TY -的AU -佩奇,萨曼莎R AU - Stellefson,迈克尔•AU - Krieger Janice L AU - Anderson-Lewis Charkarra盟——畅,JeeWon盟——Stopka Christine PY - 2018 DA - 2018/10/02 TI -提出电子健康素养的事务模型:概念分析乔- J地中海互联网Res SP - e10175六世- 20 - 10 KW -电子健康素养KW -沟通的事务模型千瓦人际沟通KW -社会媒体KW -手机AB -背景:电子健康素养是2006年提出的概念，指互联网用户定位、评估基于网络的健康信息并据此采取行动的能力。现在，电子卫生技术的进步为患者提供了访问、共享和监测健康信息的交易机会。然而，经验证据表明，现有的电子卫生素养模型和措施在反映电子卫生交易能力方面的理论基础有限。本文描述了一个基于交流交易模型(TMC)的概念模型，其中电子健康素养被描述为一个假设为动态的个人技能集;互惠的;受社会、关系和文化背景的影响。目的:我们的研究目的是系统地检查电子健康素养的定义、模型和措施，以提出一个基于TMC的细化的概念和操作定义。方法:使用Walker和Avant的概念分析方法指导对电子健康素养定义(n=10)、评分量表(n=6)、模型(n=4)和同行评审模型应用(n=16)的系统回顾。随后的聚类分析显示了不同定义的显著主题。 Dimensions, antecedents, and consequences reflected in models and measures were extracted and deductively analyzed based on codes consistent with the TMC. Results: Systematic review evidence revealed incongruity between operational eHealth literacy included in definitions compared with literacies included within models and measures. Theoretical underpinnings of eHealth literacy also remain dismal. Despite the transactional capabilities of eHealth, the role of “communication” in eHealth literacy remains underdeveloped and does not account for physical and cognitive processing abilities necessary for multiway transactions. Conclusions: The Transactional Model of eHealth Literacy and a corresponding definition are proposed. In this novel model, eHealth literacy comprises a hierarchical intrapersonal skillset that mediates the reciprocal effect of contextual factors (ie, user oriented and task oriented) on patient engagement in health care. More specifically, the intrapersonal skillset counteracts the negative effect of “noise” (or impediments) produced by social and relational contexts. Cutting across health and technology literacies, the intrapersonal skillset of eHealth literacy is operationalized through four literacies that correspond with discrete operative skills: (1) functional (ie, locate and understand); (2) communicative (ie, exchange); (3) critical (ie, evaluate); and (4) translational (ie, apply). SN - 1438-8871 UR - //www.mybigtv.com/2018/10/e10175/ UR - https://doi.org/10.2196/10175 UR - http://www.ncbi.nlm.nih.gov/pubmed/30279155 DO - 10.2196/10175 ID - info:doi/10.2196/10175 ER -