Boriani Giuseppe, Maisano Anna, Bonini Niccolò, Albini Alessandro, Imberti Jacopo Francesco, Venturelli Andrea, Menozzi Matteo, Ziveri Valentina, Morgante Vernizia, Camaioni Giovanni, Passiatore Matteo, De Mitri Gerardo, Nanni Giulia, Girolami Denise, Fontanesi Riccardo, Siena Valerio, Sgreccia Daria, Malavasi Vincenzo Livio, Valenti Anna Chiara, Vitolo Marco
Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy.
Clinical and Experimental Medicine, University of Modena and Reggio Emilia, Modena, Italy.
J Geriatr Cardiol. 2021 Sep 28;18(9):739-747. doi: 10.11909/j.issn.1671-5411.2021.09.003.
During the COVID-19 pandemic, the implementation of telemedicine has represented a new potential option for outpatient care. The aim of our study was to evaluate digital literacy among cardiology outpatients.
From March to June 2020, a survey on telehealth among cardiology outpatients was performed. Digital literacy was investigated through six main domains: age; sex; educational level; internet access; availability of internet sources; knowledge and use of teleconference software programs.
The study included 1067 patients, median age 70 years, 41.3% females. The majority of the patients (58.0%) had a secondary school degree, but among patients aged ≥ 75 years old the most represented educational level was primary school or none. Overall, for internet access, there was a splitting between "never" (42.1%) and "every day" (41.0%), while only 2.7% answered "at least 1/month" and 14.2% "at least 1/week". In the total population, the most used devices for internet access were smartphones (59.0%), and WhatsApp represented the most used app (57.3%). Internet users were younger compared to non-internet users (63 . 78 years old, respectively) and with a higher educational level. Age and educational level were associated with non-use of internet (age-per 10-year increase odds ratio (OR) = 3.07, 95% CI: 2.54-3.71, secondary school OR = 0.18, 95% CI: 0.12-0.26, university OR = 0.05, 95% CI: 0.02-0.10).
Telemedicine represents an appealing option to implement medical practice, and for its development it is important to address the gaps in patients' digital skills, with age and educational level being key factors in this setting.
在新冠疫情期间，远程医疗的实施为门诊护理提供了一种新的潜在选择。我们研究的目的是评估心脏病门诊患者的数字素养。
2020年3月至6月，对心脏病门诊患者进行了一项远程医疗调查。通过六个主要领域调查数字素养：年龄；性别；教育水平；互联网接入情况；互联网资源可用性；电话会议软件程序的知识和使用情况。
该研究纳入了1067例患者，中位年龄70岁，女性占41.3%。大多数患者（58.0%）具有中学学历，但在75岁及以上的患者中，占比最高的教育水平是小学或未受过教育。总体而言，在互联网接入方面，“从不”（42.1%）和“每天”（41.0%）的情况存在差异，而只有2.7%的人回答“至少每月一次”，14.2%的人回答“至少每周一次”。在总人口中，最常用的上网设备是智能手机（59.0%），WhatsApp是最常用的应用程序（57.3%）。与非互联网用户相比，互联网用户更年轻（分别为63.78岁），且教育水平更高。年龄和教育水平与不使用互联网相关（年龄每增加十岁，优势比（OR）=3.07，95%置信区间：2.54-3.71；中学学历OR=0.18，95%置信区间：0.12-0.26；大学学历OR=0.05，95%置信区间：0.02-0.10）。
远程医疗是实施医疗实践的一个有吸引力的选择，为了其发展，解决患者数字技能方面的差距很重要，在这种情况下，年龄和教育水平是关键因素。
