Interest in Use of Technology for Healthcare Among Veterans Receiving Treatment for Mental Health
Interest in Use of Technology for Healthcare Among Veterans Receiving Treatment for Mental Health
复制标题
DOI：
10.1089/tmj.2015.0190
复制
发表时间：
2016-10-01
影响因子：
4.7
通讯作者：
Bauer, Mark S.
中科院分区：
文献类型：
--
作者：
Miller, Christopher J.;McInnes, D. Keith;Bauer, Mark S.
简介：人们对利用手机和计算机等技术来改善医疗保健有着浓厚的兴趣。一系列与心理健康相关的电子健康应用程序（例如处方补充消息或移动设备视频会议）变得越来越可用，但人们对心理健康患者使用这些新应用程序的兴趣知之甚少。方法：我们向在当地退伍军人事务医疗中心的普通心理健康诊所就诊的 300 名患者邮寄了一份调查问卷。调查问题集中在患者与医疗保健系统互动时使用手机、平板电脑和其他计算机的兴趣。结果：共有 74 名主要接受抑郁症、创伤后应激障碍或焦虑症治疗的患者返回了完整的调查。几乎所有人都表示拥有手机（72/74，97%），但不到一半的人表示拥有智能手机（35/74，47%）。总体而言，绝大多数人（64/74，86%）可以使用具有互联网功能的设备（智能手机或计算机，包括平板电脑）。在某些与健康相关的通信中，受访者似乎更喜欢电脑而不是手机，但对其他任务（例如接收预约提醒）没有表现出不同的兴趣。年轻退伍军人的使用兴趣更高。讨论：大多数接受心理健康诊断的退伍军人都可以使用技术（包括手机和电脑），并且有兴趣使用该技术进行某些类型的医疗保健相关通信。结论：虽然该人群有能力利用信息技术进行医疗保健目的，但兴趣差异很大，并且相当少数人无法使用相关设备。尽管对使用计算机进行与健康相关的交流的兴趣高于对使用手机的兴趣，但基于单一平台技术的干预措施仍然可能排除关键人群。
Introduction:There is great interest in leveraging technology, including cell phones and computers, to improve healthcare. A range of e-health applications pertaining to mental health such as messaging for prescription refill or mobile device videoconferencing are becoming more available, but little is known about the mental health patient's interest in using these newer applications.Methods:We mailed a survey to 300 patients seen in the general mental health clinic of a local Veterans Affairs Medical Center. Survey questions focused on interest in use of cell phones, tablets, and other computers in patients' interactions with the healthcare system.Results:A total of 74 patients, primarily treated for depression, post-traumatic stress disorder, or anxiety disorders, returned completed surveys. Nearly all reported having a cell phone (72/74, 97%), but fewer than half reported having a smartphone (35/74, 47%). Overall, a substantial majority (64/74, 86%) had access to an Internet-capable device (smartphone or computer, including tablets). Respondents appeared to prefer computers to cell phones for some health-related communications, but did not express differential interest for other tasks (such as receiving appointment reminders). Interest in use was higher among younger veterans.Discussion:Most veterans with a mental health diagnosis have access to technology (including cell phones and computers) and are interested in using that technology for some types of healthcare-related communications.Conclusions:While there is capacity to utilize information technology for healthcare purposes in this population, interests vary widely, and a substantial minority does not have access to relevant devices. Although interest in using computers for health-related communication was higher than interest in using cell phones, single-platform technology-based interventions may nonetheless exclude crucial segments of the population.