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患者就诊旅程和疾病相关数字媒体使用情况:德国皮肤科患者的横断面研究。

Patient journey and disease-related digital media usage: A cross-sectional study among dermatology patients across Germany.

机构信息

Technical University of Munich, TUM School of Medicine and Health, Department of Dermatology and Allergy, Munich, Germany.

Division of Dermatology and Venereology, Department of Medicine Solna, Karolinska Institute, Stockholm, Sweden.

出版信息

J Dtsch Dermatol Ges. 2024 Mar;22(3):377-387. doi: 10.1111/ddg.15311. Epub 2024 Feb 2.

Abstract

BACKGROUND AND OBJECTIVES

This study aimed to fill the gap of evidence-based data by examining the impact of health-related digital media use's impact on the patient-physician relationship and patient journey, with the goal of driving positive changes in office-based dermatological practice.

PATIENTS AND METHODS

German individuals with skin conditions completed a questionnaire assessing health-related digital media use, eHealth literacy, impact of digital media use on the patient-physician relationship and patient journey, and sociodemographic and health characteristics from June to November 2022, followed by descriptive analysis and linear regressions.

RESULTS

Overall, 919 participants were analyzed (median age: 47.00, interquartile range [28.00; 61.00] years, female: 53.6%, health-related digital media users: 56.8%). Google and online encyclopedias were commonly used before and after dermatological consultations. Online self-help groups were used by 75% of non-treated participants. Digital media use had no impact on the patient-physician relationship and a positive impact on the patient journey. Positive impacts were associated with higher eHealth literacy, satisfaction with digital media quality, importance of digital media, rural residence, high education, and trust in dermatologists.

CONCLUSIONS

The potential of health-related digital media in office-based dermatological care necessitates the drive of an evidence-based digital health platform to improve eHealth literacy and satisfaction with the quality of digital media among affected individuals.

摘要

背景与目的

本研究旨在通过考察健康相关数字媒体使用对医患关系和患者就诊体验的影响,填补循证数据的空白,旨在推动皮肤科门诊实践的积极变革。

患者与方法

2022 年 6 月至 11 月,德国皮肤病患者完成了一份评估健康相关数字媒体使用、电子健康素养、数字媒体使用对医患关系和患者就诊体验影响以及社会人口学和健康特征的问卷,随后进行描述性分析和线性回归分析。

结果

总体而言,共分析了 919 名参与者(中位数年龄:47.00 岁,四分位距 [28.00;61.00] 岁,女性:53.6%,健康相关数字媒体使用者:56.8%)。谷歌和在线百科全书在皮肤科就诊前后经常被使用。75%的未治疗参与者使用在线自助小组。数字媒体使用对医患关系没有影响,但对患者就诊体验有积极影响。积极影响与更高的电子健康素养、对数字媒体质量的满意度、对数字媒体的重视程度、农村居住、高教育程度和对皮肤科医生的信任有关。

结论

健康相关数字媒体在皮肤科门诊护理中的潜力需要推动基于证据的数字健康平台,以提高受影响个体的电子健康素养和对数字媒体质量的满意度。

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