@Article{信息:doi 10.2196 / / jmir。8784，作者="Sandefer, Ryan H and Westra, Bonnie L and Khairat, Saif Sand Pieczkiewicz, David Sand Speedie, Stuart M"，标题="个人健康护理管理与慢性病患病率评估:人口统计学、社会经济和健康相关变量的比较分析"，期刊="J Med Internet Res"，年="2018"，月="10"，日="18"，卷="20"，数="10"，页="e276"，关键词="个人健康信息;消费者的参与;健康的社会决定因素;背景:个人健康护理管理(PHM)的使用在美国迅速增加，这是因为整个医疗保健连续体的健康技术的实施，以及对医疗保健提供者和组织促进使用PHM的监管要求的增加，特别是使用短信(短消息服务)、基于web的调度和基于web的处方续期请求。基于慢性疾病比较不同人群使用PHM的研究有限。目的:本研究旨在描述PHM的整体使用情况，并比较无慢性疾病报告组、有1种慢性疾病组和有2种或2种以上慢性疾病组与PHM相关的个体特征。方法:使用多元逻辑回归分析来自全国健康访谈调查的数据集，以确定PHM的使用水平与人口统计学、社会经济或健康相关因素的关系。使用逻辑回归分析了来自47,814人的数据。结果:大约12.19%(5737/47,814)的受访者报告使用PHM，但受教育程度和收入水平较高的人报告使用PHM的比例更高。 The overall rate of PHM remained stable between 2009 and 2014, despite increased focus on the promotion of patient engagement initiatives. Demographic factors predictive of PHM use included people who were younger, non-Hispanic, and who lived in the western region of the United States. There were also differences in PHM use based on socioeconomic factors. Respondents with college-level education were over 2.5 times more likely to use PHM than respondents without college-level education. Health-related factors were also predictive of PHM use. Individuals with health insurance and a usual place for health care were more likely to use PHM than individuals with no health insurance and no usual place for health care. Individuals reporting a single chronic condition or multiple chronic conditions reported slightly higher levels of PHM use than individuals reporting no chronic conditions. Individuals with no chronic conditions who did not experience barriers to accessing health care were more likely to use PHM than individuals with 1 or more chronic conditions. Conclusions: The findings of this study illustrated the disparities in PHM use based on the number of chronic conditions and that multiple factors influence the use of PHM, including economics and education. These findings provide evidence of the challenge associated with engaging patients using electronic health information as the health care industry continues to evolve. ", issn="1438-8871", doi="10.2196/jmir.8784", url="//www.mybigtv.com/2018/10/e276/", url="https://doi.org/10.2196/jmir.8784", url="http://www.ncbi.nlm.nih.gov/pubmed/30341046" }