德国法定健康保险公司承保的成年人对视频咨询的使用和接受情况：一项全国性在线调查。

IF 1.7 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2025-01-23 DOI:10.1016/j.zefq.2024.12.008

Saskia Muellmann , Karina Karolina De Santis , Hermann Pohlabeln , Hajo Zeeb

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引用次数: 0

摘要

导读：医疗保健系统的日益数字化使得使用数字技术提供医疗服务成为可能，而无需直接与患者和提供者接触。本研究旨在调查1)视频咨询的使用和接受程度，以及2)视频咨询使用的相关因素。方法：于2023年2月进行横断面在线调查。总体而言，在德国一家法定健康保险公司投保的20,000名成年人（10,000名视频咨询用户和10,000名非视频咨询用户）通过电子邮件受邀参加了一项包含31个项目的在线调查。这些项目涉及数字保健服务的使用和接受情况，重点是视频咨询、数字保健素养和社会人口特征。使用描述性统计分析数据，并使用二元逻辑回归评估与视频咨询使用相关的因素。结果：在1657名参与者中，686人为视频咨询用户，971人为非视频咨询用户。参与者年龄在18 ~ 80岁之间（M±SD: 44±13岁），55%为女性，59%主观社会经济地位中等，69%健康状况良好至非常好。视频咨询主要是按照医生建议（71%）作为一般医疗护理的一部分（50%）使用的。使用视频咨询的主要原因是节省时间（93%）和地点灵活性（87%）。大多数视频咨询用户（93%）在视频咨询过程中感到受到了很好的照顾，他们会再次使用（95%），并会向他人推荐（93%）。与视频咨询使用相关的因素是年龄在30至49岁之间，主观社会经济地位高，数字健康素养高，健康状况极差至中度。结论：本研究对视频会诊的接受度较高。从医生的角度来看，提供视频咨询的优势和障碍应该进行调查，以将视频咨询纳入日常医疗实践。

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Use and acceptance of video consultation among adults insured by statutory health insurance providers in Germany: A nationwide online survey

Introduction

The increasing digitalization of the healthcare system makes it possible to provide medical services using digital technologies without direct patient–provider contact. This study aimed to investigate 1) the use and acceptance of video consultation and 2) factors associated with the use of video consultation.

Methods

A cross-sectional online survey was conducted in February 2023. Overall, 20,000 adults insured at a statutory health insurance company in Germany (10,000 users and 10,000 non-users of video consultation) were invited by email to an online survey with 31 items. The items addressed use and acceptance of digital health services with a focus on video consultation, digital health literacy, and sociodemographic characteristics. Data were analyzed using descriptive statistics and factors associated with video consultation use were assessed using binary logistic regression.

Results

Among the 1,657 participants, 686 were users and 971 were non-users of video consultation. The participants were aged between 18 and 80 years (M ± SD: 44 ± 13 years), 55% were female, 59% reported a medium subjective socioeconomic status and 69% a good to very good health status. Video consultation was predominantly used following physician recommendations (71%) as part of general medical care (50%). The main reasons for using video consultation were time saving (93%) and flexibility in terms of location (87%). Most video consultation users felt well cared-for during video consulting (93%), would use it again (95%), and would recommend it to others (93%). Factors associated with video consultation use were age from 30 to 49 years, high subjective socioeconomic status, high digital health litercay, and very poor to moderate health status.

Conclusion

The acceptance of video consultations in this study was high. Advantages and barriers to offering video consultations from a physician perspective should be investigated to incorporate video consultations in everyday medical practice.

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来源期刊

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen HEALTH POLICY & SERVICES-

CiteScore

1.90

自引率

18.20%

发文量

129