TY - JOUR AU - Cheng, Christina AU - Gearon, Emma AU - Hawkins, Melanie AU - McPhee, Crystal AU - Hanna, Lisa AU - Batterham, Roy AU - Osborne, Richard H PY - 2022 DA - 2022/9/16 TI -数字健康素养作为意识、参与和使用国家基于网络的个人健康记录的预测因素:基于人群的调查研究JO - J Med Internet Res SP - e35772 VL - 24 IS - 9 KW -电子健康KW -移动健康KW -移动健康KW -健康素养KW -健康公平KW -电子健康记录KW -弱势群体KW -弱势群体AB -背景:基于网络的个人健康记录(PHRs)具有提高医疗保健质量、准确性和及时性的潜力。然而，国际上对基于网络的phrr的接受速度很慢。处于不利地位的人群不太可能使用基于网络的药品处方，这可能会扩大国家内部和国家之间的卫生不平等。目的:由于对社区接受和使用基于网络的医疗记录的预测因素了解有限，本研究的目的是确定澳大利亚国家基于网络的医疗记录，我的健康记录(MyHR)的意识、参与和使用的预测因素。方法:2018年，通过电话访谈对居住在澳大利亚维多利亚州地区的成年参与者进行了一项基于人口的调查。采用经年龄调整的Logistic回归来评估数字健康素养、健康素养和人口统计学特征以及MyHR的3个因变量:意识、参与和使用之间的关系。使用多维工具测量数字卫生素养和卫生素养，使用电子卫生素养问卷的所有7个量表和卫生素养问卷的9个量表中的4个量表。结果:共分析998份问卷。数字卫生素养的许多要素与MyHR的认识、参与和使用密切相关。 A 1-unit increase in each of the 7 eHealth Literacy Questionnaire scales was associated with a 2- to 4-fold increase in the odds of using MyHR: using technology to process health information (odds ratio [OR] 4.14, 95% CI 2.34-7.31), understanding of health concepts and language (OR 2.25, 95% CI 1.08-4.69), ability to actively engage with digital services (OR 4.44, 95% CI 2.55-7.75), feel safe and in control (OR 2.36, 95% CI 1.43-3.88), motivated to engage with digital services (OR 4.24, 95% CI 2.36-7.61), access to digital services that work (OR 2.49, 95% CI 1.32-4.69), and digital services that suit individual needs (OR 3.48, 95% CI 1.97-6.15). The Health Literacy Questionnaire scales of health care support, actively managing health, and social support were also associated with a 1- to 2-fold increase in the odds of using MyHR. Using the internet to search for health information was another strong predictor; however, older people and those with less education were less likely to use MyHR. Conclusions: This study revealed strong and consistent patterns of association between digital health literacy and the use of a web-based PHR. The results indicate potential actions for promoting PHR uptake, including improving digital technology and skill experiences that may improve digital health literacy and willingness to engage in web-based PHR. Uptake may also be improved through more responsive digital services, strengthened health care, and better social support. A holistic approach, including targeted solutions, is needed to ensure that web-based PHR can realize its full potential to help reduce health inequities. SN - 1438-8871 UR - //www.mybigtv.com/2022/9/e35772 UR - https://doi.org/10.2196/35772 UR - http://www.ncbi.nlm.nih.gov/pubmed/36112404 DO - 10.2196/35772 ID - info:doi/10.2196/35772 ER -