Bauer Amy M, Rue Tessa, Munson Sean A, Ghomi Reza Hosseini, Keppel Gina A, Cole Allison M, Baldwin Laura-Mae, Katon Wayne
Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA.
Biostatistics, University of Washington, Seattle, USA.
J Mob Technol Med. 2017 Aug;6(2):1-10. doi: 10.7309/jmtm.6.2.1.
For patient-oriented mobile health tools to contribute meaningfully to improving healthcare delivery, widespread acceptance and use of such tools by patients are critical. However, little is known about patients' attitudes toward using health technology and their willingness to share health data with providers.
To investigate primary care patients' comfort sharing health information through mobile devices, and patients' awareness and use of patient portals.
Patients (n=918) who visited one of 6 primary care clinics in the Northwest US completed a survey about health technology use, medical conditions, and demographics.
More patients were comfortable sharing mobile health information with providers than having third parties store their information (62% vs 30%, Somers D=.33, p<0.001). Patients older than 55 years were less likely to be comfortable sharing with providers (AORs 0.37-0.42, p<0.01). Only 39% of patients knew if their clinic offered a patient portal; however, of these, 67% used it. Health literacy limitations were associated with lower portal awareness (AOR=0.55, p=0.005) but not use. Portal use was higher among patients with a chronic condition (AOR= 3.18, p=0.004).
Comfort, awareness, and use of health technologies were variable. Practices introducing patient-facing health technologies should promote awareness, address concerns about data security, and provide education and training, especially to older adults and those with health literacy limitations. Patient-facing health technologies provide an opportunity for delivering scalable health education and self-management support, particularly for patients with chronic conditions who are already using patient portals.
以患者为导向的移动健康工具若要对改善医疗服务产生有意义的贡献，患者对这类工具的广泛接受和使用至关重要。然而，对于患者对使用健康技术的态度以及他们与医疗服务提供者共享健康数据的意愿，我们知之甚少。
调查初级保健患者通过移动设备共享健康信息的舒适度，以及患者对患者门户网站的认知和使用情况。
在美国西北部6家初级保健诊所就诊的患者（n = 918）完成了一项关于健康技术使用、医疗状况和人口统计学的调查。
与让第三方存储其信息相比，更多患者对与医疗服务提供者共享移动健康信息感到舒适（62% 对 30%，Somers D = 0.33，p < 0.001）。55岁以上的患者与医疗服务提供者共享信息时舒适度较低（优势比0.37 - 0.42，p < 0.01）。只有39%的患者知道其诊所是否提供患者门户网站；然而，在这些患者中，67%使用了该网站。健康素养有限与较低的门户网站认知度相关（优势比 = 0.55，p = 0.005），但与使用情况无关。慢性病患者的门户网站使用率较高（优势比 = 3.18，p = 0.004）。
对健康技术的舒适度、认知度和使用率各不相同。引入面向患者的健康技术的医疗机构应提高认知度，解决对数据安全的担忧，并提供教育和培训，特别是针对老年人和健康素养有限的人群。面向患者的健康技术为提供可扩展的健康教育和自我管理支持提供了机会，特别是对于已经在使用患者门户网站的慢性病患者。
