医疗保健系统对患者参与数字医疗保健的障碍进行查:跨部门调查研究
Jonathan J Shih1, Andersen Yang2,3, Vivian E Kwok1
1School of Medicine, University of California, San Francisco, San Francisco, CA, United States.
JMIR formative research
|February 25, 2026
概括
数字准备性查在美国医疗保健中并未得到广泛采用,特别是对于弱势群体. 缺乏资源和意识是确保公平数字医疗接入的关键障碍.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康 公平
- 医疗保健服务研究 医疗服务研究
背景情况:
- 数字健康工具是现代医疗保健不可或缺的一部分.
- 数字化准备 (访问和识字) 对于患者参与至关重要.
- 数字化准备被认为是一种社会需求,但选实践尚不清楚.
研究的目的:
- 评估美国医疗保健系统中数字准备性查的普遍性.
- 识别与数字准备性选相关的组织因素.
主要方法:
- 美国卫生系统中临床医生/信息学领导者的在线调查 (2024年1月至5月).
- 主要结果:组织对数字准备的选 (是/不是).
- 通过逻辑回归来检查组织特征与选之间的关联.
主要成果:
- 44%的组织进行了数字化准备的选.
- 在为无保险患者服务的系统中,查的可能性较小 (OR 0.32).
- 熟悉数字化包容性政策增加了查可能性 (OR 6.6).
- 障碍包括缺乏访问/实施资源和时间限制.
结论:
- 数字准备性查的采用是有限的,特别是在服务不足的环境中.
- 人们对数字化准备作为社会需求的认识较低,缺乏基础设施阻碍了数字化准备的普及.
- 政策变化和劳动力培训是必要的,以增加查和解决数字排斥问题.
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