关于电子个人健康记录的知识、态度和实践:意大利北部地区的一项横断面研究

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Medical Systems Pub Date : 2024-04-17 DOI:10.1007/s10916-024-02065-z
Giacomo Scaioli, Manuela Martella, Giuseppina Lo Moro, Alessandro Prinzivalli, Laura Guastavigna, Alessandro Scacchi, Andreea Mihaela Butnaru, Fabrizio Bert, Roberta Siliquini
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引用次数: 0

摘要

电子个人健康记录(EPHR)为公民和专业人员提供了一种管理健康数据的创新服务,促进了以病人为中心的护理。它加强了病人与医生之间的沟通,提高了远程医疗信息管理文件的可访问性。这项研究旨在评估意大利北部地区对 EPHR 的认知和接受程度,并确定其实施的决定因素和障碍。2022 年,通过对成年公民进行纸质和在线调查,开展了一项全地区横断面研究。单变量和多变量回归模型分析了结果变量(对 EPHR 的了解和态度)与选定自变量之间的关联。共有 1634 人接受了调查,其中三分之二的人知道 EPHR。在不了解《电子健康状况报告》的人群中,外国出生者和教育水平较低者等特定社会人口群体的比例较高。多变量回归模型显示,对《电子健康状况报告》的了解程度与教育水平、健康素养和健康状况感知不良之间呈正相关,而年龄则呈负相关。对《电子健康状况报告》的了解程度越高,对《电子健康状况报告》的态度就越好。目前的分析证实,人们对《电子健康状况报告》的存在缺乏认识,尤其是在某些弱势群体中。这应成为针对特定类别公民开展强大宣传活动的推动力,以增强对《电子健康状况报告》的了解和使用。让专业人员参与推广这一工具对于帮助病人和管理健康数据至关重要。
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Knowledge, Attitudes, and Practices about Electronic Personal Health Records: A Cross-Sectional Study in a Region of Northern Italy

The Electronic Personal Health Record (EPHR) provides an innovative service for citizens and professionals to manage health data, promoting patient-centred care. It enhances communication between patients and physicians and improves accessibility to documents for remote medical information management. The study aims to assess the prevalence of awareness and acceptance of the EPHR in northern Italy and define determinants and barriers to its implementation. In 2022, a region-wide cross-sectional study was carried out through a paper-based and online survey shared among adult citizens. Univariable and multivariable regression models analysed the association between the outcome variables (knowledge and attitudes toward the EPHR) and selected independent variables. Overall, 1634 people were surveyed, and two-thirds were aware of the EPHR. Among those unaware of the EPHR, a high prevalence of specific socio-demographic groups, such as foreign-born individuals and those with lower educational levels, was highlighted. Multivariable regression models showed a positive association between being aware of the EPHR and educational level, health literacy, and perceived poor health status, whereas age was negatively associated. A higher knowledge of the EPHR was associated with a higher attitude towards the EPHR. The current analysis confirms a lack of awareness regarding the existence of the EPHR, especially among certain disadvantaged demographic groups. This should serve as a driving force for a powerful campaign tailored to specific categories of citizens for enhancing knowledge and usage of the EPHR. Involving professionals in promoting this tool is crucial for helping patients and managing health data.

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来源期刊
Journal of Medical Systems
Journal of Medical Systems 医学-卫生保健
CiteScore
11.60
自引率
1.90%
发文量
83
审稿时长
4.8 months
期刊介绍: Journal of Medical Systems provides a forum for the presentation and discussion of the increasingly extensive applications of new systems techniques and methods in hospital clinic and physician''s office administration; pathology radiology and pharmaceutical delivery systems; medical records storage and retrieval; and ancillary patient-support systems. The journal publishes informative articles essays and studies across the entire scale of medical systems from large hospital programs to novel small-scale medical services. Education is an integral part of this amalgamation of sciences and selected articles are published in this area. Since existing medical systems are constantly being modified to fit particular circumstances and to solve specific problems the journal includes a special section devoted to status reports on current installations.
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