@Article{信息:doi 10.2196 / / jmir.6.3。e23,作者=“Anh{\o}j, Jacob and Nielsen, Lene”,标题=“基于互联网的哮喘监测工具的定量和定性使用数据”,期刊=“j Med Internet Res”,年=“2004”,月=“9”,日=“3”,卷=“6”,数=“3”,页=“e23”,关键词=“互联网;哮喘;自我保健;医患关系;计算机辅助决策;背景:2000年5月,阿斯利康公司为哮喘患者和医疗保健提供者推出了名为LinkMedica的Web服务,其中包括用于监测和自我管理的哮喘日记。在日记中,病人输入他或她的流量峰值、抢救药物的剂量以及在过去24小时内是否有任何哮喘症状。患者立即收到LinkMedica的回复,告诉他或她哮喘是否得到控制,如果没有控制,该怎么办,例如,增加吸入类固醇的剂量。保健提供者可以查阅病人日记。 Objectives: The primary objective of the study was to describe patients' and health-care providers' use of LinkMedica. Secondary objectives were to evaluate their perception of the system and how the users' interaction with the system is influenced by their everyday lives. Methods: Site statistics regarding number of registered users and diary usage were analyzed. An online survey among users (85 respondents), a mailed questionnaire to health-care providers (131 respondents; response rate 26.8{\%}), as well as in-depth interviews with 10 patients and 5 general practitioners, elicited further quantitative and qualitative data on users' perceptions. Results: In February 2003, a total of 7653 users had registered. During 2002, the growth in registered users averaged 50 per month. In the same period, the number of unique diary users per month decreased from 307 to 138. Patients usually stopped using the diary after a short time; the doctors were reluctant to introduce the diary to patients because of time constraints. Several user subtypes were identified among patients and their relatives. Conclusion: The self-selected survey responses and in-depth interviews indicated that LinkMedica is generally considered a trustworthy and reliable site by both patients and doctors. However, there was a contrast between users' positive perception of LinkMedica and their unwillingness to use the site for more than short periods. The primary reason for this was that LinkMedica did not fit into their everyday lives because of technical and psychological aspects. A number of recommendations to improve LinkMedica are suggested. ", issn="1438-8871", doi="10.2196/jmir.6.3.e23", url="//www.mybigtv.com/2004/3/e23/", url="https://doi.org/10.2196/jmir.6.3.e23", url="http://www.ncbi.nlm.nih.gov/pubmed/15471749" }
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