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Assessment of willingness to Tele-monitoring interventions in patients with type 2 diabetes and/or hypertension in the public primary healthcare setting.

公共基层医疗机构中 2 型糖尿病和/或高血压患者远程监测干预意愿的评估。

  • 影响因子:2.58
  • DOI:10.1186/s12911-020-1024-4
  • 作者列表:"Sin DYE","Guo X","Yong DWW","Qiu TY","Moey PKS","Falk MR","Tan NC
  • 发表时间:2020-01-28
Abstract

BACKGROUND:Tele-monitoring (TM) is remote monitoring of individuals via info-communication technology, enabling them and their relatives or care-providers to recognize their health status conveniently. TM will be successful only if the individuals, often patients with medical conditions, are willing to accept and adopt it in their daily lives. This study aimed to determine the prevalence of willingness of patients with type 2 diabetes mellitus (T2DM) and/or hypertension towards the use of TM, and the factors influencing their uptake.,METHODS:A cross-sectional survey was conducted at two public primary care clinics (polyclinics) in north-eastern Singapore, where TM had not been implemented. After the patients with T2DM and/or hypertension consented after fulfilling the eligibility criteria, they were first introduced to the concept of TM using pictogram and explanation by the investigators. Data on their demography, clinical parameters, technological literacy and acceptance of TM based on the Health Information Technology Acceptance Model (HITAM) were subsequently collected, computed, analyzed, followed by regression analyses to identify the factors associated with their willingness to use TM.,RESULTS:Among 1125 eligible multi-ethnic Asian patients approached, 899 of them completed the assisted questionnaire survey, yielding a response rate of 79.9%. Their mean age was 58 ± 8 years, females 51.3% and Chinese 69.3%. Overall, 53.0% of the patients were willing to use TM. Personal beliefs on technology (OR = 3.54, 95%CI = 2.50-4.50, p < 0.001), prior technology utility (OR = 3.18, 95%CI = 1.57-6.42, p = 0.001), Patient's requirements to be accompanied (OR = 1.48, 95% CI = 1.054-2.082, P = 0.03) Cost considerations (OR = 2.96, 95% CI = 2.257-3.388, P < 0.01) and technological literacy (OR = 2.77, 95%CI = 2.05-3.38, p < 0.001) were associated with willingness to use TM.,CONCLUSION:Slightly over half of the patients were willing to use TM. Factors such as age, ethnicity, technological literacy, beliefs and previous utility of technology of the patients have to be addressed before implementing TM in primary care.

摘要

背景: 远程监测是通过信息通信技术对个人进行远程监测,使他们及其亲属或护理人员能够方便地识别他们的健康状况。只有个人,通常是有医疗条件的患者,愿意接受并在日常生活中采用它,TM 才会成功。本研究旨在确定 2 型糖尿病 (T2DM) 和/或高血压患者对 TM 使用意愿的患病率,以及影响其摄取的因素。方法: 在新加坡东北部两个尚未实施 TM 的公共初级保健诊所 (综合诊所) 进行横断面调查。T2DM 和/或高血压患者在符合合格标准后同意,首先使用象形图和研究者的解释引入 TM 的概念。随后收集、计算、分析了基于健康信息技术接受模型 (HITAM) 的 TM 的人口统计学、临床参数、技术素养和接受度数据, 随后进行回归分析,以确定与其使用 TM 的意愿相关的因素。, 结果: 在 1125 名符合条件的多种族亚洲患者中,其中 899 人完成了辅助问卷调查,应答率为 79.9%。平均年龄 58 ± 8 岁,女性 51.3%,中国人 69.3%。总体而言,53.0% 的患者愿意使用 TM。个人对技术的信念 (or = 3.54,95% ci = 2.50-4.50,p <0.001),先前的技术效用 (or = 3.18, 95% ci =   1.57-6.42,p =   0.001) 、病人要求陪护 (or   =   1.48,95% ci ci=   1.054-2.082,P =   0.03) 成本考虑 (or = 2.96,95% ci = 2.257-3.388,P <0.01) 和技术素养 (or = 2.77,95% ci = 2.05-3.38, p <0.001)与使用 TM 的意愿相关。结论: 略多于一半的患者愿意使用 TM。在初级保健中实施 TM 之前,必须解决患者的年龄、种族、技术素养、信念和以前的技术效用等因素。

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