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在瑞士接受远程医疗作为多发性硬化症护理的默认模式:跨部门研究

Sintieh Nchinda Ngek Ekongefeyin^1,2,3, Paola Daniore⁴, Vasileios Nittas³

¹Institute for Implementation Science in Health Care, University of Zurich, Universitatstrasse 84, Zurich, 8006, Switzerland.

JMIR mHealth and uHealth

|January 23, 2026

概括

在瑞士,只有15.5%的多发性硬化症患者会接受远程医疗作为他们默认的护理模式. 接受与先前的数字通信和互联网用于健康信息的使用有关,而不是疾病严重程度.

科学领域:

神经学神经学
医疗保健服务研究医疗服务研究
数字健康数字健康

背景情况:

远程医疗有可能改善多发性硬化症 (MS) 患者获得医疗保健的机会.
关于瑞士MS人口接受远程医疗的数据有限.

研究的目的:

确定远程医疗作为瑞士MS患者默认护理模式的接受率.
确定与这个人群中远程医疗接受相关的因素.

主要方法:

来自瑞士多发性硬化病注册局的调查数据的横截面分析.
将"远程医疗作为默认"定义为远程咨询是主要的交互模式.
使用多变量后勤回归来评估远程医疗接受与患者因素之间的关联,包括数字通信偏好,用于健康搜索的互联网使用,以及先前的远程医疗经验,参考NASS框架.

主要成果:

15.5%的受访者愿意接受远程医疗作为他们的默认服务.
远程医疗的接受与与医疗保健提供者进行先前的数字通信 (aOR 14.56) 和使用互联网进行医疗保健提供者搜索 (aOR 7.78) 有关.
二次进展性MS诊断与远程医疗接受有负相关性 (aOR 0.22).

结论:

在瑞士MS患者中,接受远程医疗作为默认的接受度很低.
诸如现有的数字通信习惯和互联网用于健康信息的使用等因素显著影响接受.
作为默认的远程医疗可能更适合患有较晚疾病阶段的患者和已经使用数字健康工具的患者.

关键词:

验收验收验收慢性疾病管理慢性疾病管理数字健康数字健康多发性硬化症多发性硬化症患者的偏好患者的偏好作为默认的远程医疗服务.远程医疗远程医疗

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