摘要
目的 了解银川市城乡接合部老年人“互联网+医疗”接受意愿和利用情况及其影响因素,为“互联网+”医疗发展提供基础资料。方法 采用方便抽样方法对银川市城乡接合部社区457名居家老年人进行问卷调查,通过Logistic回归分析老年人接受和利用“互联网+医疗”的影响因素。结果 社区老年人中,63.7%愿意接受“互联网+医疗”服务,没有听说过和没有利用过“互联网+医疗”服务分别占81.8%、64.3%。Logistic回归分析结果显示,60~74岁(OR=0.538)、就医频率1~3次/月(OR=0.453)和1次/半年(OR=0.276)、会使用智能手机(OR=0.358)是老年人“互联网+医疗”接受意愿的保护因素,而小学及以下文化程度(OR=2.078)是接受意愿的危险因素;60~74岁(OR=0.389)、已婚(OR=0.499)、就医频率超过3次/月(OR=0.142)和听说过“互联网+医疗”(OR=0.231)是老年人利用“互联网+医疗”的保护因素,而务农(OR=8.131)、能独立就医(OR=3.559)、就医频率1次/半年(OR=2.511)是利用的危险因素。结论 社区老年人对“互联网+医疗”接受意愿较高,知晓度及利用偏低,应通过加大宣传力度、开发普适性操作平台等措施,提高“互联网+医疗”在老年群体中的利用。
Objective To understand the acceptance willingness and utilization of "Internet + medical care" among the elderly in the urban-rural junction of Yinchuan City and its influencing factors,and to provide basic data for the development of "Internet +" medical care.Methods Convenience sampling method was used to conduct a questionnaire survey among 457 elderly people living at home in the urban-rural junction community of Yinchuan City,and the influencing factors of the elderly accepting and using "Internet + medical treatment" were analyzed by Logistic regression.Results Among the elderly in the community,63.7% were willing to accept "Internet + medical care" services,and 81.8% and 64.3% had never heard of and never used "Internet + medical care" services,respectively.Logistic regression analysis showed that the age of 60-74 years(OR=0.538),the frequency of seeking medical treatment 1-3 times/month(OR=0.453) and once/half a year(OR=0.276),and the ability to use smartphones(OR=0.358) were the protective factors of the elderly′s willingness to accept "Internet + medical treatment",while the education level of primary school and below(OR=2.078) is a risk factor for acceptance;60-74 years old(OR=0.389),married(OR=0.499),seeking medical treatment,the frequency of more than 3 times/month(OR=0.142) and hearing about "Internet + medical treatment"(OR = 0.231) are protective factors for the elderly to use "Internet + medical treatment",while farming(OR = 8.131),being able to seek medical care independently(OR =3.559) and frequency of medical treatment once/half a year(OR=2.511) were risk factors for utilization.Conclusion The elderly in the community have a high willingness to accept "Internet + medical care",and their awareness and utilization are relatively low.Measures such as increasing publicity efforts and developing a universal operation platform should improve the utilization of "Internet + medical care" in the elderly group.
作者
李美曼
郭浩乾
宁艳花
陈可心
陈莉
姜婷
吕兄兄
LI Mei-man;GUO Hao-qian;NING Yan-hua;CHEN Ke-xin;CHEN Li;JIANG Ting;Lü Xiong-xiong(Ningxia Medical University,Ningxia 750000,China)
出处
《中国健康教育》
北大核心
2022年第6期543-548,共6页
Chinese Journal of Health Education
基金
2020年宁夏医科大学青年骨干人才培育计划(自治区级学术技术带头人后备培育对象)宁夏校发[2020]53号
宁夏高校一流学科建设二期项目:基于家庭健康责任人的农村健康人际传播策略研究(NYHLZD02)。
关键词
互联网+
老年人
社区
影响因素
Internet+
Elderly population
Community
Influencing factors
作者简介
李美曼(1993-),女,在读硕士,护师,主要研究方向为社区护理;通信作者:宁艳花,女,博士,教授,研究方向:社区护理。E-mail:nyhl_ning@126.com。
