“两慢病”患者互联网健康信息搜寻及其影响因素分析  

Internet health information search for patients with hypertension or diabetes and its influencing factors

作　　者：吴敏霞 杨永梅[1] 陈彦杏 WU Minxia;YANG Yongmei;CHEN Yanxing(School of Medical Humanities and Management,Wenzhou Medical University,Wenzhou,Zhejiang 325035,China)

机构地区：[1]温州医科大学医学人文与管理学院,浙江温州325035

出　　处：《中国农村卫生事业管理》2024年第9期651-657,共7页Chinese Rural Health Service Administration

基　　金：国家社会科学基金项目(22BGL250)。

摘　　要：目的研究高血压和糖尿病(简称“两慢病”)患者互联网健康信息搜寻行为及其影响因素,为提高“两慢病”患者互联网健康信息利用和互联网健康信息管理提供依据。方法对2932名“两慢病”患者开展问卷调查,运用logistic回归模型分析互联网健康信息搜寻行为及其主要影响因素。结果微信和抖音是“两慢病”患者搜寻健康信息的主要渠道,大部分患者认为互联网健康信息比较重要。尽管教育水平、疾病严重程度、信息质量等因素对不同疾病患者互联网健康信息搜寻行为的影响程度不同,但在职(OR=1.892,P<0.01)、职工医疗保险(OR=0.640,P<0.01)以及风险厌恶(OR=0.611,P<0.01)显著影响了“两慢病”患者信息搜寻行为。结论互联网健康信息有助于降低在职患者就诊时间成本,但应进一步提高互联网健康信息质量,缩小不同教育水平和医保人群互联网健康信息利用差距。Objective To investigate the internet health information search behaviors of patients with hypertension or diabetes(referred to as“two chronic diseases”)and the influencing factors,and to provide reference for improving the utilization and management of internet health information for patients with these chronic diseases.Methods A questionnaire survey was conducted among 2932 patients with hypertension or diabetes,and logistic regression models were used to analyze the internet health information search behaviors and their main influencing factors.Results WeChat and TikTok were the main channels for patients with hypertension or diabetes to search for health information,and most patients considered internet health information to be important.Although factors such as education level,disease severity,and information quality had varying degrees of influence on the internet health information search behaviors of patients,being employed(OR=1.892,P<0.01),having employee medical insurance(OR=0.640,P<0.01),and risk aversion(OR=0.611,P<0.01)all significantly influenced the information search behaviors.Conclusions Internet health information helps reduce the time and cost of visits for employed patients,but efforts should be made to further improve the quality of internet health information and narrow the gap in the utilization of internet health information among individuals with different education levels and medical insurance coverage.

关 键 词：“两慢病”患者 互联网健康信息 信息搜寻 自我管理 信息评价 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]