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数字鸿沟:对比新冠疫情期间医疗服务提供者与用户的见解

Digital Divide: Contrasting Provider and User Insights on Healthcare Services During the COVID-19 Pandemic.

作者信息

Anastasiadou Olympia, Mpogiatzidis Panagiotis, Tzimourta Katerina D, Angelidis Pantelis

机构信息

Nursing Department, General Hospital of G. Gennimatas, 54635 Thessaloniki, Greece.

Department of Electrical and Computer Engineering, University of Western Macedonia, 50100 Kozani, Greece.

出版信息

Healthcare (Basel). 2025 Jul 25;13(15):1803. doi: 10.3390/healthcare13151803.

Abstract

INTRODUCTION

This prospective descriptive study explored the disparities in perceptions and experiences regarding healthcare services between providers and users during the COVID-19 pandemic, with a specific focus on the impact of the digital divide on access to and quality of care. The study revealed significant inconsistencies in the experiences of healthcare providers and patients, particularly regarding the effectiveness of digital health interventions.

METHODS

This study was a prospective descriptive analysis conducted to evaluate and compare the use of electronic healthcare services between healthcare employees (HΕs) (N = 290) and consumers (Cs) (N = 263) from December 2024 to May 2025, utilizing an electronic survey after the COVID-19 pandemic. To ensure the statistical validity of the sample size, a power analysis was performed using G*Power 3.1.9.2 software. A questionnaire was developed to evaluate the readiness of healthcare employees and consumers for electronic healthcare services. It was validated to ensure reliability within this population and comprised 49 questions.

RESULTS

The response rate of the participants was 89.19%, and the Cronbach's alpha for the questionnaire was 0.738. The study revealed notable differences in perceptions regarding health-related information and digital health technologies across genders and age groups. Specifically, 28.8% of females and 27.3% of males considered it important to be well-informed about health issues (χ = 8.83, df = 3, = 0.032).

CONCLUSIONS

This research contributes to filling a gap in comparative analyses of provider and user perspectives, offering a comprehensive view of how digital health was adopted and experienced during a global crisis. Practically, it provides an evidence base to guide future interventions aimed at fostering more equitable, resilient, and user-friendly digital healthcare systems.

摘要

引言

这项前瞻性描述性研究探讨了在新冠疫情期间医疗服务提供者与使用者在医疗服务认知和体验方面的差异,特别关注数字鸿沟对医疗服务可及性和质量的影响。该研究揭示了医疗服务提供者和患者体验方面存在显著不一致,尤其是在数字健康干预措施的有效性方面。

方法

本研究是一项前瞻性描述性分析,旨在评估和比较2024年12月至2025年5月期间医疗员工(HEs)(N = 290)和消费者(Cs)(N = 263)对电子医疗服务的使用情况,在新冠疫情后采用电子调查。为确保样本量的统计有效性,使用G*Power 3.1.9.2软件进行了功效分析。编制了一份问卷来评估医疗员工和消费者对电子医疗服务的准备情况。该问卷经过验证以确保在该人群中的可靠性,共包含49个问题。

结果

参与者的回复率为89.19%,问卷的克朗巴哈系数为0.738。该研究揭示了不同性别和年龄组在健康相关信息和数字健康技术认知方面存在显著差异。具体而言,28.8%的女性和27.3%的男性认为充分了解健康问题很重要(χ = 8.83,df = 3,p = 0.032)。

结论

本研究有助于填补提供者和使用者视角比较分析的空白,全面呈现了在全球危机期间数字健康是如何被采用和体验的。实际上,它为指导未来旨在建立更公平、更具韧性和用户友好型数字医疗系统的干预措施提供了证据基础。

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