Harefield Respiratory Research Group, Royal Brompton and Harefield Clinical Group, 8945Guy's and St Thomas' NHS Foundation Trust, London, UK.
National Heart and Lung Institute, 4615Imperial College London, London, UK.
Chron Respir Dis. 2022 Jan-Dec;19:14799731221075647. doi: 10.1177/14799731221075647.
OBJECTIVE: We previously demonstrated low levels of digital literacy amongst pulmonary rehabilitation service-users prior to the COVID-19 pandemic. We aimed to identify whether the pandemic accelerated digital literacy in this population, resulting in greater acceptance of remote web-based pulmonary rehabilitation programme models. METHODS: We surveyed digital access and behaviours and pulmonary rehabilitation delivery preferences of service-users referred to pulmonary rehabilitation in 2021 (cohort 2021) and propensity score-matched them to a cohort who completed the survey in 2020 (cohort 2020). RESULTS: There were indicators that digital access and confidence were better amongst the Cohort 2021 but no difference was seen in the proportion of patients choosing remote web-based pulmonary rehabilitation as an acceptable method of receiving pulmonary rehabilitation. CONCLUSION: In an unselected cohort of service-users, remote web-based pulmonary rehabilitation was considered acceptable in only a minority of patients which has implications on healthcare commissioning and delivery of pulmonary rehabilitation.
目的：我们之前发现，在 COVID-19 大流行之前，肺康复服务使用者的数字素养水平较低。我们旨在确定大流行是否加速了这一人群的数字素养，从而使更多人接受远程网络肺康复计划模式。
方法：我们调查了 2021 年（2021 队列）转诊至肺康复的服务使用者的数字访问和行为以及肺康复提供偏好，并将他们与 2020 年完成调查的队列进行了倾向评分匹配（2020 队列）。
结果：虽然 2021 队列的数字访问和信心有一些指标表明有所改善，但选择远程网络肺康复作为接受肺康复的可接受方法的患者比例没有差异。
结论：在未选择的服务使用者队列中，只有少数患者认为远程网络肺康复是可以接受的，这对医疗保健委托和肺康复的提供产生了影响。
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