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对远程医疗服务的信任与信心:一项全国性横断面研究。

Trust and confidence in telehealth-delivered services: a nation-wide cross-sectional study.

作者信息

Catapan Soraia de Camargo, Snoswell Centaine L, Haydon Helen M, Banbury Annie, Thomas Emma E, Caffery Liam J, Smith Anthony C, Kelly Jaimon

机构信息

Centre for Online Health, The University of Queensland, Brisbane, Australia.

Centre for Health Services Research, The University of Queensland, Brisbane, Australia.

出版信息

Health Mark Q. 2025 Jan-Mar;42(1):48-66. doi: 10.1080/07359683.2024.2422202. Epub 2024 Oct 30.

DOI:10.1080/07359683.2024.2422202
PMID:39475427
Abstract

Sustaining telehealth uptake hinges on people's desire and ability to effectively engage with it. We explored trust and confidence in telehealth delivered by medical and allied health using cross-sectional survey of 1,116 Australians. Descriptive analysis presented factors that would improve trust and confidence in telehealth cross-tabulated with video consultation experience. Inferential statistics compared levels of trust in medical and allied health telehealth with user-related variables. Trust in medical telehealth was higher than in allied health, but practice with video calls, experience with high-quality telehealth, and good internet were associated with greater levels of trust in both groups. Telehealth with a known health professional and no additional costs were top-ranked factors to improve trust and confidence. Participants confident in troubleshooting trusted telehealth more. This first cross-sectional study on trust and confidence in telehealth suggests that digital upskilling and promoting quality video consultations can potentially enhance telehealth adoption.

摘要

持续采用远程医疗取决于人们有效参与的意愿和能力。我们通过对1116名澳大利亚人进行横断面调查,探讨了对医学和专职医疗提供的远程医疗的信任和信心。描述性分析呈现了与视频咨询体验交叉列表的、会提高对远程医疗信任和信心的因素。推断统计比较了医学和专职医疗远程医疗的信任水平与用户相关变量。对医学远程医疗的信任高于专职医疗,但视频通话实践、高质量远程医疗体验和良好的网络与两组中更高水平的信任相关。有熟悉的医疗专业人员且无需额外费用的远程医疗是提高信任和信心的首要因素。对故障排除有信心的参与者对远程医疗的信任度更高。这项关于远程医疗信任和信心的首次横断面研究表明,数字技能提升和推广高质量视频咨询可能会提高远程医疗的采用率。

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