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Internet Use by Primary Care Patients: Where Is the Digital Divide?

机译:初级保健患者的互联网使用:数字鸿沟在哪里?

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BACKGROUND AND OBJECTIVES: Internet-based technologies such as personal health records and patient portals are increasingly viewed as essential for enhancing patient-provider communication and patient-centered care. We examined how primary care patients use the Internet, particularly patient characteristics associated with Internet use. METHODS: We surveyed patients in five primary care clinic waiting rooms. Patients who had used email or the Internet in the past month (Internet users) were asked how often they used a computer for a variety of tasks. Participants who reported not using the Internet were asked about several potential barriers to Internet use. RESULTS: We approached 713 patients, and 638 (89.6%) completed questionnaires; 499 (78%) were Internet users and 139 (22%) were non-users. Lack of computer access and not knowing how to use email or the Internet were the most common barriers to Internet use. Younger age, higher education and income, better health, and absence of a chronic illness were associated with Internet use. After controlling for age and other variables, chronic illness was no longer associated with Internet use. CONCLUSIONS: Internet use was high among our primary care patients. The major factor associated with Internet use among patients with chronic conditions was their age. If older adults with chronic illness are to reap the benefits of health information technology, their Internet access will need to be improved. Institutions that are planning to offer consumer health information technology should be aware of groups with lower Internet access.
机译:背景和目的:基于互联网的技术(例如个人健康记录和患者门户)越来越被视为增强患者与提供者之间的交流和以患者为中心的护理的必要条件。我们研究了初级保健患者如何使用互联网,特别是与互联网使用相关的患者特征。方法:我们在五个初级保健诊所候诊室对患者进行了调查。在过去一个月中使用电子邮件或Internet的患者(Internet用户)被询问他们使用计算机执行各种任务的频率。向未举报互联网使用的参与者询问有关互联网使用的一些潜在障碍。结果:我们对713名患者进行了调查,并完成了638份问卷(占89.6%)。互联网用户为499(78%),非用户为139(22%)。缺乏计算机访问权限以及不知道如何使用电子邮件或Internet是Internet使用的最常见障碍。年轻人的年龄,高等教育和收入,更好的健康状况以及没有慢性病都与互联网的使用有关。在控制了年龄和其他变量之后,慢性病不再与互联网使用相关。结论:我们的初级保健患者中互联网使用率很高。慢性病患者中与互联网使用相关的主要因素是他们的年龄。如果要从患有慢性疾病的老年人那里获得健康信息技术的好处,则他们的互联网访问将需要改善。计划提供消费者健康信息技术的机构应注意互联网访问率较低的人群。

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