@ JMIR出版公司基于web的个人控制健康管理系统中的哪些功能捆绑卡塔尔世界杯8强波胆分析与消费者寻求身体和情感健康的帮助行为相关?%A Lau,Annie YS %A Proudfoot,Judith %A Andrews,Annie %A Liaw,Siaw-Teng %A Crimmins,Jacinta %A Arguel,Amaël %A Coiera,Enrico %+健康信息中心，澳大利亚健康创新研究所，新南威尔士大学，悉尼，2052，新南威尔士大学AGSM大楼(G27) 1层，澳大利亚，61 431 599 890，a.lau@unsw.edu.au %K个人健康记录%K网络干预%K健康服务%K寻求帮助%K情感健康%K身体健康%K预防性健康%K电子健康%K消费者%K大学%D 2013年%7 06.05.13 %9原始论文%J J医学互联网Res %G英语%X背景:个人控制的健康管理系统(PCHMS)，包括个人健康记录(PHR)、健康管理工具和消费者资源，代表了消费者电子健康系统的下一个阶段。然而，目前尚不清楚是什么特征促成了引人入胜和有效的PCHMS。目的:确定基于网络的PCHMS中与消费者对初级保健和咨询服务的利用有关的特征，以及对身体和情感健康问题的求助率。方法:在一所大学校园内进行了一组在线前瞻性研究，以测量在大学学术学期(2011年7月至11月)中PCHMS对身体和情感健康需求的使用情况。PCHMS将无系链个人健康记录(PHR)与健康旅程、社交论坛、民意调查、日记以及与卫生服务提供商的在线消息链接集成在一起，在这些旅程中，消费者参与者可以以可操作的方式与临床医生和卫生服务人员接触。在网上招募了1985名能上网的18岁及以上学生及教职员。在符合分析条件的709名参与者中，使用Logistic回归、皮尔逊积矩相关系数和卡方分析将参与者的求助行为和卫生服务利用与PCHMS的使用联系起来。 Results: A dose-response association was detected between the number of times a user logged into the PCHMS and the number of visits to a health care professional (P=.01), to the university counselling service (P=.03), and help-seeking rates (formal or informal) for emotional well-being matters (P=.03). No significant association was detected between participant pre-study characteristics or well-being ratings at different PCHMS login frequencies. Health service utilization was strongly correlated with use of a bundle of features including: online appointment booking (primary care: OR 1.74, 95% CI 1.01-3.00; counselling: OR 6.04, 95% CI 2.30-15.85), personal health record (health care professional: OR 2.82, 95% CI 1.63-4.89), the poll (health care professional: OR 1.47, 95% CI 1.02-2.12), and diary (counselling: OR 4.92, 95% CI 1.40-17.35). Help-seeking for physical well-being matters was only correlated with use of the personal health record (OR 1.73, 95% CI 1.18-2.53). Help-seeking for emotional well-being concerns (including visits to the university counselling service) was correlated with a bundle comprising the poll (formal or informal help-seeking: OR 1.03, 95% CI 1.00-1.05), diary (counselling: OR 4.92, 95% CI 1.40-17.35), and online appointment booking (counselling: OR 6.04, 95% CI 2.30-15.85). Conclusions: Frequent usage of a PCHMS was significantly associated with increased consumer health service utilization and help-seeking rates for emotional health matters in a university sample. Different bundles of PCHMS features were associated with physical and emotional well-being matters. PCHMS appears to be a promising mechanism to engage consumers in help-seeking or health service utilization for physical and emotional well-being matters. %M 23649790 %R 10.2196/jmir.2414 %U //www.mybigtv.com/2013/5/e79/ %U https://doi.org/10.2196/jmir.2414 %U http://www.ncbi.nlm.nih.gov/pubmed/23649790