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首页> 外文期刊>BMC Medical Informatics and Decision Making >A cross-sectional study assessing determinants of the attitude to the introduction of eHealth services among patients suffering from chronic conditions
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A cross-sectional study assessing determinants of the attitude to the introduction of eHealth services among patients suffering from chronic conditions

机译：一项横断面研究评估了慢性病患者对采用eHealth服务的态度的决定因素

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Background Provision of care to patients with chronic diseases remains a great challenge for modern health care systems. eHealth is indicated as one of the strategies which could improve care delivery to this group of patients. The main objective of this study was to assess determinants of the acceptance of the Internet use for provision of chosen health care services remaining in the scope of current nationwide eHealth initiative in Poland. Methods The survey was carried out among patients with diagnosed chronic conditions who were treated in three health care facilities in Krakow, Poland. Survey data was used to develop univariate and multivariate logistic regression models for six outcome variables originating from the items assessing the acceptance of specific types of eHealth applications. The variables used as predictors were related to the sociodemographic characteristics of respondents, burden related to chronic disease, and the use of the Internet and its perceived usefulness in making personal health-related decisions. Results Among 395 respondents, there were 60.3% of Internet users. Univariate logistic regression models developed for six types of eHealth solutions demonstrated their higher acceptance among younger respondents, living in urban areas, who have attained a higher level of education, used the Internet on their own, and were more confident about its usefulness in making health-related decisions. Furthermore, the duration of chronic disease and hospitalization due to chronic disease predicted the acceptance of some of eHealth applications. However, when combined in multivariate models, only the belief in the usefulness of the Internet (five of six models), level of education (four of six models), and previous hospitalization due to chronic disease (three of six models) maintained the effect on the independent variables. Conclusions The perception of the usefulness of the Internet in making health-related decision is a key determinant of the acceptance of provision of health care services online among patients with chronic diseases. Among sociodemographic factors, only the level of education demonstrates a consistent impact on the level of acceptance. Interestingly, a greater burden of chronic disease related to previous hospitalizations leads to lower acceptance of eHealth solutions.
机译：背景技术为慢性病患者提供护理仍然是现代卫生保健系统的巨大挑战。 eHealth被认为是可以改善向该组患者提供护理的策略之一。这项研究的主要目的是评估在波兰目前的全国电子卫生计划的范围内，能否接受互联网用于提供选定的医疗服务的决定因素。方法对波兰克拉科夫的三家医疗机构接受过慢性病诊断的患者进行调查。调查数据用于为六个结果变量开发单变量和多变量逻辑回归模型，这些变量来自评估特定类型的eHealth应用程序接受程度的项目。用作预测变量的变量与受访者的社会人口统计学特征，与慢性疾病有关的负担，互联网的使用及其在做出与个人健康相关的决定中的有用性有关。结果在395名受访者中，有60.3％的互联网用户。为六种类型的eHealth解决方案开发的单变量logistic回归模型表明，他们在居住在城市地区的年轻受访者中得到了更高的接受程度，这些受访者受过较高的教育水平，他们自己使用互联网，并且对其在使人们健康方面的效用更有信心相关的决定。此外，慢性病的持续时间和由于慢性病引起的住院治疗预示了某些eHealth应用程序的接受。但是，在多变量模型中结合使用时，只有对互联网有用性的信念（六个模型中的五个），受教育程度（六个模型中的四个）和由于慢性病而先前住院（六个模型中的三个）的信念得以保持。关于自变量。结论对互联网在做出与健康相关的决定中的有用性的认识是慢性病患者接受在线提供医疗保健服务的关键决定因素。在社会人口统计学因素中，只有教育程度证明了对接受程度的持续影响。有趣的是，与先前住院相关的慢性病负担更大，导致人们对eHealth解决方案的接受度降低。

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