TY -的盟利,西蒙盟——Ashall-Payne Liz AU -安德鲁斯,蒂姆PY - 2020 DA - 2020/7/6 TI -壁垒和主持人之间采用移动健康卫生保健专业人员来自英国:离散选择试验乔- JMIR Mhealth Uhealth SP - e17704六世- 8 - 7 KW -数字医疗KW - Mhealth KW -离散选择KW -偏好KW -手机AB -背景:尽管增加移动健康服务的可用性,临床接触仍然是最小的。目的:本研究旨在确定和衡量英国卫生保健专业人员(HCPs)使用健康应用程序的障碍和驱动因素。方法:2019年3月至2019年6月，通过网络调查对222名HCPs进行离散选择实验。研究人员通过社交媒体招募了参与者，并要求他们在两种假设的健康应用程序中选择自己喜欢的一种，给假设的病人开处方，或者不开处方。选择的特点是患者的年龄、费用、发表的证据基础、是否有国家卫生服务(NHS)的批准印章、个人对技术的熟悉程度以及他们是否被其他HCP推荐。使用混合logit模型对结果进行分析，并使用亚组分析来解释异质性。结果:共收到230份问卷，96.5% (n=222/230)的受访者理解调查任务并通过合理性检验。中位年龄在36至45岁之间，62.6% (n=139/222)的医疗服务提供者之前曾建议患者使用健康应用程序。如果健康应用程序有NHS的批准印章，或者如果它们是由另一个HCP推荐的，那么它们最有可能被开给患者(P< 0.001)。详细说明临床效果的已发表研究很重要(P< 0.001)，但需要五项已发表的研究才能对处方行为产生与NHS批准印章相同的影响，并且需要两项研究才能像亲自使用该技术一样令人信服。 Increasing patient age and costs resulted in significant reductions in digital health prescribing (P<.001), none more so than among allied health professionals. Willingness-to-pay for health apps increased by £124.61 (US $151.14) if an NHS stamp of approval was present and by £29.20 (US $35.42) for each published study. Overall, 8.1% (n=18/222) of respondents were reluctant to use health apps, always choosing the I would prescribe neither option, particularly among older HCPs, nurses, and those who do not use health apps personally. Subgroup analyses revealed significant differences in preferences among HCPs of differing ages and clinical backgrounds. Conclusions: An NHS stamp of approval, published studies, and recommendations from fellow HCPs are significant facilitators of digital prescribing, whereas increasing costs and patient age are significant barriers to engagement. These findings suggest that demonstrating assurances of health apps and supporting both the dissemination and peer-to-peer recommendation of evidence-based technologies are critical if the NHS is to achieve its long-term digital transformation ambitions. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2020/7/e17704 UR - https://doi.org/10.2196/17704 UR - http://www.ncbi.nlm.nih.gov/pubmed/32628118 DO - 10.2196/17704 ID - info:doi/10.2196/17704 ER -