%0期刊文章%@ 2292-9495 %I JMIR出版物%V 10%卡塔尔世界杯8强波胆分析 N %P e40105% T电子健康素养和患者门户的使用和态度:横断面观察研究%A Deshpande,Nikita %A Arora,Vineet M %A Vollbrecht,Hanna %A Meltzer,David O %A Press,Valerie %+内科科，芝加哥大学医学系，MC 2007，美国伊利诺伊州芝加哥市马里兰州大道5841号B224室，邮编60637,1 773 702 5170，vpress@bsd.uchicago.edu %K健康素养%K患者门户%K COVID-19 %K健康技术%K住院患者%K数字健康素养%K意识%K使用%K参与%K态度%K住院患者%K访问%K可访问性%K感知%K医疗服务%D 2023 %7 27.1.2023 %9原始论文%J JMIR Hum因素%G英语%X背景:在整个COVID-19大流行期间，患者门户已成为更广泛使用的患者护理提供工具。然而，并不是所有的个人都有同等的权限或能力来使用患者门户。目的:本研究的目的是评估住院患者的电子健康素养(eHL)与患者门户网站意识、使用和态度之间的关系。方法:住院患者完成患者门静脉调查;评估eHL(电子健康素养量表)。经年龄、自述种族、性别和教育程度调整后的多变量logistic回归分析完成，P<.006为显著性(Bonferroni调整)。结果:在274名参与者中，大多数被认为是黑人(n= 166,61%)和女性(n= 140,51%)，平均年龄为56.5岁(标准差为16.7岁)，178名(65%)报告有大学或更高学历。 One-quarter (n=79, 28%) had low eHL (mean 27, SD 9.5), which was associated with lower odds of portal access awareness (odds ratio 0.11, 95% CI 0.05-0.23; P<.001), having ever used portals (odds ratio 0.19, 95% CI 0.10-0.36; P<.001), less perceived usefulness of portals (odds ratio 0.20, 95% CI 0.10-0.38; P=.001), and lower likelihood of planning to use portals in the coming years (odds ratio 0.12, 95% CI 0.06-0.25; P<.001). As time through the COVID-19 pandemic passed, there was a trend toward increased perceived usefulness of patient portals (53% vs 62%, P=.08), but average eHL did not increase through time (P=.81). Conclusions: Low eHL was associated with less awareness, use, and perceived usefulness of portals. Perceived usefulness of portals likely increased through the COVID-19 pandemic, but patients’ eHL did not. Interventions tailored for patients with low eHL could ensure greater equity in health care delivery through the COVID-19 pandemic. %M 36705947 %R 10.2196/40105 %U https://humanfactors.www.mybigtv.com/2023/1/e40105 %U https://doi.org/10.2196/40105 %U http://www.ncbi.nlm.nih.gov/pubmed/36705947