广西偏远山区患者对远程医疗认知及影响因素研究

Studying on the Status of Cognition on Telemedicine of Patients from Remote Mountainous Areas in Guangxi and Its Influencing Factors

目的:通过分析偏远山区患者对远程医疗的认知及影响因素,为广西推广远程医疗服务提供参考依据。方法:采用问卷调查法,随机抽取3家已开展远程医疗服务的县级医院960名患者进行调查,运用描述性分析、卡方检验、多因素logistic回归分析,对患者认知和需求意愿进行统计学分析。结果:62.1%的患者表示不了解远程医疗,35.3%的患者表示不太清楚远程医疗,多因素logistic回归分析结果显示,年龄、文化程度、家庭年收入、首诊医院等是患者对远程医疗知晓程度的影响因素;80.1%的患者愿意使用远程医疗,多因素logistic回归分析结果显示,就诊类别、年龄、文化程度、家庭年收入、居住地等因素是患者对远程医疗使用意愿的影响因素。结论:远程医疗在偏远山区的宣传力度有待加强,加大医保支持力度和完善远程医疗服务功能是推进远程医疗服务普及与发展的重要途径。

Objective To analyze the status of cognition on Telemedicine of patients from remote mountainous areas in Guangxi and its influencing factors,and provide references for improving it.Method 960 cases of patients were randomly sampled from three county hospitals and surveyed with questionnaires.Their cognition and willingness were analyzed with descriptive analysis,chi-square and multi-factor Logistic regression.Results 62.1% of them had no cognition of telemedicine.And 35.3% of them had few cognition.The factors of age,education background,annual family income and first visiting hospital can influence the patients＇ awareness of telemedicine.80.1% of these patients had the willingness to use telemedicine,which can be influenced by treatment category,age,education background,annual family income and residence.Conclusion Publicity on telemedicine needs to be further strengthened in remote mountainous areas,which can be improved by supporting on medical insurance and perfecting the service function of telemedicine.