TY - JOUR AU - Edwards, Louisa AU - Thomas, Clare AU - Gregory, Alison AU - Yardley, Lucy AU - O'Cathain, Alicia AU - Montgomery, Alan A AU - Salisbury, Chris PY - 2014 DA - 2014/05/08 TI -慢性病患者对远程医疗感兴趣吗?横断面邮政调查JO - J医疗互联网Res SP - e123 VL - 16is - 5kw -远程医疗KW -互联网KW -技术KW -心血管疾病KW -抑郁症KW -精神健康KW -慢性病KW -调查方法KW -患者接受医疗保健AB -背景:人们对远程医疗(利用技术支持远程医疗服务和促进自我管理)越来越感兴趣，认为这是慢性疾病患者面对面护理的潜在替代方案。然而，很少有人知道是什么促使这些患者对远程医疗的使用感兴趣。目的:本调查是一项研究计划的一部分，旨在为患有两种典型慢性疾病(抑郁症和心血管疾病(CVD)风险升高)的患者开发和评估远程医疗干预。该调查旨在探讨影响这些患者群体使用远程医疗的兴趣的关键因素。方法:从英格兰两个不同地区招募了34名全科医生。检索患者的实践记录:(1)抑郁症(18岁以上)或(2)10年心血管疾病风险≥20%且至少有一个可改变的危险因素(40-74岁)。在每个全科门诊中，每个慢性疾病组中随机选择54名患者接受邮寄问卷。问题评估了五个关键结构:社会人口统计学、健康需求、获得医疗保健的困难、技术相关因素(可用性、使用技术的信心、感知到的远程医疗的好处和缺点)，以及对以前使用远程医疗的满意度。 Respondents also rated their interest in using different technologies for telehealth (phone, email and Internet, or social media). Relationships between the key constructs and interest in using the three mediums of telehealth were examined using multivariable regression models. Results: Of the 3329 patients who were sent a study questionnaire, 44.40% completed it (872/1740, 50.11% CVD risk; 606/1589, 38.14% depression). Overall, there was moderate interest in using phone-based (854/1423, 60.01%) and email/Internet-based (816/1425, 57.26%) telehealth, but very little interest in social media (243/1430, 16.99%). After adjusting for health needs, access difficulties, technology-related factors, and prior use of telehealth, interest in telehealth had largely no association with sociodemographic variables. For both patient groups and for each of the three technology mediums, the most important constructs related to interest in telehealth were having the confidence to use the associated technology, as well as perceiving greater advantages and fewer disadvantages from using telehealth. To illustrate, greater confidence using phone technologies (b=.16, 95% CI 0.002-0.33), while also perceiving more benefits (b=.31, 95% CI 0.21-0.40) and fewer drawbacks (b=-.23, 95% CI -0.28 to -0.17) to using telehealth were associated with more interest in using phone-based telehealth technologies for patients with depression. Conclusions: There is widespread interest in using phone-based and email/Internet-based telehealth among patients with chronic diseases, regardless of their health status, access difficulties, age, or many other sociodemographic factors. This interest could be increased by helping patients gain confidence using technologies and through highlighting benefits and addressing concerns about telehealth. While the same pattern exists for social media telehealth, interest in using these technologies is minimal. SN - 1438-8871 UR - //www.mybigtv.com/2014/5/e123/ UR - https://doi.org/10.2196/jmir.3257 UR - http://www.ncbi.nlm.nih.gov/pubmed/24811914 DO - 10.2196/jmir.3257 ID - info:doi/10.2196/jmir.3257 ER -