Access to Mobile Communication Technology and Willingness to Participate in Automated Telemedicine Calls Among Chronically Ill Patients in Honduras

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dc.contributor.authorPiette, John D.
dc.contributor.authorMendoza Avelares, Milton O.
dc.contributor.authorMilton, Evan C.
dc.contributor.authorLange, Ilta
dc.contributor.authorFajardo, Roosevelt
dc.date.accessioned2024-01-10T12:37:22Z
dc.date.available2024-01-10T12:37:22Z
dc.date.issued2010
dc.description.abstractObjectives: Patients in underdeveloped countries may be left behind by advances in telehealthcare. We surveyed chronically ill patients with low incomes in Honduras to measure their use of mobile technologies and willingness to participate in mobile disease management support. Materials and Methods: 624 chronically ill primary care patients in Honduras were surveyed. We examined variation in telephone access across groups defined by patients' sociodemographic characteristics, diagnoses, and access to care. Logistic regression was used to identify independent correlates of patients' interest in automated telephonic support for disease management. Results: Participants had limited education (mean 4.8 years), and 65% were unemployed. Eighty-four percent had telephone access, and 78% had cell phones. Most respondents had voicemail (61%) and text messaging (58%). Mobile technologies were particularly common among patients who had to forego clinic visits and medications due to cost concerns (each p<0.05). Most patients (>80%) reported that they would be willing to receive automated calls focused on appointment reminders, medication adherence, health status monitoring, and self-care education. Patients were more likely to be willing to participate in automated telemedicine services if they had to cancel a clinic appointment due to transportation problems or forego medication due to cost pressures. Conclusions: Even in this poor region of Honduras, most chronically ill patients have access to mobile technology, and most are willing to participate in automated telephone disease management support. Given barriers to in-person care, new models of mobile healthcare should be developed for chronically ill patients in developing countries.
dc.description.funderUniversity of Michigan School of Public Health
dc.description.funderMichigan Diabetes Research and Training Center
dc.description.funderMichigan Institute for Clinical and Health Research (NIH)
dc.description.funderNATIONAL CENTER FOR RESEARCH RESOURCES
dc.fechaingreso.objetodigital2024-04-26
dc.format.extent12 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1089/tmj.2010.0074
dc.identifier.eissn1556-3669
dc.identifier.issn1530-5627
dc.identifier.pubmedidMEDLINE:21062234
dc.identifier.urihttps://doi.org/10.1089/tmj.2010.0074
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76830
dc.identifier.wosidWOS:000285646600010
dc.information.autorucEnfermería;Lange I ;S/I;98190
dc.issue.numero10
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final1041
dc.pagina.inicio1030
dc.publisherMARY ANN LIEBERT, INC
dc.revistaTELEMEDICINE JOURNAL AND E-HEALTH
dc.rightsacceso restringido
dc.subjecttelehealth
dc.subjecttelemedicine
dc.subjecthome health monitoring
dc.subjectNURSE FOLLOW-UP
dc.subjectHEALTH-CARE
dc.subjectSELF-CARE
dc.subjectMANAGEMENT
dc.subjectOUTCOMES
dc.subjectSYSTEM
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAccess to Mobile Communication Technology and Willingness to Participate in Automated Telemedicine Calls Among Chronically Ill Patients in Honduras
dc.typeartículo
dc.volumen16
sipa.codpersvinculados98190
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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