@Article{信息:doi 10.2196 / / jmir。1625年，作者=“Green, Beverly B和Anderson, Melissa L和Ralston, James D和Catz, Sheryl和Fishman, Paul A和Cook, Andrea J”，标题=“患者参与基于网络的干预以改善高血压控制的能力和意愿”，期刊=“J医学互联网研究”，年=“2011”，月=“1”，日=“20”，卷=“13”，数=“1”，页=“e1”，关键词=“电子病历”，摘要=“背景:”患者共享的电子健康记录为门诊之外的护理提供了机会。然而，那些可能受益的人可能无法或选择不使用这些资源，而其他人可能不需要这些资源。目的:电子通信和家庭血压监测(e-BP)是一项随机试验，证明了基于web的药剂师护理可以改善血压(BP)控制。在招募过程中，我们试图联系来自10个诊所的所有高血压患者，以确定他们是否有资格和愿意参与。我们想知道，特定的子群体，特别是那些来自弱势群体的人，是否不太愿意参与或无法参与，因为他们没有电脑接入。方法:2005 - 2006年，我们向9298名高血压患者发出邀请并尝试招募。参与试验的资格包括可以使用计算机和互联网，一个电子邮件地址，血压不可控(血压≥140/90 mmHg)。在修正泊松回归框架内的广义线性模型被用来估计由于缺乏计算机访问和BP不可控而不合格的相对风险(RR)。 Results: We were able to contact 95.1{\%} (8840/9298) of patients. Those refusing participation (3032/8840, 34.3{\%}) were significantly more likely (P < .05) to be female, be nonwhite, have lower levels of education, and have Medicaid insurance. Among patients who answered survey questions, 22.8{\%} (1673/7354) did not have computer access. Older age, minority race, and lower levels of education were risk factors for lack of computer access, with education as the strongest predictor (RR 2.63, 95{\%} CI 2.30-3.01 for those with a high school degree compared to a college education). Among hypertensive patients with computer access who were willing to participate, African American race (RR 1.22, 95{\%} CI 1.06-1.40), male sex (RR 1.28, 95{\%} CI 1.18-1.38), and obesity (RR 1.53, 95{\%} CI 1.31-1.79) were risk factors for uncontrolled BP. Conclusion: Older age, lower socioeconomic status, and lower levels of education were associated with decreased access to and willingness to participate in a Web-based intervention to improve hypertension control. Failure to ameliorate this may worsen health care disparities. Trial Registration: Clinicaltrials.gov NCT00158639; http://www.clinicaltrials.gov/ct2/show/NCT00158639 (Archived by WebCite at http://www.webcitation.org/5v1jnHaeo) ", issn="1438-8871", doi="10.2196/jmir.1625", url="//www.mybigtv.com/2011/1/e1/", url="https://doi.org/10.2196/jmir.1625", url="http://www.ncbi.nlm.nih.gov/pubmed/21371993" }