Ministry of Health Holding, Singapore, Singapore.
SingHealth Polyclinics, Connection One, Tower 5, #15-10, 167, Jalan Bukit Merah, Singapore, 150167, Singapore.
BMC Med Inform Decis Mak. 2020 Jan 28;20(1):11. doi: 10.1186/s12911-020-1024-4.
Tele-monitoring (TM) is remote monitoring of individuals via info-communication technology, enabling them and their relatives or care-providers to recognize their health status conveniently. TM will be successful only if the individuals, often patients with medical conditions, are willing to accept and adopt it in their daily lives. This study aimed to determine the prevalence of willingness of patients with type 2 diabetes mellitus (T2DM) and/or hypertension towards the use of TM, and the factors influencing their uptake.
A cross-sectional survey was conducted at two public primary care clinics (polyclinics) in north-eastern Singapore, where TM had not been implemented. After the patients with T2DM and/or hypertension consented after fulfilling the eligibility criteria, they were first introduced to the concept of TM using pictogram and explanation by the investigators. Data on their demography, clinical parameters, technological literacy and acceptance of TM based on the Health Information Technology Acceptance Model (HITAM) were subsequently collected, computed, analyzed, followed by regression analyses to identify the factors associated with their willingness to use TM.
Among 1125 eligible multi-ethnic Asian patients approached, 899 of them completed the assisted questionnaire survey, yielding a response rate of 79.9%. Their mean age was 58 ± 8 years, females 51.3% and Chinese 69.3%. Overall, 53.0% of the patients were willing to use TM. Personal beliefs on technology (OR = 3.54, 95%CI = 2.50-4.50, p < 0.001), prior technology utility (OR = 3.18, 95%CI = 1.57-6.42, p = 0.001), Patient's requirements to be accompanied (OR = 1.48, 95% CI = 1.054-2.082, P = 0.03) Cost considerations (OR = 2.96, 95% CI = 2.257-3.388, P < 0.01) and technological literacy (OR = 2.77, 95%CI = 2.05-3.38, p < 0.001) were associated with willingness to use TM.
Slightly over half of the patients were willing to use TM. Factors such as age, ethnicity, technological literacy, beliefs and previous utility of technology of the patients have to be addressed before implementing TM in primary care.
远程医疗监测（TM）是通过信息通信技术对个人进行远程监控，使他们及其亲属或护理人员能够方便地识别他们的健康状况。只有当个体，通常是患有医疗条件的患者，愿意接受并在日常生活中采用 TM 时，TM 才会成功。本研究旨在确定 2 型糖尿病（T2DM）和/或高血压患者使用 TM 的意愿的流行率，以及影响他们采用 TM 的因素。
在新加坡东北部的两家公立基层医疗诊所（综合诊疗所）进行了一项横断面调查，在那里尚未实施 TM。在符合资格标准的患者同意后，研究人员首先使用图表和解释向他们介绍 TM 的概念。随后收集了他们的人口统计学、临床参数、技术素养和基于健康信息技术接受模型（HITAM）的 TM 接受度的数据，进行了计算、分析，然后进行回归分析，以确定与他们使用 TM 的意愿相关的因素。
在 1125 名符合条件的多族裔亚裔患者中，有 899 名完成了辅助问卷调查，应答率为 79.9%。他们的平均年龄为 58±8 岁，女性占 51.3%，中国人占 69.3%。总体而言，53.0%的患者愿意使用 TM。个人对技术的信念（OR=3.54，95%CI=2.50-4.50，p<0.001）、先前技术使用（OR=3.18，95%CI=1.57-6.42，p=0.001）、患者要求陪伴（OR=1.48，95%CI=1.054-2.082，P=0.03）、成本考虑（OR=2.96，95%CI=2.257-3.388，P<0.01）和技术素养（OR=2.77，95%CI=2.05-3.38，p<0.001）与使用 TM 的意愿相关。
略超过一半的患者愿意使用 TM。在基层医疗中实施 TM 之前，必须考虑患者的年龄、种族、技术素养、信念和以前使用技术的情况。
