杜天杰，周玉萌，程绮茹，张维斌，张浩泽，邱亮，薛一智，郝郝，马晓晨，郝西尔维雅，郝天，郝军，唐伟明PY - 2022 DA - 2022/12/23 TI -中国农村远程医疗服务采用和使用的影响因素:混合方法研究背景:中国农村医疗资源的短缺反映了资源有限环境下的卫生不公平，而远程医疗可以提供机会来填补这一空白。然而，患者接受来自低收入和中等收入国家的远程医疗服务的证据仍然缺乏。目的:了解中国农村地区远程医疗终端用户的使用情况，确定影响远程医疗服务使用的因素。方法:我们的研究采用混合方法，采用定量横断面调查和深度半结构化访谈来描述中国广东省农村居民的远程医疗使用及其相关因素。在定量分析中，解释变量包括环境和背景因素、家庭层面因素、个人社会人口因素、获得数字医疗保健以及健康需求和需求因素。我们使用Firth逻辑回归进行了单变量和多变量分析，以检验远程医疗摄取的相关性。在社会认知理论的指导下，采用主题方法进行定性分析。结果:共招募2101户家庭进行定量调查。调查对象平均年龄为61.4岁(SD 14.41)，男性占比大于70%(1364/2101,72.94%)。 Less than 1% (14/2101, 0.67%) of the respondents reported experience of using telemedicine. The quantitative results supported that villagers living with family members who had a fever in the past 2 weeks (adjusted odds ratio 6.96, 95% CI 2.20-21.98; P=.001) or having smartphones or computers (adjusted odds ratio 3.71, 95% CI 0.64-21.32; P=.14) had marginally higher telemedicine uptake, whereas the qualitative results endorse these findings. The results of qualitative interviews (n=27) also supplemented the potential barriers to telemedicine use from the lack of knowledge, trust, demand, low self-efficacy, and sufficient physical and social support. Conclusions: This study found extremely low use of telemedicine in rural China and identified potential factors affecting telemedicine uptake. The main barriers to telemedicine adoption among rural residents were found, including lack of knowledge, trust, demand as well as low self-efficacy, and insufficient physical and social support. Our study also suggests strategies to facilitate telemedicine engagement in low-resource settings: improving digital literacy and self-efficacy, building trust, and strengthening telemedicine infrastructure support. SN - 2369-2960 UR - https://publichealth.www.mybigtv.com/2022/12/e40771 UR - https://doi.org/10.2196/40771 UR - http://www.ncbi.nlm.nih.gov/pubmed/36563026 DO - 10.2196/40771 ID - info:doi/10.2196/40771 ER -