%0期刊文章%@ 2291-5222 %I JMIR出版物%V 7% 卡塔尔世界杯8强波胆分析N 1% P e3 %T评估移动医疗:国家数字健康计划的开放式或有价值评估调查% a Somers,Camilla % a Grieve,Eleanor % a Lennon,Marilyn % a Bouamrane,Matt-Mouley % a Mair,Frances S % a McIntosh,Emma %+全科和初级保健，格拉斯哥大学，1 horselthill路，格拉斯哥，G12 9LX，英国，44 1413308317，Frances.Mair@glasgow.ac.uk %K移动卫生%K公共卫生%K医疗保健交付%K公共卫生系统研究%D 2019 %7 17.01.2019 %9原始论文%J JMIR移动卫生Uhealth %G英文%X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)的国家数字健康计划大规模提供辅助生活方式(dallas)，旨在大规模部署此类技术。然而，目前尚不清楚消费者如何看待这种数字医疗机会。目的:本研究探讨了消费者对数字健康技术，特别是移动健康(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)来促进福祉。方法:一项条件估值研究，涉及英国范围内的一项调查，要求参与者报告对一个假设的移动健康应用程序“健康连接”的收益或损失的开放式绝对和边际WTP或接受意愿。结果:调查了一个英国代表性队列(n=1697)和一个类似达拉斯(达拉斯干预社区的代表)队列(n=305)。在两个队列中，应用程序的绝对和边际WTP估值均为正(绝对WTP:英国代表队列为196英镑或258美元，达拉斯样队列为162英镑或214美元;边际WTP:英国代表性队列160英镑或211美元，达拉斯类队列151英镑或199美元)。 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 £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. %M 30664488 %R 10.2196/mhealth.9990 %U http://mhealth.www.mybigtv.com/2019/1/e3/ %U https://doi.org/10.2196/mhealth.9990 %U http://www.ncbi.nlm.nih.gov/pubmed/30664488