Evaluation of Accessibility and Use of New Communication Technologies in Patients With Type 1 Diabetes Mellitus
Evaluation of Accessibility and Use of New Communication Technologies in Patients With Type 1 Diabetes Mellitus
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DOI：
10.2196/jmir.4.3.e16
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发表时间：
2002-01-01
影响因子：
7.4
通讯作者：
Mauricio, Didac
中科院分区：
文献类型：
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作者：
Gimenez-Perez, Gabriel;Gallach, Maria;Mauricio, Didac
背景：1型糖尿病是一种慢性疾病，患者在管理和控制中的作用已得到充分确立。新通信技术的出现有望改善患者获得保健信息的机会。然而，人们对1型糖尿病患者使用互联网检索医疗信息的程度以及这种检索对他们的健康状况的影响知之甚少。目的：评估新的通信技术在1型糖尿病患者人群中的可及性和使用情况。在西班牙萨巴德尔的萨巴德尔医院糖尿病门诊就诊的1型糖尿病患者在6个月内被要求回答关于教育水平、互联网可访问性、健康相关网站的使用、结果：在302例定期到糖尿病门诊就诊的1型糖尿病患者中，244例（男性115例，女性129例）接受了访谈（应答率80.8%）。58.2%的患者拥有个人电脑。59%的人可以上网，39.3%的人可以在家里上网，但只有36.5%的人经常上网。互联网使用者较年轻，通常是男性，受教育程度较高。在互联网用户中，只有49.4%的人访问过与健康有关的网站。曾经访问过健康相关网站的互联网用户受教育程度较高，更频繁地出现严重的低血糖，并且更有可能在家中访问互联网。在互联网用户和非互联网用户之间，或者在曾经访问过健康相关网站的互联网用户和从未访问过健康相关网站的互联网用户之间，没有发现代谢控制方面的差异。的76.6%的患者，拥有一个移动的电话，96%的人使用它超过一次week.Conclusions：新的通信技术的影响可能会受到危害的访问和利用互联网的健康相关的目的的低利率。由于移动的电话的拥有率和使用率很高，因此显示出作为医疗保健通信技术工具的前景。
Background: The role of patients in the management and control of type 1 diabetes mellitus, a chronic disease, is well established. The advent of new communication technologies is expected to improve patients' access to health information. However, little is known about the extent to which patients with type 1 diabetes mellitus use the Internet to retrieve medical information and about the impact, if any, this retrieval has on their health status.Objective: To evaluate the accessibility and use of new communication technologies in a population of patients with type 1 diabetes mellitus.Methods: Patients with type 1 diabetes mellitus attending the Diabetes Clinic of the Hospital de Sabadell, Sabadell, Spain, in a 6-month period were asked to answer a structured questionnaire about education level, Internet accessibility, use of health-related Web sites, and mobile-phone ownership and use.Results: Of 302 patients with type 1 diabetes mellitus attending the Diabetes Clinic on a regular basis, 244 (115 men, 129 women) were interviewed (response rate 80.8%). Personal computers were owned by 58.2% of patients. Fifty-nine percent had access to the Internet, 39.3% had access to the Internet at home; however, only 36.5% were regular Internet users. Internet users were younger, more frequently men, and of higher education level. Among Internet users only 49.4% had ever accessed a health-related Web site. Internet users who had ever accessed a health-related Web site had a higher level of education, presented severe hypoglycemia more frequently, and were more likely to have access to the Internet at home. No differences were found in metabolic control between Internet users and nonusers or between Internet users who had ever accessed a health-related Web site and Internet users who had never accessed a health-related Web site. Of the 76.6% of the patients that owned a mobile phone, 96% used it more than once a week.Conclusions: The impact of new communication technologies might be jeopardized by the low rate of access and utilization of the Internet for health-related purposes. Because of their high rate of ownership and use, mobile phones show promise as a tool in health care communication technologies.