TY - JOUR AU - Deshpande, Nikita AU - Arora, Vineet M AU - Vollbrecht, Hanna AU - Meltzer, David O AU - Press, Valerie PY - 2023 DA - 2023/1/27 TI -电子健康素养和患者门户的使用和态度:横断面观察研究乔- JMIR哼因素SP - e40105六世- 10 KW -健康素质KW -病人门户KW - COVID-19 KW -卫生技术KW -住院病人KW -数字健康素质KW -意识千瓦使用千瓦——订婚KW -态度KW -住院病人KW -访问KW -可访问性KW -感知KW -医疗保健交付AB -背景:纵观COVID-19大流行,病人门户成为病人保健服务的更广泛使用的工具。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。四分之一(n=79, 28%)的eHL较低(平均27,SD 9.5)，这与较低的门户访问意识相关(优势比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. SN - 2292-9495 UR - https://humanfactors.www.mybigtv.com/2023/1/e40105 UR - https://doi.org/10.2196/40105 UR - http://www.ncbi.nlm.nih.gov/pubmed/36705947 DO - 10.2196/40105 ID - info:doi/10.2196/40105 ER -