@文章{信息:doi/10.2196/10175，作者="Paige, Samantha R和Stellefson, Michael和Krieger, Janice L和Anderson-Lewis, Charkarra和Cheong, JeeWon和Stopka, Christine"，标题="提出一种电子健康素养的交易模型:概念分析"，期刊="J医学互联网研究"，年="2018"，月="10"，日="02"，卷="20"，数="10"，页="e10175"，关键词="电子健康素养;交际的交易模式;人际沟通;社交媒体;背景:电子健康(eHealth)素养在2006年被定义为互联网用户定位、评估并根据基于网络的健康信息采取行动的能力。现在，电子卫生技术的进步为患者提供了访问、共享和监测健康信息的交易机会。然而，经验证据表明，现有的电子卫生素养模型和措施在反映电子卫生交易能力方面的理论基础有限。本文描述了一个基于交流交易模型(TMC)的概念模型，其中电子健康素养被描述为一个假设为动态的个人技能集;互惠的;受社会、关系和文化背景的影响。 Objective: The objective of our study was to systematically examine eHealth literacy definitions, models, and measures to propose a refined conceptual and operational definition based on the TMC. Methods: Walker and Avant's concept analysis method was used to guide the systematic review of eHealth literacy definitions (n=10), rating scales (n=6), models (n=4), and peer-reviewed model applications (n=16). Subsequent cluster analyses showed salient themes across definitions. Dimensions, antecedents, and consequences reflected in models and measures were extracted and deductively analyzed based on codes consistent with the TMC. Results: Systematic review evidence revealed incongruity between operational eHealth literacy included in definitions compared with literacies included within models and measures. Theoretical underpinnings of eHealth literacy also remain dismal. Despite the transactional capabilities of eHealth, the role of ``communication'' in eHealth literacy remains underdeveloped and does not account for physical and cognitive processing abilities necessary for multiway transactions. Conclusions: The Transactional Model of eHealth Literacy and a corresponding definition are proposed. In this novel model, eHealth literacy comprises a hierarchical intrapersonal skillset that mediates the reciprocal effect of contextual factors (ie, user oriented and task oriented) on patient engagement in health care. More specifically, the intrapersonal skillset counteracts the negative effect of ``noise'' (or impediments) produced by social and relational contexts. Cutting across health and technology literacies, the intrapersonal skillset of eHealth literacy is operationalized through four literacies that correspond with discrete operative skills: (1) functional (ie, locate and understand); (2) communicative (ie, exchange); (3) critical (ie, evaluate); and (4) translational (ie, apply). ", issn="1438-8871", doi="10.2196/10175", url="//www.mybigtv.com/2018/10/e10175/", url="https://doi.org/10.2196/10175", url="http://www.ncbi.nlm.nih.gov/pubmed/30279155" }