TY - JOUR AU - Ahmed, Tanvir AU - Rizvi, Syed Jafar Raza AU - Rasheed, Sabrina AU - Iqbal, Mohammad AU - Bhuiya, Abbas AU - Standing, Hilary AU - Bloom, Gerald AU - Waldman, Linda PY - 2020 DA - 2020/7/21 TI -孟加拉国的数字健康和获得卫生服务的不平等:混合方法研究移动医疗卫生公平KW -电子健康KW -移动医疗KW -数字健康KW -卫生技术KW -孟加拉国KW -发展中国家AB -背景:在全球范围内，技术的快速增长及其作为发展解决方案的使用引起了人们对数字健康的极大兴趣。与全球趋势一致，孟加拉国还将技术纳入其卫生系统，以解决差距问题。政府对数字平台的大力政治支持和采用影响了此类举措在该国的迅速扩散。本文旨在研究数字卫生对孟加拉国获得卫生保健的影响，考虑到谁使用电子设备获取卫生信息和服务以及为什么使用电子设备。目的:本研究旨在了解孟加拉国一个半城市社区的社会人口决定因素(即年龄、性别、教育、社会经济地位以及个人和家庭手机拥有量)如何影响通过电子手段(数字健康)获得医疗保健和相关信息。方法:对854户家庭(2013年10月至2014年2月)进行横断面调查，并对20个焦点小组(2017年2月至2017年3月)进行讨论，以了解(1)谁拥有电子设备;(2)所有者中谁使用这些工具获取卫生信息和服务，原因是什么;(3)对卫生信息电子来源的认识;(4)中介(帮助使用电子设备查找健康信息的家庭成员或同伴)的作用。 Results: A total of 90.3% (771/854) of households (471/854, 55.2% of respondents) owned electronic devices, mostly mobile phones. Among these, 7.2% (34/471) used them to access health information or services. Middle-aged (35-54 years), female, less (or not) educated, and poorer people used these devices the least (α=.05, α is the level of significance). The lack of awareness, discomfort, differences with regular care-seeking habits, lack of understanding and skills, and proximity to a health facility were the main reasons for not using devices to access digital health. Conclusions: Although influenced by sociodemographic traits, access to digital health is not merely related to device ownership and technical skill. Rather, it is a combination of general health literacy, phone ownership, material resources, and technical skill as well as social recognition of health needs and inequity. This study’s findings should serve as a basis for better integrating technology within the health system and ensuring equitable access to health care. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2020/7/e16473/ UR - https://doi.org/10.2196/16473 UR - http://www.ncbi.nlm.nih.gov/pubmed/32706736 DO - 10.2196/16473 ID - info:doi/10.2196/16473 ER -