Hirano Ryoma, Yamaguchi Satoko, Waki Kayo, Kimura Yoshihiko, Chin Keiichi, Nannya Yasuhito, Nangaku Masaomi, Kadowaki Takashi, Ohe Kazuhiko
Nihon Chouzai Co, Ltd, Tokyo, Japan.
Department of Ubiquitous Health Informatics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
J Med Internet Res. 2020 May 28;22(5):e13866. doi: 10.2196/13866.
Personal health record (PHR) systems let individuals utilize their own health information to maintain and improve quality of life. Using PHRs is expected to support self-management in patients with lifestyle-related diseases.
The aim of this study was to identify predictors of the willingness to use PHRs among patients who are prescribed medications for lifestyle-related diseases.
We recruited pharmacy patrons, aged 20 years or older, who had received at least one medication indicated for hypertension, dyslipidemia, or diabetes. Participants completed self-administered questionnaires regarding their previous diseases, awareness of health care, experience in using PHRs, willingness to use PHRs, and barriers to using PHRs. Data were analyzed using multivariate logistic regression models.
Of the 3708 subjects meeting eligibility criteria, 2307 replies (62.22%) were collected. While only 174 (7.54%) participants had previous PHR experience, 853 (36.97%) expressed willingness to use PHRs. In the multivariate analysis, considering exercise to be important for health management (odds ratio [OR] 1.57, 95% CI 1.12-2.21; P=.009), obtaining medical information from books or magazines (OR 1.23, 95% CI 0.96-1.59; P=.10), and obtaining medical information from the internet (OR 1.45, 95% CI 1.13-1.87; P=.004) were newly identified predictors. These were in addition to known predictors, such as being employed, owning information terminals, and previous PHR experience.
Patients who have an active and positive attitude toward health seem to be more willing to use PHRs. Investigating willingness should contribute to the development of more useful PHRs for self-management among patients prescribed medications for lifestyle-related diseases.
个人健康记录（PHR）系统使个人能够利用自己的健康信息来维持和提高生活质量。使用PHR有望支持患有生活方式相关疾病的患者进行自我管理。
本研究的目的是确定在因生活方式相关疾病而服用药物的患者中，使用PHR意愿的预测因素。
我们招募了年龄在20岁及以上的药房顾客，他们至少接受过一种用于治疗高血压、血脂异常或糖尿病的药物。参与者完成了关于他们以前的疾病、医疗保健意识、使用PHR的经验、使用PHR的意愿以及使用PHR的障碍的自填问卷。使用多变量逻辑回归模型分析数据。
在3708名符合资格标准的受试者中，收集到2307份回复（62.22%）。虽然只有174名（7.54%）参与者有过使用PHR的经验，但853名（36.97%）表示愿意使用PHR。在多变量分析中，认为运动对健康管理很重要（优势比[OR]1.57，95%可信区间1.12-2.21；P=0.009）、从书籍或杂志获取医疗信息（OR 1.23，95%可信区间0.96-1.59；P=0.10）以及从互联网获取医疗信息（OR 1.45，95%可信区间1.13-1.87；P=0.004）是新确定的预测因素。这些因素是除了已知的预测因素之外的，如就业、拥有信息终端和以前的PHR经验。
对健康持积极主动态度的患者似乎更愿意使用PHR。调查意愿应有助于开发更有用的PHR，以帮助因生活方式相关疾病而服用药物的患者进行自我管理。
