健康差异数字健康差异
- 孕产妇的健康结果
背景情况:
- 患者-提供者沟通 (PPC) 越来越多地通过在线患者门户网站进行调解.
- 门户使用的变化可能会加剧孕妇有色人种 (POC) 的沟通不平等.
- 数字沟可能会扩大现有的健康差距.
研究的目的:
- 检查尊重PPC,患者门户网站使用和孕妇POC的数字健康素养 (DHL) 之间的关系.
- 了解DHL如何调节门户使用与PPC之间的关联.
主要方法:
- 采用了多方法横截面调查设计.
- 顺序后勤回归分析了PPC和门户使用之间的关系,控制共变量.
- 通过使用数字卫生识字仪器 (DHLI) 测试了DHL对门户使用-PPC关联的缓解效应.
主要成果:
- 没有使用患者门户的孕妇POC报告高质量的PPC的几率明显较低 (OR = 0.32,p = 0.02).
- 与私人保险相比,公共保险与高质量的PPC的几率较低有关 (OR = 0.38,p = 0.04).
- DHL调节了PPC和门户使用之间的关联,更高的DHL与门户用户中更好的PPC相关 (aOR = 2.36,p = 0.02).
结论:
- 患者门户网站使用中的数字沟影响了孕妇POC的沟通公平.
- 保险类型,DHL和健康的社会决定因素是解决这些差异时需要考虑的关键因素.
- 需要进一步的研究来支持门户非用户,并减轻不平等.
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