Internet access and use by COPD patients in the National Emphysema/COPD Association Survey

BMC Pulmonary Medicine

MeiLan K Han¹  Caroline R Richardson⁴  Fernando J Martinez¹  Julen Beresford⁵  Barbara Rogers⁵  Craig A Plauschinat³  Beth L St Jean²  Carlos H Martinez¹ 

[1] Division of Pulmonary and Critical Care, University of Michigan Health System, 3916 Tubman Center, 1500 E. Medical Center Drive, Box 0360, Ann Arbor, USA;College of Information Studies, University of Maryland, College Park, MD, USA;Novartis Pharmaceutical Corporation, East Hanover, NJ, USA;Ann Arbor VA Center for Clinical Management Research, Ann Arbor VA Healthcare System, 2215 Fuller Rd, 48105 Ann Arbor, MI, USA;National Emphysema/COPD Association, New York, NY, USA

关键词: Digital divide;    Health information seeking;    Multimorbidity;    Chronic disease management;    Elderly adults;    Internet;    Chronic obstructive pulmonary disease;   

Others  :  863027
DOI  :  10.1186/1471-2466-14-66

 received in 2013-07-25, accepted in 2014-03-26,  发布年份 2014

【 摘 要 】

Background

Technology offers opportunities to improve healthcare, but little is known about Internet use by COPD patients. We tested two hypotheses: Internet access is associated with socio-demographic disparities and frequency of use is related to perceived needs.

Methods

We analyzed data from a 2007–2008 national convenience sample survey of COPD patients to determine the relationship between Internet access and frequency of use with demographics, socio-economic status, COPD severity, and satisfaction with healthcare.

Results

Among survey respondents (response rate 7.2%; n = 914, 59.1% women, mean age 71.2 years), 34.2% reported lack of Internet access, and an additional 49% had access but used the Internet less than weekly. Multivariate models showed association between lack of access and older age (OR 1.10, 95% CI 1.07, 1.13), lower income (income below $30,000 OR 2.47, 95% CI 1.63, 3.73), less education (high school highest attainment OR 2.30, 95% CI 1.54, 3.45), comorbid arthritis or mobility-related disease (OR 1.56, 95% CI 1.05, 2.34). More frequent use (at least weekly) was associated with younger age (OR 0.95, 95% CI 0.93, 0.98), absence of cardiovascular disease (OR 0.48, 95% CI 0.29, 0.78), but with perception of needs insufficiently met by the healthcare system, including diagnostic delay (OR 1.72, 95% CI 1.06, 2.78), feeling treated poorly (OR 2.46, 95% CI 1.15, 5.24), insufficient physician time (OR 2.29, 95% CI 1.02, 5.13), and feeling their physician did not listen (OR 3.14, 95% CI 1.42, 6.95).

Conclusions

An analysis of the characteristics associated with Internet access and use among COPD patients identified two different patient populations. Lack of Internet access was a marker of socioeconomic disparity and mobility-associated diseases, while frequent Internet use was associated with less somatic disease but dissatisfaction with care.

【 授权许可】

   
2014 Martinez et al.; licensee BioMed Central Ltd.

【 图 表 】

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