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识别在 COVID-19 期间使用数字健康服务的益处和关注点:基于医院患者调查的证据。

Identifying benefits and concerns with using digital health services during COVID-19: Evidence from a hospital-based patient survey.

机构信息

Department of Primary Care and Public Health, Imperial College, London, UK.

Institute of Global Health Innovation, Imperial College, London, UK.

出版信息

Health Informatics J. 2023 Oct-Dec;29(4):14604582231217339. doi: 10.1177/14604582231217339.

Abstract

Despite large-scale adoption during COVID-19, patient perceptions on the benefits and potential risks with receiving care through digital technologies have remained largely unexplored. A quantitative content analysis of responses to a questionnaire ( = 6766) conducted at a multi-site acute trust in London (UK), was adopted to identify commonly reported benefits and concerns. Patients reported a range of promising benefits beyond immediate usage during COVID-19, including ease of access; support for disease and care management; improved timeliness of access and treatment; and better prioritisation of healthcare resources. However, in addition to known risks such as data security and inequity in access, our findings also illuminate some less studied concerns, including perceptions of compromised safety; negative impacts on patient-clinician relationships; and difficulties in interpreting health information provided through electronic health records and mHealth apps. Implications for future research and practice are discussed.

摘要

尽管在 COVID-19 期间大规模采用,但患者对通过数字技术接受护理的益处和潜在风险的看法在很大程度上仍未得到探索。本研究采用对伦敦(英国)一家多地点急性信托机构进行的问卷调查(=6766)的回复的定量内容分析,以确定常见的报告益处和关注点。患者报告了一系列在 COVID-19 期间之外的有希望的益处,包括易于访问;支持疾病和护理管理;提高访问和治疗的及时性;以及更好地优先考虑医疗保健资源。然而,除了数据安全和获取方面的不平等这些已知风险外,我们的研究结果还揭示了一些研究较少的关注点,包括对安全性受损的看法;对医患关系的负面影响;以及通过电子健康记录和移动健康应用程序提供的健康信息解释困难。讨论了对未来研究和实践的影响。

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