Nguyen Long Hoang, Nguyen Lien Thi Khanh, Nguyen Tham Thi, Trong Dam Vu Anh, Vu Thuc Minh Thi, Nguyen Hao Anh Si, Vu Giang Thu, Latkin Carl A, Ho Roger C M, Ho Cyrus S H
University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
JMIR Med Educ. 2022 Sep 13;8(3):e34905. doi: 10.2196/34905.
eHealth is increasingly becoming an indispensable part of health practice and policy-making strategies. However, the use of eHealth tools in clinical practice and the perceptions of eHealth among medical students and health care professionals in Vietnam are not well understood.
This study aims to investigate perceptions and practices regarding eHealth and their associated factors among medical students and health care professionals.
A web-based cross-sectional study was conducted on 523 medical students and health care professionals. Information about the practices for, perceived barriers to, and benefits of eHealth application in clinical practices was collected. Multivariate Tobit and logistic regression models were used to determine factors associated with perceptions and practices.
In total, 61.6% (322/523) of participants used eHealth tools in clinical practices, with moderate levels of eHealth literacy. The score for the perceived benefits of eHealth tools was low. The most common barrier for eHealth utilization was human resources for IT (240/523, 45.9%), followed by security and risk control capacity (226/523, 43.2%) and no training in eHealth application (223/523, 42.6%). Age, eHealth literacy, and the use of the internet for updating medical knowledge were positively associated with using eHealth tools in clinical practices.
eHealth tools were moderately used in clinical practices, and the benefits of eHealth were underestimated among health care professionals and medical students in Vietnam. Renovating the current medical education curriculum to integrate eHealth principles should be required to equip health care professionals and medical students with essential skills for rapid digital transformation.
电子健康正日益成为健康实践和政策制定策略中不可或缺的一部分。然而，越南临床实践中电子健康工具的使用情况以及医学生和医疗保健专业人员对电子健康的认知尚不清楚。
本研究旨在调查医学生和医疗保健专业人员对电子健康的认知、实践及其相关因素。
对523名医学生和医疗保健专业人员进行了一项基于网络的横断面研究。收集了临床实践中电子健康应用的实践情况、感知障碍和益处等信息。使用多元 Tobit 模型和逻辑回归模型来确定与认知和实践相关的因素。
共有61.6%（322/523）的参与者在临床实践中使用电子健康工具，电子健康素养水平中等。电子健康工具的感知益处得分较低。电子健康利用最常见的障碍是信息技术人力资源（240/523，45.9%），其次是安全和风险控制能力（226/523，43.2%）以及缺乏电子健康应用培训（223/523，42.6%）。年龄、电子健康素养以及利用互联网更新医学知识与在临床实践中使用电子健康工具呈正相关。
越南的医疗保健专业人员和医学生在临床实践中对电子健康工具的使用程度中等，且低估了电子健康的益处。应要求对当前医学教育课程进行改革，以纳入电子健康原则，使医疗保健专业人员和医学生具备快速数字转型所需的基本技能。
