Barriers and benefits to using mobile health technology after operation: A qualitative study
Barriers and benefits to using mobile health technology after operation: A qualitative study
复制标题
DOI：
10.1016/j.surg.2017.05.007
复制
发表时间：
2017-09-01
期刊：
影响因子：
3.8
通讯作者：
Yeo, Heather
中科院分区：
文献类型：
--
作者：
Abelson, Jonathan S.;Kaufman, Elinore;Yeo, Heather
背景最近，移动的健康技术已经成为改善医生患者沟通和患者结果的有前途的途径。我们研究的目的是确定公众对使用移动的卫生技术促进术后恢复的障碍和益处的看法。我们利用帝国州民意调查向800名参与者提出了2个开放式问题，评估他们对术后使用移动的医疗技术的益处和障碍的看法。所有回答均独立编码，任何差异均通过协商一致解决。我们使用扎根理论，让主题从代码中产生。评价者间信度采用Cohen’s Kappa.参与者确定了术后使用移动的医疗技术应用程序的一系列可能障碍，包括：保护个人健康信息、技术有效性和故障、与外科医生面对面互动的偏好、所需的努力程度以及老年人驾驭移动的医疗技术的能力。参与者确定了多种可能的益处，包括：更好的监测，改善与外科医生的沟通，最大限度地减少随访，提高便利性，增加患者知识。在这项研究中，15%的受访者表示没有障碍，而6%的受访者表示没有好处。参与者接受了这项技术的许多潜在好处，不仅可以加强他们与提供者的关系和获得便利，而且可以改善他们的健康状况。我们必须解决参与者对数据安全的担忧，以及他们对失去与医生的私人关系的恐惧。
Background. Recently, mobile health technology has emerged as a promising avenue for improving physician patient communication and patient outcomes. The objective of our study was to determine the public's perception of barriers and benefits to using mobile health technology technologies to enhance recovery after operation.Methods. We used the Empire State Poll to ask 2 open-ended questions to 800 participants assessing their perceptions of benefits and barriers to use mobile health technology after operation. All responses were coded independently, and any discrepancies were resolved by consensus. We used grounded theory to allow themes to arise from the codes. Interrater reliability was calculated using Cohen's Kappa.Results. Participants identified a range of possible barriers to using mobile health technology apps after operation including: protecting personal health information, technology effectiveness and failure, preference for face-to-face interaction with their surgeon, level of effort required, and ability of the older adults to navigate mobile health technology. Participants identified multiple possible benefits including: better monitoring, improved communication with their surgeon, minimizing follow-up visits, improved convenience, and increased patient knowledge. In the study, 15% of all respondents stated there were no barriers whereas 6% stated there were no benefits.Conclusion. Participants were receptive to the many potential benefits of this technology to enhance not only their relationships with providers and the convenience of access, but also their health outcomes. We must address participants concerns about data security and their fears of losing a personal relationship with their doctor.