TY - JOUR AU - Arellano Carmona, Kimberly AU - Chittamuru, Deepti AU - Kravitz, Richard L AU - Ramondt, Steven AU - Ramírez, A Susana PY - 2022 DA - 2022/8/19 TI -基于web的智能症状检查器的健康信息搜索:横断面问卷调查研究乔- J地中海互联网Res SP - e36322六世- 24 - 8 KW -健康信息寻求KW -健康信息KW -信息寻求KW -信息导引头KW -信息行为KW -人工智能KW -医疗信息系统KW -数字鸿沟千瓦信息不平等KW -数码流行病学KW -症状检查KW -数字医疗KW -电子健康KW -网上健康信息KW -用户人口KW -卫生信息资源千瓦背景:网络上可用的健康信息数量不断增长，这增加了对提供个性化和可操作健康信息的工具的需求。这类工具包括症状检查器，可在对一组有关其症状的探测作出响应后为用户提供潜在的诊断。尽管它们的应用潜力巨大，但人们对这些工具的实际用途和效果知之甚少。目的:我们旨在了解谁使用基于网络的人工智能症状检查器及其目的，他们如何评估基于网络的访谈体验和信息质量，他们打算如何处理推荐，以及未来使用的预测因素。方法:在完成症状检查访问后对基于网络的健康信息寻求者进行横断面调查(N=2437)。评估了可理解性、信心、有用性、健康相关焦虑、授权和未来使用意愿等指标。方差分析和Wilcoxon秩和检验检验了种族、民族和性别群体的平均结果差异。使用多水平逻辑回归评估症状检查者的感知与遵循推荐行动的意愿之间的关系。 Results: Buoy users were well-educated (1384/1704, 81.22% college or higher), primarily White (1227/1693, 72.47%), and female (2069/2437, 84.89%). Most had insurance (1449/1630, 88.89%), a regular health care provider (1307/1709, 76.48%), and reported good health (1000/1703, 58.72%). Three types of symptoms—pain (855/2437, 35.08%), gynecological issues (293/2437, 12.02%), and masses or lumps (204/2437, 8.37%)—accounted for almost half (1352/2437, 55.48%) of site visits. Buoy’s top three primary recommendations split across less-serious triage categories: primary care physician in 2 weeks (754/2141, 35.22%), self-treatment (452/2141, 21.11%), and primary care in 1 to 2 days (373/2141, 17.42%). Common diagnoses were musculoskeletal (303/2437, 12.43%), gynecological (304/2437, 12.47%) and skin conditions (297/2437, 12.19%), and infectious diseases (300/2437, 12.31%). Users generally reported high confidence in Buoy, found it useful and easy to understand, and said that Buoy made them feel less anxious and more empowered to seek medical help. Users for whom Buoy recommended “Waiting/Watching” or “Self-Treatment” had strongest intentions to comply, whereas those advised to seek primary care had weaker intentions. Compared with White users, Latino and Black users had significantly more confidence in Buoy (P<.05), and the former also found it significantly more useful (P<.05). Latino (odds ratio 1.96, 95% CI 1.22-3.25) and Black (odds ratio 2.37, 95% CI 1.57-3.66) users also had stronger intentions to discuss recommendations with a provider than White users. Conclusions: Results demonstrate the potential utility of a web-based health information tool to empower people to seek care and reduce health-related anxiety. However, despite encouraging results suggesting the tool may fulfill unmet health information needs among women and Black and Latino adults, analyses of the user base illustrate persistent second-level digital divide effects. SN - 1438-8871 UR - //www.mybigtv.com/2022/8/e36322 UR - https://doi.org/10.2196/36322 UR - http://www.ncbi.nlm.nih.gov/pubmed/35984690 DO - 10.2196/36322 ID - info:doi/10.2196/36322 ER -