@Article{信息:doi 10.2196 / /移动医疗。9990，作者=“Somers, Camilla and Grieve, Eleanor and Lennon, Marilyn and Bouamrane, Matt-Mouley and maair, Frances S and McIntosh, Emma”，标题=“评估移动健康:一个国家数字健康计划的开放式条件评估调查”，期刊=“JMIR移动健康Uhealth”，年=“2019”，月=“Jan”，日=“17”，卷=“7”，数=“1”，页=“e3”，关键词=“移动健康;公共卫生;提供保健服务;公共卫生系统研究”，摘要=“背景:不断变化的人口统计数据和技术发展导致人们对面向消费者的数字健康的潜力越来越感兴趣。在英国，一项耗资3700万英镑(4900万美元)、提供大规模辅助生活方式的国家数字健康计划(达拉斯)旨在大规模部署此类技术。然而，人们对消费者如何评价这种数字健康机会知之甚少。目的:本研究探讨了消费者对数字医疗技术，特别是移动医疗(mHealth)的潜在价值的看法，通过检查他们对此类健康解决方案的支付意愿(WTP)来促进健康。方法:一项条件评估研究涉及一项英国范围内的调查，要求参与者报告开放式的绝对和边际WTP或愿意接受一个假设的移动健康应用程序“健康连接”的收益或损失。结果:调查了英国代表性队列(n=1697)和达拉斯(达拉斯干预社区代表)队列(n=305)。 Positive absolute and marginal WTP valuations of the app were identified across both cohorts (absolute WTP: UK-representative cohort {\textsterling}196 or US {\$}258 and dallas-like cohort {\textsterling}162 or US {\$}214; marginal WTP: UK-representative cohort {\textsterling}160 or US {\$}211 and dallas-like cohort {\textsterling}151 or US {\$}199). Among both cohorts, there was a high prevalence of zeros for both the absolute WTP (UK-representative cohort: 467/1697, 27.52{\%} and dallas-like cohort: 95/305, 31.15{\%}) and marginal WTP (UK-representative cohort: 487/1697, 28.70{\%} and dallas-like cohort: 99/305, 32.5{\%}). In both cohorts, better general health, previous amount spent on health apps (UK-representative cohort 0.64, 95{\%} CI 0.27 to 1.01; dallas-like cohort: 1.27, 95{\%} CI 0.32 to 2.23), and age had a significant (P>.00) association with WTP (UK-representative cohort: −0.1, 95{\%} CI −0.02 to −0.01; dallas-like cohort: −0.02, 95{\%} CI −0.03 to −0.01), with younger participants willing to pay more for the app. In the UK-representative cohort, as expected, higher WTP was positively associated with income up to {\textsterling}30,000 or US {\$}39,642 (0.21, 95{\%} CI 0.14 to 0.4) and increased spending on existing phone and internet services (0.52, 95{\%} CI 0.30 to 0.74). The amount spent on existing health apps was shown to be a positive indicator of WTP across cohorts, although the effect was marginal (UK-representative cohort 0.01, 95{\%} CI 0.01 to 0.01; dallas-like cohort 0.01, 95{\%} CI 0.01 to 0.02). Conclusions: This study demonstrates that consumers value mHealth solutions that promote well-being, social connectivity, and health care control, but it is not universally embraced. For mHealth to achieve its potential, apps need to be tailored to user accessibility and health needs, and more understanding of what hinders frequent users of digital technologies and those with long-term conditions is required. This novel application of WTP in a digital health context demonstrates an economic argument for investing in upskilling the population to promote access and expedite uptake and utilization of such digital health and well-being apps. ", issn="2291-5222", doi="10.2196/mhealth.9990", url="http://mhealth.www.mybigtv.com/2019/1/e3/", url="https://doi.org/10.2196/mhealth.9990", url="http://www.ncbi.nlm.nih.gov/pubmed/30664488" }