TY - JOUR AU - Zrubka, Zsombor AU - Brito Fernandes， Óscar AU - Baji, Petra AU - Hajdu, Ottó AU - Kovacs, Levente AU - kringgos, Dionne AU - Klazinga, Niek AU - Gulácsi, László AU - Brodszky, Valentin AU - Rencz, Fanni AU - pntek, Márta PY - 2020 DA - 2020/8/11 TI -探索匈牙利普通成年人的电子健康知识和门诊患者报告的经验:横断面研究乔- J地中海互联网Res SP - e19013六世- 22 - 8 KW -健康素质KW -电子健康素养,patient-reported经验措施KW - patient-reported结果措施KW -门诊KW -共享决策KW -匈牙利KW - AB调查背景:数字健康,包括使用信息和通信技术支持健康,是一个关键的驱动力对people-centeredness医学文化转型。因此，电子卫生知识普及在创新数字卫生解决方案的协助下，可以支持更好的护理体验。目的:本研究的目的是探讨电子健康素养和患者报告的经验措施(PREMs)之间的关系，在匈牙利门诊服务的用户。方法:2019年初，我们对从匈牙利普通人群中招募的大型代表性在线样本进行了横断面调查。使用电子健康素养量表(eHEALS)测量电子健康素养。通过经济合作与发展组织(OECD)为在调查前12个月内参加门诊就诊的受访者推荐的一组问题来测量门诊护理的PREMs。通过多元相关、Kruskal-Wallis检验和卡方检验探讨双变量关系。为了捕捉非线性关联，在控制协变量后，我们使用多元probit、普通最小二乘、有序logit和逻辑回归模型分析了eHEALS四分位数与PREMs之间的关系。结果:在1000名调查对象中，666人(女性364人，54.7%)被纳入研究，平均年龄48.9岁(SD 17.6)，平均eHEALS评分29.3分(SD 4.9)。 Respondents with higher eHEALS scores were more likely to understand the health care professionals’ (HCPs’) explanations (χ29=24.2, P=.002) and to be involved in decision making about care and treatment (χ29=18.2, P=.03). In multivariate regression, respondents with lowest (first quartile) and moderately high (third quartile) eHEALS scores differed significantly, where the latter were more likely to have an overall positive experience (P=.02) and experience fewer problems (P=.02). In addition, those respondents had better experiences in terms of how easy it was to understand the HCPs’ explanations (P<.001) and being able to ask questions during their last consultation (P=.04). Patient-reported experiences of individuals with highest (fourth quartile) and lowest (first quartile) eHEALS levels did not differ significantly in any items of the PREM instrument, and neither did composite PREM scores generated from the PREM items (P>.05 in all models). Conclusions: We demonstrated the association between eHealth literacy and PREMs. The potential patient-, physician-, and system-related factors explaining the negative experiences among people with highest levels of eHealth literacy warrant further investigation, which may contribute to the development of efficient eHealth literacy interventions. Further research is needed to establish causal relationship between eHealth literacy and patient-reported experiences. SN - 1438-8871 UR - //www.mybigtv.com/2020/8/e19013 UR - https://doi.org/10.2196/19013 UR - http://www.ncbi.nlm.nih.gov/pubmed/32667891 DO - 10.2196/19013 ID - info:doi/10.2196/19013 ER -