Corriveau Benoît, Denault Gabrielle, Wang Rick, Beyer Alexander, Daneshvarfard Maryam, Breton Mylaine, Kovacina Neb, Hedden Lindsay, Mitra Goldis, Green Michael E, Martin Danielle, Brown-Shreves Danielle, Kay Jasmin, MacLeod Peter, van der Linden Clifton, Kiran Tara
Associate Medical Officer of Health at the Public Health Department of Montreal and Associate Member of the Department of Preventive Medicine and Public Health at the Centre Hospitalier de l'Université de Montréal in Quebec.
Public Health and Preventive Medicine resident at the Université de Montréal.
Can Fam Physician. 2025 May;71(5):324-336. doi: 10.46747/cfp.7105324.
To assess the association between patient sociodemographic characteristics and adoption of and preferences for digital technologies in primary care.
Cross-sectional bilingual online survey conducted in the fall of 2022.
Canada.
Adults living in Canada aged 18 and older.
Descriptive statistics were reviewed and a bivariate analysis was conducted of 8 outcomes by sociodemographic characteristic. Models included the following 8 self-reported characteristics: gender, age, province, level of education, level of income, rurality, whether the participant was born in Canada, and health status. Descriptive responses to a question on why video appointments were not important for some respondents were also examined.
Data were analyzed from 9279 completed responses. Compared to those earning more than $150,000, respondents earning less than $30,000 were less likely to have recently used email or secure messaging (adjusted odds ratio [aOR]=0.57, 95% CI 0.37 to 0.87) or video calls (aOR=0.65, 95% CI 0.31 to 1.37) or want to use email or secure messaging (aOR=0.71, 95% CI 0.51 to 0.97) or video calls (aOR=0.50, 95% CI 0.36 to 0.68). Compared to university graduates, respondents with a high school diploma or below were less likely to have used email or secure messaging (aOR=0.67, 95% CI 0.49 to 0.90) or video calls (aOR=0.42, 95% CI 0.24 to 0.76) or want to use email or secure messaging (aOR=0.74, 95% CI 0.60 to 0.91) or video calls (aOR=0.73, 95% CI 0.59 to 0.90). People earning less than $30,000 were less likely to have accessed personal health records (aOR=0.43, 95% CI 0.30 to 0.61) or place importance on accessing them (aOR=0.60, 95% CI 0.41 to 0.88). Similarly, people with a high school diploma or less were less likely to access personal health records (aOR=0.61, 95% CI 0.50 to 0.76) and place importance on accessing them (aOR=0.68, 95% CI 0.54 to 0.86).
The results suggest that people living with a lower income or who have less formal education are less likely to have used digital technologies or consider them important. Further research and policy work should help to understand barriers to adoption of digital technologies and develop tailored interventions to enable equitable access to health care services.
评估患者社会人口学特征与初级保健中数字技术的采用及偏好之间的关联。
2022年秋季开展的横断面双语在线调查。
加拿大。
居住在加拿大的18岁及以上成年人。
审查描述性统计数据，并按社会人口学特征对8项结局进行双变量分析。模型包括以下8项自我报告的特征：性别、年龄、省份、教育程度、收入水平、农村地区、参与者是否在加拿大出生以及健康状况。还研究了对关于视频预约对某些受访者不重要的原因这一问题的描述性回答。
对9279份完整回复进行了数据分析。与收入超过15万加元的人相比，收入低于3万加元的受访者近期使用电子邮件或安全消息传递的可能性较小（调整优势比[aOR]=0.57，95%置信区间0.37至0.87）或进行视频通话的可能性较小（aOR=0.65，95%置信区间0.31至1.37），或者想要使用电子邮件或安全消息传递的可能性较小（aOR=0.71，95%置信区间0.51至0.97）或视频通话的可能性较小（aOR=0.50，95%置信区间0.36至0.68）。与大学毕业生相比，高中文凭或以下学历的受访者使用电子邮件或安全消息传递的可能性较小（aOR=0.67，95%置信区间0.49至0.90）或进行视频通话的可能性较小（aOR=0.42，95%置信区间0.24至0.76），或者想要使用电子邮件或安全消息传递的可能性较小（aOR=0.74，95%置信区间0.60至0.91）或视频通话的可能性较小（aOR=0.73，95%置信区间0.59至0.90）。收入低于3万加元的人访问个人健康记录的可能性较小（aOR=0.43，95%置信区间0.30至0.61），或者不太重视访问个人健康记录（aOR=0.60，95%置信区间0.41至0.88）。同样，高中文凭或更低学历的人访问个人健康记录的可能性较小（aOR=0.61，95%置信区间0.50至0.76），并且不太重视访问个人健康记录（aOR=0.68，95%置信区间0.54至0.86）。
结果表明，收入较低或受正规教育较少的人使用数字技术或将其视为重要技术的可能性较小。进一步的研究和政策工作应有助于了解数字技术采用的障碍，并制定针对性的干预措施，以实现公平获得医疗服务。
