邱志文，邱光义，邱志强，邱志强，朱佳，邱芳，潘淑娟- 2010数据- 2010/12/18 TI -消费者对互联网用于个人健康记录和健康信息交换的认知和使用:2007年健康信息全国趋势调查分析JO - J Med Internet Res SP - e73 VL - 12 IS - 4kw -互联网KW -个人健康记录KW -健康信息交换KW -消费者认知和利用KW -人口统计KW -医疗保健调查KW -健康传播趋势AB -背景:个人健康记录(PHRs)和通过健康信息交换(HIE)共享健康信息已被提倡作为有效提供现代卫生保健的关键新组成部分。了解消费者对使用PHRs和HIE的态度，以评估公众采用这些新的医疗保健工具的意愿是很重要的。目的:本研究的目的是考察消费者对医疗费用记录和医疗服务提供者使用HIE的态度，以及评估消费者使用互联网跟踪医疗费用记录的情况。方法:采用多元logistic回归分析2007年健康信息国家趋势研究(HINTS, N=7674)的数据，确定消费者(1)对医疗服务质量评价的评价，(2)对医疗服务提供者使用HIE的评价，以及(3)使用互联网跟踪医疗服务质量评价的预测因素。结果:大约86%的美国成年人认为电子方式访问他们的phrr是重要的。然而，只有9%的人使用互联网来跟踪phrr。那些认为电子方式获取个人健康记录很重要的人更有可能是西班牙裔(优势比[OR] = 1.34, 95%可信区间[CI] 1.04 - 1.72)和互联网用户(OR = 1.27, 95% CI = 1.02 - 1.57)，而65岁及以上(OR = 0.50, 95% CI = 0.38 - 0.67)或医生总是确保他们了解自己健康状况的个人(OR = 0.62, 95% CI = 0.49 - 0.78)的可能性较小。那些认为催促重要的更有可能是45 - 54岁(或= 1.46,95% CI = 1.03 - 2.08), 55岁到64岁(或= 1.83,95% CI = 1.32 - 2.53),或65以上(或= 1.76,95% CI = 1.27 - 2.43),也不太可能是女性(或= 0.80,95% CI = 0.68 - 0.95)或个人认为他们的健康信息不安全守卫的医生(或= 0.53,95% CI = 0.40 - 0.69)。 Among Internet users, those who used the Internet to track their PHRs were more likely to be college graduates (OR = 1.84, 95% = 1.32 - 2.59) or to have completed some college courses (OR = 1.46, 95% CI = 1.02 - 2.11), to be Hispanic (OR = 1.92, 95% CI = 1.23 - 2.98), or to be individuals with health care provider access (OR = 1.90, 95% CI = 1.21 - 2.97). Women were less likely to use the Internet for tracking PHRs than men (OR = 0.78, 95% CI = 0.61 - 1.00). Conclusions: Despite widespread positive appraisal of electronic access to PHRs as important, Internet use for tracking PHRs remains uncommon. To promote PHR adoption, the digital divide associated with the gap in health literacy must be improved, and cultural issues and the doctor-patient relationship need to be studied. Further work also needs to address consumer concerns regarding the security of HIE. SN - 1438-8871 UR - //www.mybigtv.com/2010/4/e73/ UR - https://doi.org/10.2196/jmir.1668 UR - http://www.ncbi.nlm.nih.gov/pubmed/21169163 DO - 10.2196/jmir.1668 ID - info:doi/10.2196/jmir.1668 ER -