新疆老年人网络就医行为及认知状况调查

Investigation on Online Health Seeking Behavior and Cognition Status of Older Adults in Xinjiang

目的:了解新疆老年人网络就医行为、意愿及其影响因素,为提高老年人使用频率及普及网络就医提出针对性对策和建议。方法:采用问卷调查法收集数据,对问卷数据进行单因素分析和logistic回归分析。结果:共收集有效问卷678份;首选网络就医的老年人为255人,仅占调查人数的37.6%。单因素分析结果显示,不同性别、民族、文化程度、婚姻状态、居住状态、月收入、是否知晓网络就医、是否上网的老年人在选择网络就医方面存在差别(P<0.05)。多因素分析结果显示,选择网络就医的主要受是否上网、婚姻状态、文化程度、是否知晓网络就医、民族5个因素的影响;调查对象中网络就医知晓率高达87.0%,知晓率受调查对象文化程度、居住情况、是否使用网络就医、是否上网等变量影响(P<0.05)。结论:老年人网络就医的知晓率较高,但实际使用网络就医受到多重阻碍,需要提高老年人数字素养,平台需简化操作流程,产品设计遵循适老化原则,满足使用网络就医的基本要求。

Objective:To understand the elderly’s online health seeking behavior,willingness and influencing factors,so as to put forward targeted countermeasures and suggestions for improving the frequency of the elderly use and popularizing online medical treatment.Methods:The questionnaire survey method was used to collect data,and the questionnaire data were analyzed by univariate analysis and logistic regression analysis.Results:A total of 678 valid questionnaires were collected.255 elderly people preferred online medical treatment,accounted for only 37.6%of the respondents.The results of univariate analysis showed that the elderly with different gender,ethnic group,education level,marital status,residential status,monthly income,whether they knew about online medical treatment and whether they used the Internet were different in choosing online medical treatment(P<0.05).The results of multivariate analysis showed that the choice of online medical treatment was mainly influenced by five factors:Internet access,marital status,education level,awareness of online medical treatment and ethnic group.Among the respondents,the awareness rate of online medical treatment was as high as 87.0%,and the awareness rate was affected by the variables of the respondents’education level,residence status,whether they used online medical treatment,whether they surfed the Internet and so on(P<0.05).Conclusion:Older adults have a high awareness rate of online medical treatment,but the actual use of online medical treatment is hindered by multiple factors.It is necessary to improve the digital literacy of the elderly,simplify the operation process of the platform,and follow the principle of age-appropriate product design to meet the basic requirements of using online medical treatment.