Roelofsen Yvonne, Hendriks Steven H, Sieverink Floor, Landman Gijs W D, Groenier Klaas H, Bilo Henk J G, Kleefstra Nanne
Diabetes Centre, Isala, Zwolle, the Netherlands
Diabetes Centre, Isala, Zwolle, the Netherlands.
J Diabetes Sci Technol. 2014 Mar;8(2):230-237. doi: 10.1177/1932296814524496. Epub 2014 Feb 21.
The prevalence of type 2 diabetes mellitus (T2DM) is rising in the Netherlands, and health care's workload will increase. e-Health applications may increase patients' participation in their care and could help reducing workload. To explore potential users, differences in patients interested and uninterested in e-Health are characterized. A prospective cohort study was initiated in the Drenthe region of the Netherlands. This study included inviting T2DM patients to use e-Health (the e-Vita platform). Patients were offered access to clinical data, laboratory results, educational modules, and a self-management support program. Data were obtained from health record systems of general practices and questionnaires. Out of 2674 patients, 1378 (51.5%) participated in the study. Of the 1378 patients, 974 (70.7%) were interested in e-Health. Of 974, 405 (41.6%) were registered for e-Health. Interested patients were more often male, were younger, had shorter T2DM duration, and were higher educated. Of 405, 110 (27.2%) used the e-Health. No differences were found between users and nonusers of e-Health. Patients interested in e-Health were more often male, were younger, had shorter T2DM duration, and were more often higher educated. However, even in this interested group, the actual participation rate remained low. Together with characteristics and attitudes of caregivers and T2DM patients, the look and content of the e-Health platform strategies that increase interest and participation need to be developed.
2型糖尿病（T2DM）在荷兰的患病率正在上升，医疗保健的工作量也将增加。电子健康应用程序可能会提高患者对自身护理的参与度，并有助于减轻工作量。为了探索潜在用户，对电子健康感兴趣和不感兴趣的患者之间的差异进行了特征描述。在荷兰的德伦特地区启动了一项前瞻性队列研究。该研究包括邀请T2DM患者使用电子健康（e-Vita平台）。患者可以访问临床数据、实验室结果、教育模块和自我管理支持计划。数据来自全科医疗的健康记录系统和问卷调查。在2674名患者中，1378名（51.5%）参与了研究。在这1378名患者中，974名（70.7%）对电子健康感兴趣。在974名感兴趣的患者中，405名（41.6%）注册使用了电子健康。感兴趣的患者男性居多、年龄较小、T2DM病程较短且受教育程度较高。在405名注册患者中，110名（27.2%）使用了电子健康。电子健康使用者和非使用者之间未发现差异。对电子健康感兴趣的患者男性居多、年龄较小、T2DM病程较短且受教育程度较高的情况更为常见。然而，即使在这个感兴趣的群体中，实际参与率仍然很低。需要结合护理人员和T2DM患者的特征及态度，制定能够提高兴趣和参与度的电子健康平台策略的外观和内容。
