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拓展医患互动的边界:在线支持和患者结局

Expanding the walls of the health care encounter: support and outcomes for patients online.

机构信息

Department of Communication, University of Dayton, Dayton, OH 45469-1410, USA.

出版信息

Health Commun. 2011 Mar;26(2):125-34. doi: 10.1080/10410236.2010.541990.

DOI:10.1080/10410236.2010.541990
PMID:21294020
Abstract

This paper assesses the relationship between patient-health care provider (HCP) interaction and health behaviors. In total, 109 Native American patients diagnosed with diabetes mellitus were enrolled in a Web-based diabetes monitoring system. The system tracks patient-HCP interaction, and in total 924 personal messages were exchanged. These 924 messages contained 6,411 message units that were content analyzed using a nine-category scheme. Patient blood glucose monitoring was found to be related to the frequency of phatic communication, informational social support, and tangible social support messages, as well as messages containing references to personal contact. Finally, person-centered messages proved to be the single best predictor of patient involvement with the telemedicine system (as measured by the number of times the patient logged into the system).

摘要

本研究评估了医患互动与健康行为之间的关系。共有 109 名被诊断患有糖尿病的美国原住民患者参与了一个基于网络的糖尿病监测系统。该系统跟踪医患互动,共交换了 924 条个人信息。这些 924 条信息包含了 6411 个信息单元,使用九类方案进行了内容分析。研究发现,患者的血糖监测与寒暄式沟通、信息性社会支持和有形社会支持信息的频率以及包含个人联系信息的信息有关。最后,以患者为中心的信息被证明是患者参与远程医疗系统的唯一最佳预测因素(通过患者登录系统的次数来衡量)。

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