在墨尔本的一家性健康诊所评估台式和智能手机计算机辅助自访之间的完成率:一个前后实施研究
Danushi Wijekoon1, Phyu Mon Latt1,2, Christopher K Fairley1,2
1Melbourne Sexual Health Centre, Bayside Health, Melbourne, Vic, Australia. Email: dwijekoon@mshc.org.au, phyumon.latt@monash.edu, Mchen@mshc.org.au, rrahman@mshc.org.au, RFortune@mshc.org.au.
Sexual health
|December 12, 2025
概括
在性健康诊所转向基于智能手机的数字自我报告降低了数据完整性. 这种数字健康工具的过渡可能会影响临床的效率,因为性病史数据收集不完整.
科学领域:
- 数字健康数字健康
- 性健康 性的健康
- 医疗信息学 医疗信息学
背景情况:
- 性健康诊所越来越多地采用数字自我报告工具来披露敏感数据.
- 墨尔本性健康中心在2023年12月从收纳台转向智能手机平台,用于计算机辅助自访 (CASI).
- 这项研究评估了这种转变对性史数据收集的响应完整性的影响.
研究的目的:
- 评估如何用智能手机支持的数字前门平台取代亭系统影响了通过CASI收集的数据的完整性.
- 在系统过渡后,识别与响应完整性的变化相关的因素.
主要方法:
- 采用了前后研究设计,比较了2023年1月至6月的数据 (售卖台) 与2024年1月至6月的数据 (智能手机).
- 分析了来自56 095次符合条件的咨询 (≥16年) 的数据.
- 线性回归用概括估计方程检查完整性和个体特征.
主要成果:
- 问卷的平均完整性从54.0%的问卷亭显著下降到智能手机的36.2% (P < 0.0001).
- 0%完整度的客户比例从45.1%增加到57.4%.
- 智能手机使用与完整性减少15.31个百分点有关,减少的完整性也与年龄较大,非大洋洲出生,土著身份和艾滋病毒状况有关.
结论:
- 转向基于智能手机的CASI导致数据完整性的适度但持续下降.
- 不完整的数据可能会降低诊所的效率,因为需要在咨询期间收集额外的数据.
- 需要进一步的研究来确定用户对数字系统的熟悉是否会随着时间的推移提高响应的完整性.
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