期刊文章I JMIR出版物对点对点在线健康社区用户的患者依从性的三个因卡塔尔世界杯8强波胆分析素的影响:横断面研究%A audreo - pontevia,Anne-Françoise %A Menvielle,Loick %A Ertz,Myriam %+ École des Sciences de la Gestion, Université du Québec à Montréal, rue saint Catherine Est 315 rue, Montréal, QC, H2X 3X2, Canada, 1 514 489 3000 ext 3572，%K在线社交网络%K患者授权%K患者依从性%K患者满意度%K结构方程建模%D 2019 %7 11.11.2019 %9原论文%J医学互联网Res %G英文%X背景:在过去的50年里，患者不依从性已成为一个主要的公共卫生问题和大量研究的焦点，因为它危及患者的康复，并给卫生保健系统带来了相当大的财政负担。与此同时，在线健康社区(OHCs)正变得越来越普遍，有健康问题的个人经常使用，它们可能在促进遵守方面发挥作用。尽管这种方法越来越流行，但人们对OHCs用户的患者依从性预测指标知之甚少。目的:本研究旨在调查参与OHCs在多大程度上可能引发更高水平的依从性。它确定了3个可能影响患者依从性的相关预测因素:通过点对点OHCs获得的患者赋权、对医生的满意度和对医生的承诺。方法:一项基于网络的调查测试了概念模型，并评估了通过OHCs获得的患者赋权对患者满意度和对医生的承诺的影响，以及这3个预测因素对患者依从性的影响。点对点职业健康机构的成员被要求回答一份在线问卷。2018年8月，在加拿大Québec对420名患有慢性疾病并使用点对点OHCs的患者进行了便利样本调查。 A path analysis using structural equation modeling tested the proposed relationships between the predictors and their respective paths on patient compliance. The mediation effects of these predictor variables on patient compliance were estimated with the PROCESS macro in SPSS. Results: The findings indicated that patient empowerment gained through OHCs was positively related to patient commitment to the physician (beta=.69; P<.001) and patient compliance with the proposed treatment (beta=.35; P<.001). Patient commitment also positively influenced patient compliance (beta=.74; P<.001). Patient empowerment did not exert a significant influence on patient satisfaction with the physician (beta=.02; P=.76), and satisfaction did not affect compliance (beta=−.07; P=.05); however, patient satisfaction was positively related to patient commitment to the physician (beta=.14; P<.01). The impact of empowerment on compliance was partially mediated by commitment to the physician (beta=.32; 95% CI 0.22-0.44) but not by satisfaction. Conclusions: This study highlights the importance of peer-to-peer OHCs for two main reasons. The primary reason is that patient empowerment gained through peer-to-peer OHCs both directly and indirectly enhances patient compliance with the proposed treatment. The underlying mechanisms of these effects were shown. Second, commitment to the physician was found to play a more critical role than satisfaction with the physician in determining patient-physician relationship quality. Overall, our findings support the assumption that health care stakeholders should encourage the use of peer-to-peer OHCs to favor patient empowerment and patient commitment to the physician to increase patient compliance with the proposed treatment. %M 31710295 %R 10.2196/14006 %U //www.mybigtv.com/2019/11/e14006 %U https://doi.org/10.2196/14006 %U http://www.ncbi.nlm.nih.gov/pubmed/31710295