TY - JOUR AU - Ghaddar, Suad AU - Vatcheva, Kristina P AU - Alvarado, Samantha G AU - Mykyta, Laryssa PY - 2020 DA - 2020/9/3 TI -了解服务不足的西班牙裔边境社区使用远程医疗服务的意图:横截面研究JO - J Med Internet Res SP - e21012 VL - 22 IS - 9kw -远程医疗KW -电子健康知识KW -卫生信息技术AB -背景:尽管美国拥有世界上领先的医疗保健系统之一，但服务不足的少数族裔社区面临着重大的获取挑战。这些社区可以从远程保健创新中受益，这些创新有望改善获得医疗保健的机会，从而改善健康结果。然而，人们对这些社区对远程医疗的态度知之甚少，而远程医疗是迈向有效采用和使用的重要第一步。目的:本研究的目的是评估影响德克萨斯-墨西哥边境服务不足的西班牙裔社区使用远程医疗服务的行为意愿的因素，并检查电子健康素养在远程医疗使用意愿中的作用。方法:我们采用横断面设计收集德克萨斯州-墨西哥边境社区卫生活动的数据。该地区的特点是贫困率高，受教育程度低，获得保健服务面临挑战。经过双语培训的学生在一周内进行了322次面对面访谈。该调查工具评估了社会人口统计信息和远程健康相关变量。对远程医疗的态度是通过要求参与者表明他们对反映远程医疗使用不同方面的9个陈述的同意程度来衡量的。 For eHealth literacy, we used the eHealth Literacy Scale (eHEALS), an 8-item scale designed to measure consumer confidence in finding, evaluating, and acting upon eHealth information. To assess the intention to use telehealth, we asked participants about the likelihood that they would use telehealth services if offered by a health care provider. We analyzed data using univariate, multivariate, and mediation statistical models. Results: Participants were primarily Hispanic (310/319, 97.2%) and female (261/322, 81.1%), with an average age of 43 years. Almost three-quarters (219/298) reported annual household incomes below $20,000. Health-wise, 42.2% (136/322) self-rated their health as fair or poor, and 79.7% (255/320) were uninsured. The overwhelming majority (289/319, 90.6%) had never heard of telehealth. Once we defined the term, participants exhibited positive attitudes toward telehealth, and 78.9% (254/322) reported being somewhat likely or very likely to use telehealth services if offered by a health care provider. Based on multivariate proportional odds regression analysis, a 1-point increase in telehealth attitudes reduced the odds of lower versus higher response in the intention to use telehealth services by 23% (OR 0.77, 95% CI 0.73-0.81). Mediation analysis revealed that telehealth attitudes fully mediated the association between eHealth literacy and intention to use telehealth services. For a 1-point increase in eHEALS, the odds of lower telehealth use decreased by a factor of 0.95 (5%; OR 0.95, 95% CI 0.93-0.98; P<.001) via the increase in the score of telehealth attitudes. Conclusions: Telehealth promises to address many of the access challenges facing ethnic and racial minorities, rural communities, and low-income populations. Findings underscore the importance of raising awareness of telehealth and promoting eHealth literacy as a key step in fostering positive attitudes toward telehealth and furthering interest in its use. SN - 1438-8871 UR - //www.mybigtv.com/2020/9/e21012 UR - https://doi.org/10.2196/21012 UR - http://www.ncbi.nlm.nih.gov/pubmed/32880579 DO - 10.2196/21012 ID - info:doi/10.2196/21012 ER -