Attitudes Toward Telemedicine in Urban, Rural, and Highly Rural Communities
Attitudes Toward Telemedicine in Urban, Rural, and Highly Rural Communities
复制标题
DOI：
10.1089/tmj.2014.0125
复制
发表时间：
2015-08-01
影响因子：
4.7
通讯作者：
Bair, Byron
中科院分区：
文献类型：
--
作者：
Call, Vaughn R. A.;Erickson, Lance D.;Bair, Byron
引言：使用患者和提供者之间的交互式视频的远程医疗采用率尚未达到预期。技术、法规和医生的认可是被引用的原因，但患者的接受度没有得到太多的考虑。我们研究了对远程医疗的态度，以更好地理解其可接受性和效用的主观定义，这些定义塑造了患者使用远程医疗的意愿。（一项随机的全州调查[n= 3，512]），我们使用潜在类别分析来识别对远程医疗态度相似的群体，然后使用多项逻辑回归来估计群体成员资格的预测因素。尽管只有5%的人愿意接受远程医疗，但如果方便的话，23%的人会感到舒适，而29%的人在使用远程医疗时会感到不舒服。尽管如此，仍有相当大的比例（43%）明确反对远程医疗，尽管面对面访问带来不便。教育程度，以前的互联网使用，和农村居住的主要预测因素，增加的可能性是在一个顺从的group.Conclusions：从病人的角度来看，减少旅行和方便的优点是公认的，但问题仍然是等价于医生的访问。许多人反对远程医疗，这表明他们认为远程医疗与病人的需求不相容。只有1.7%的受访者报告在前一年使用过远程医疗;大约一半是退伍军人。因此，很少有人使用远程医疗，关键创新的采用标准和可观察性很低。需要在采用过程中更加重视公众意识，以提高接受远程医疗的意愿，将其作为获得优质医疗服务的便捷方式。
Introduction:The rate of telemedicine adoption using interactive video between patient and provider has not met expectations. Technology, regulations, and physician buy-in are cited reasons, but patient acceptance has not received much consideration. We examine attitudes regarding telemedicine to better understand the subjective definitions of its acceptability and utility that shape patients' willingness to use telemedicine.Materials and Methods:Using the Montana Health Matters study (a random, statewide survey [n=3,512]), we use latent class analysis to identify groups with similar patterns of attitudes toward telemedicine followed by multinomial logistic regression to estimate predictors of group membership.Results:Although only 5% are amenable to telemedicine regardless of circumstance, 23% would be comfortable if it could be convenient, whereas 29% would be situationally amenable but uncomfortable using telemedicine. Still, a substantial percentage (43%) is unequivocally averse to telemedicine despite the inconvenience of in-person visits. Educational attainment, prior Internet use, and rural residence are main predictors that increase the likelihood of being in an amenable group.Conclusions:From the patient's perspective, the advantages of reduced travel and convenience are recognized, but questions remain about the equivalence to physician visits. Many people are averse to telemedicine, indicating a perceived incompatibility with patient needs. Only 1.7% of the respondents reported using telemedicine in the previous year; about half were veterans. Hence, few have used telemedicine, and key innovation adoption criteriatrialability and observabilityare low. Increased attention to public awareness in the adoption process is needed to increase willingness to embrace telemedicine as a convenient way to obtain quality healthcare services.