%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 4% P e128% T基于提供者的消费者健康信息技术中患者兴趣的表征:调查研究A费瑟尔,约瑟夫A拉平,布列塔尼A柴托夫,亚历山大A哈维尔,索尼娅A汤普森,尼古拉斯A卡赞,艾琳+神经研究所成果研究与评估中心,克利夫兰诊所,邮编S80, 9500欧里得大道,克利夫兰,OH, 44195,美国,1 216 636 5860,katzani@ccf.org %K消费者健康信息%K医疗信息%K自我效能%K自我管理%K远程医疗%K以患者为中心的护理%D 2018 %7 19.04.2018 %9原始论文%J J医学互联网Res %G英文%X背景:消费者健康信息技术可以提高患者在医疗保健中的参与度,并协助导航医疗保健交付的复杂性。然而,卫生系统的消费者健康信息技术产品往往是由提供者而不是患者的观点驱动的,并且不能充分满足患者的需求,从而限制了患者对其的采用。在此类技术的开发中,将患者作为利益相关者予以考虑,可能会改善采用、疗效和消费者健康信息技术资源分配。目的:本文旨在衡量患者对不同卫生系统消费者健康信息技术应用程序的兴趣,并确定患者特征对消费者健康信息技术兴趣的影响。方法:对克利夫兰临床神经学研究所的患者进行电子调查,了解他们对使用不同消费者健康信息技术应用程序的兴趣。患者还完成了自我效能量表、患者健康问卷-9抑郁筛查和EuroQol 5维度健康相关生活质量量表。在自我管理、教育和沟通三个类别中,使用逻辑回归确定患者特征对消费者健康信息技术兴趣的影响。结果:在3852名患者受访者中,大多数人对调查中评估的所有技术类别都感兴趣。 The highest interest was in apps that allow patients to ask questions of providers (3476/3852, 90.24%) and to schedule appointments (3211/3839, 83.64%). Patient interest in consumer health information technology was significantly associated with greater depression symptoms, worse quality of life, greater health self-efficacy, and smartphone ownership (P<.001 for all listed). Conclusions: Patients should be viewed as active stakeholders in consumer health information technology development and their perspectives should consistently guide development efforts. Health systems should consider focusing on consumer health information technologies that assist patients in scheduling appointments and asking questions of providers. Patients with depression should also be considered for targeted consumer health information technology implementation. Health self-efficacy is a valid predictor of consumer health information technology interest and may play a role in the utilization of consumer health information technologies. Health systems, broadly, should put forth greater effort to understand the needs and interests of patients in the consumer health information technology development process. Consumer health information technology design and implementation may be improved by understanding which technologies patients want. %M 29674312 %R 10.2196/jmir.7766 %U //www.mybigtv.com/2018/4/e128/ %U https://doi.org/10.2196/jmir.7766 %U http://www.ncbi.nlm.nih.gov/pubmed/29674312
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