@Article{info:doi/10.2196/10531,作者=“曹,Bolin和Zhao, Peipei和Bien-Gund, Cedric和Tang, Weiming和Ong, Jason J和Fitzpatrick, Thomas和Tucker, Joseph D和Luo, Zhenzhou”,标题=“网络医生准备见你了:《中国医师使用移动医疗App评估性传播疾病患者的全国横断面调查》,期刊=“JMIR Mhealth Uhealth”,年=“2018”,月=“10”,日=“30”,卷=“6”,号=“10”,页=“e10531”,关键词=“STD;医生;手机应用程序;中国;移动电话;背景:基于网络的医疗服务提供越来越普遍。然而,目前尚不清楚医生如何应对这一趋势,以及网络和线下医疗服务如何联系起来。目的:本研究的目的是调查医生使用移动医疗应用程序进行性传播疾病(STD)咨询的情况,并确定经常使用移动医疗应用程序评估STD患者的医生。方法:2017年8月,我们在中国移动医疗应用程序上注册的医生中进行了全国性的横断面调查。我们收集了医生的人口统计信息、机构信息和基于网络的医疗实践数据。 We compared physicians who used mobile medical apps to evaluate patients with STD frequently (at least once a week) with infrequent users. Bivariate and multivariate logistic regressions were used to identify physicians who frequently evaluated patients with STD on mobile medical apps. Results: A total of 501 physicians participated in the survey. Among them, three-quarters were men and the average age was 37.6 (SD 8.2) years. Nearly all physicians (492/501, 98.2{\%}) recommended their last Web-based patient with STD to subsequently see a physician in the clinic. More than half (275/501, 54.9{\%}) of physicians recommended STD testing to Web-based patients, and 43.9{\%} (220/501) provided treatment advice to patients with STD. Of all physicians, 21.6{\%} (108/501) used mobile medical apps to evaluate patients with STD through Web more than once a week. Overall, 85.2{\%} (427/501) physicians conducted follow-up consultation for patients with STD using mobile medical apps. Physicians working at institutions with STD prevention materials were associated with frequent evaluation of patients with STD on mobile medical apps (adjusted odds ratio=2.10, 95{\%} CI 1.18-3.74). Conclusions: Physicians use mobile medical apps to provide a range of services, including Web-based pre- and posttreatment consultations and linkage to offline clinical services. The high rates of referral to clinics suggest that mobile medical apps are used to promote clinic-seeking, and not replace it. Physicians' use of mobile medical apps could benefit sexual minorities and others who avoid formal clinic-based services. ", issn="2291-5222", doi="10.2196/10531", url="http://mhealth.www.mybigtv.com/2018/10/e10531/", url="https://doi.org/10.2196/10531", url="http://www.ncbi.nlm.nih.gov/pubmed/30377148" }
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