电子健康。HIV 感染者及其医生的使用模式以及感知到的益处和障碍。第 2 部分：健康应用程序和智能设备。

E-health. Patterns of use and perceived benefits and barriers among people living with HIV and their physicians. Part 2: Health apps and smart devices.

机构信息

Service des maladies infectieuses et tropicales, CHU de Clermont-Ferrand, Clermont ferrand, France.

Systèmes d'information-Montpellier recherche en management & polytech Montpellier, Université de Montpellier, Montpellier, France.

出版信息

Med Mal Infect. 2020 Oct;50(7):582-589. doi: 10.1016/j.medmal.2020.04.005. Epub 2020 Apr 14.

DOI:10.1016/j.medmal.2020.04.005

PMID:32302672

Abstract

OBJECTIVES

To evaluate patterns of use and perceived benefits and barriers to health/wellness applications (apps) and smart devices among people living with HIV (PLHIV) and their physicians.

METHODS

Online multicenter observational survey (October 15-19, 2018).

RESULTS

Study participation was accepted by 229 physicians and 838/1377 PLHIV followed in 46 centers, of which 325 (39%) responded online. Overall, 83/288 (29%) PLHIV had already downloaded at least one app: these 'downloaders' were younger (OR0.96±0.01, P=0.004), educated to at least university entry level (OR2.27±0.86, P=0.03), and more frequently used geolocation-based dating websites (OR3.00±1.09, P=0.002). However, 227/314 (72%) PLHIV claimed they were ready to use an app recommended by a physician. For the 60/83 PLHIV who answered, the ideal app would be a vaccination tracker (76%) to better communicate with their physician (68%). However, 96/277 (42%) physicians were unable to answer this question and for 94/227 (41%) of them, the ideal patient app would be for schedule management. Although PLHIV used smart devices, 231/306 (75%) would want to report the data to their physicians and 137/225 (61%) of physicians would welcome this exchange. The main physician-side barrier to this exchange was concerns over data security.

CONCLUSION

mHealth apps and smart devices have failed to garner adoption by PLHIV. There is a case for good-quality health data sharing and exchange if PLHIV are provided with appropriately secure tools and physicians are backed up by adapted legislation.

摘要

目的

评估艾滋病毒感染者（PLHIV）及其医生对健康/保健应用程序（apps）和智能设备的使用模式、感知益处和障碍。

方法

在线多中心观察性调查（2018 年 10 月 15 日至 19 日）。

结果

46 个中心中有 229 名医生和 1377 名 PLHIV 中的 838 名接受了研究参与，其中 325 名（39%）在线回复。总体而言，288 名 PLHIV 中的 83 名（29%）已经下载了至少一个应用程序：这些“下载者”更年轻（OR0.96±0.01，P=0.004），受过至少大学入学水平的教育（OR2.27±0.86，P=0.03），并且更频繁地使用基于地理位置的约会网站（OR3.00±1.09，P=0.002）。然而，227/314 名（72%）PLHIV 声称他们准备使用医生推荐的应用程序。对于 60/83 名回答问题的 PLHIV，理想的应用程序将是疫苗追踪器（76%），以更好地与他们的医生沟通（68%）。然而，96/277 名（42%）医生无法回答这个问题，对于 94/227 名（41%）医生来说，理想的患者应用程序将用于日程管理。尽管 PLHIV 使用智能设备，但 231/306 名（75%）希望将数据报告给他们的医生，而 137/225 名（61%）的医生欢迎这种交流。这种交流的主要医生方面的障碍是对数据安全的担忧。