@Article{信息:doi 10.2196 / / jmir。3257，作者=“爱德华兹，路易莎和托马斯，克莱尔和格雷戈里，艾莉森和亚德利，露西和欧凯瑟琳，艾丽西亚和蒙哥马利，艾伦A和索尔兹伯里，克里斯”，标题=“慢性病患者对使用远程医疗感兴趣吗?《邮政横断面调查》，期刊=《J Med Internet Res》，年="2014"，月="5"，日="08"，卷="16"，数="5"，页数="e123"，关键词="远程医疗";互联网;技术;心血管疾病;抑郁症;心理健康;慢性疾病;调查方法; patient acceptance of health care", abstract="Background: There is growing interest in telehealth---the use of technology to support the remote delivery of health care and promote self-management---as a potential alternative to face-to-face care for patients with chronic diseases. However, little is known about what precipitates interest in the use of telehealth among these patients. Objective: This survey forms part of a research program to develop and evaluate a telehealth intervention for patients with two exemplar chronic diseases: depression and raised cardiovascular disease (CVD) risk. The survey was designed to explore the key factors that influence interest in using telehealth in these patient groups. Methods: Thirty-four general practices were recruited from two different regions within England. Practice records were searched for patients with (1) depression (aged 18+ years) or (2) 10-year risk of CVD ≥20{\%} and at least one modifiable risk factor (aged 40-74 years). Within each general practice, 54 patients in each chronic disease group were randomly selected to receive a postal questionnaire. Questions assessed five key constructs: sociodemographics, health needs, difficulties accessing health care, technology-related factors (availability, confidence using technology, perceived benefits and drawbacks of telehealth), and satisfaction with prior use of telehealth. Respondents also rated their interest in using different technologies for telehealth (phone, email and Internet, or social media). Relationships between the key constructs and interest in using the three mediums of telehealth were examined using multivariable regression models. Results: Of the 3329 patients who were sent a study questionnaire, 44.40{\%} completed it (872/1740, 50.11{\%} CVD risk; 606/1589, 38.14{\%} depression). Overall, there was moderate interest in using phone-based (854/1423, 60.01{\%}) and email/Internet-based (816/1425, 57.26{\%}) telehealth, but very little interest in social media (243/1430, 16.99{\%}). After adjusting for health needs, access difficulties, technology-related factors, and prior use of telehealth, interest in telehealth had largely no association with sociodemographic variables. For both patient groups and for each of the three technology mediums, the most important constructs related to interest in telehealth were having the confidence to use the associated technology, as well as perceiving greater advantages and fewer disadvantages from using telehealth. To illustrate, greater confidence using phone technologies (b=.16, 95{\%} CI 0.002-0.33), while also perceiving more benefits (b=.31, 95{\%} CI 0.21-0.40) and fewer drawbacks (b=-.23, 95{\%} CI -0.28 to -0.17) to using telehealth were associated with more interest in using phone-based telehealth technologies for patients with depression. Conclusions: There is widespread interest in using phone-based and email/Internet-based telehealth among patients with chronic diseases, regardless of their health status, access difficulties, age, or many other sociodemographic factors. This interest could be increased by helping patients gain confidence using technologies and through highlighting benefits and addressing concerns about telehealth. While the same pattern exists for social media telehealth, interest in using these technologies is minimal. ", issn="1438-8871", doi="10.2196/jmir.3257", url="//www.mybigtv.com/2014/5/e123/", url="https://doi.org/10.2196/jmir.3257", url="http://www.ncbi.nlm.nih.gov/pubmed/24811914" }