mHealth adoption among primary care physicians in Malaysia and its associated factors: a cross-sectional study
mHealth adoption among primary care physicians in Malaysia and its associated factors: a cross-sectional study
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DOI：
10.1093/fampra/cmaa103
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发表时间：
2021-06-01
期刊：
影响因子：
2.2
通讯作者：
Ng, Chirk Jenn
中科院分区：
文献类型：
--
作者：
Lim, Hooi Min;Dunn, Adam G.;Ng, Chirk Jenn
背景资料：移动健康应用程序有可能改善医疗保健服务和患者治疗效果，但在初级保健中采用移动健康具有挑战性，特别是在中低收入国家。目的：测量马来西亚初级保健医生（PCP）采用移动健康的相关因素。方法：一项横断面研究，使用自我-在PCP中进行了问卷调查。PCP使用mHealth应用程序的情况分为使用mHealth应用程序支持PCP的临床工作和推荐患者使用mHealth应用程序。使用.使用多变量logistic regression. Results分析与移动健康采用相关的因素：在研究中的217名PCP中，77.0%经常使用移动健康应用程序进行医疗参考，78.3%进行医疗计算，30.9%与电子健康记录（EHR）进行交互。只有22.1%的PCP经常向患者推荐移动健康应用程序以跟踪健康信息，22.1%的患者教育和14.3%的人将其用作医疗设备。性能预期和促进条件与mHealth用于医疗参考。家庭医学实习生，在政府实践中工作和性能预期是使用mHealth应用程序进行医疗计算的促进因素。互联网连接，性能预期和同事的使用与使用电子健康记录的mHealth相关。性能预期与移动健康应用程序的建议，病人跟踪健康信息，并提供患者education.Conclusions：PCP经常使用移动健康应用程序，以支持他们的临床工作，但很少推荐移动健康应用程序给他们的病人。需要对PCP进行关于患者使用的移动健康应用程序的评估和知识的培训。
Background: mHealth apps potentially improve health care delivery and patient outcomes, but the uptake of mHealth in primary care is challenging, especially in low-middle-income countries.Objective: To measure factors associated with mHealth adoption among primary care physicians (PCPs) in Malaysia.Methods: A cross-sectional study using a self-administered questionnaire was conducted among PCPs.The usage of mHealth apps by the PCPs has divided into the use of mHealth apps to support PCPs' clinical work and recommendation of mHealth apps for patient's use. Factors associated with mHealth adoption were analysed using multivariable logistic regression.Results: Among 217 PCPs in the study, 77.0% used mHealth apps frequently for medical references, 78.3% medical calculation and 30.9% interacting with electronic health records (EHRs). Only 22.1% of PCPs frequently recommended mHealth apps to patients for tracking health information, 22.1% patient education and 14.3% use as a medical device. Performance expectancy and facilitating conditions were associated with mHealth use for medical references. Family medicine trainees, working in a government practice and performance expectancy were the facilitators for the use of mHealth apps for medical calculation. Internet connectivity, performance expectancy and use by colleagues were associated with the use of mHealth with EHR. Performance expectancy was associated with mHealth apps' recommendation to patients to track health information and provide patient education.Conclusions: PCPs often used mHealth apps to support their clinical work but seldom recommended mHealth apps to their patients. Training for PCPs is needed on the appraisal and knowledge of the mHealth apps for patient use.