慢性非传染性疾病患者使用信息技术辅助病情管理的能力与意愿：一项横断面研究
Capacity and willingness of patients with chronic noncommunicable diseases to use information technology to help manage their condition: a cross-sectional study.
作者信息
Afshar Arash Ehteshami, Weaver Robert G, Lin Meng, Allan Michael, Ronksley Paul E, Sanmartin Claudia, Lewanczuk Richard, Rosenberg Mark, Manns Braden, Hemmelgarn Brenda, Tonelli Marcello
机构信息
Department of Medicine, University of Alberta, Edmonton, Alta.
Department of Medicine, University of Calgary, Calgary, Alta.
出版信息
CMAJ Open. 2014 Apr 16;2(2):E51-9. doi: 10.9778/cmajo.20130070. eCollection 2014 Apr.
BACKGROUND
Health care providers have shown considerable interest in using information technologies such as email, text messages and video conferencing to facilitate the management of chronic noncommunicable diseases such as hypertension, diabetes mellitus and vascular disease. We sought to determine whether these technologies are available and appealing to the target population.
METHODS
We analyzed cross-sectional data from a computer-assisted telephone survey, conducted by Statistics Canada in February and March 2012, of western Canadian adults with at least 1 chronic condition. Survey respondents were asked about their capacity (e.g., "Do you own a mobile phone?") and willingness to use each of 3 information technologies (email, text messages and video conferencing) to interact with health care providers. For all analyses, Statistics Canada's calibrated design weights and bootstrap weights were used to obtain population-level point estimates for proportions and odds ratios.
RESULTS
In total, 1849 (79.8%) of 2316 eligible people participated. Of the 1849 participants, 81.9% had hypertension, 26.2% had diabetes, 21.4% had heart disease, and 7.9% had stroke; 32.2% had more than 1 of the 4 chronic conditions of interest. High proportions of respondents owned a computer with Internet access (76.4%, 95% confidence interval [CI] 73.3%-79.3%) or a mobile phone (73.9%, 95% CI 70.7%-76.8%). About two-thirds of respondents were interested in using email to interact with a specialist (66.3%, 95% CI 63.0%-69.5%); respondents were less enthusiastic about using text messages (44.9%, 95% CI 41.2%-48.7%). Enthusiasm for video conferencing was more pronounced among those residing further from medical specialists than among those living closer. Among respondents who were potentially interested in video conferencing, almost 50% of remote dwellers would use this technology if it saved more than 60 minutes of travel time.
INTERPRETATION
Many people were interested in using electronic technologies, especially video conferencing and email-based methods, to help manage their chronic condition. The effectiveness and cost implications of using email and video conferencing in the management of chronic disease deserve further consideration.
背景
医疗服务提供者对使用信息技术（如电子邮件、短信和视频会议）来促进慢性非传染性疾病（如高血压、糖尿病和血管疾病）的管理表现出了浓厚兴趣。我们试图确定这些技术是否可供目标人群使用以及是否对他们有吸引力。
方法
我们分析了加拿大统计局在2012年2月和3月对患有至少一种慢性病的加拿大西部成年人进行的计算机辅助电话调查的横断面数据。调查对象被问及他们使用三种信息技术（电子邮件、短信和视频会议）中的每一种与医疗服务提供者进行互动的能力（例如，“你有手机吗？”）和意愿。在所有分析中，使用了加拿大统计局的校准设计权重和自助权重来获得人群水平的比例和比值比的点估计值。
结果
在2316名符合条件的人中，共有1849人（79.8%）参与。在1849名参与者中，81.9%患有高血压，26.2%患有糖尿病，21.4%患有心脏病，7.9%患有中风；32.2%的人患有上述四种慢性病中的不止一种。高比例的受访者拥有可上网的电脑（76.4%，95%置信区间[CI]73.3%-79.3%）或手机（73.9%，95%CI70.7%-76.8%）。约三分之二的受访者有兴趣使用电子邮件与专科医生进行互动（66.3%，95%CI63.0%-69.5%）；受访者对使用短信的热情较低（44.9%，95%CI41.2%-48.7%）。居住距离专科医生较远的人对视频会议的热情比居住较近的人更高。在可能对视频会议感兴趣的受访者中，如果视频会议能节省超过60分钟的出行时间，近50%的偏远地区居民会使用这项技术。
解读
许多人有兴趣使用电子技术，特别是视频会议和基于电子邮件的方法来帮助管理他们的慢性病。在慢性病管理中使用电子邮件和视频会议的有效性和成本影响值得进一步考虑。
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