Background: One of the promises of digital health is to better engage patients and improve care for vulnerable populations. Patients with drug use disorders are a vulnerable population who often do not receive the care they need, both for their drug use disorders as well as their other health care needs. Appropriate primary care for patients with drug use disorders needs to be patient-centered, holistic, highly accessible, and engaging. The electronic Case-finding and Help Assessment Tool (eCHAT) was designed as a patient-centered tool for the identification and measurement of problematic health behaviors and mood states. Objective: The aim of this study was to explore the patient experience of eCHAT at an Australian family medicine clinic for patients with drug use disorders. Methods: A total of 12 semistructured interviews were conducted with patients, two interviews were conducted with doctors, and one focus group was conducted with patient advocates who were former patients of the clinic where the study took place. The transcripts were analyzed using inductive thematic analysis. Results: The key themes identified from the interviews and the focus group were as follows: (1) eCHAT helped reduce stigma related to drug use in the doctor-patient consultation, (2) restricted answer options impacted the ability of patients to tell their stories, (3) patient-related response factors, (4) increased efficiency in the consultation process, and (5) divergence in level of concern around security and privacy. Conclusions: eCHAT has the potential to help vulnerable patients in primary care to engage more with their doctors and reduce experiences of stigma. eCHAT may be a useful digital health intervention in a family medicine clinic for patients with drug use disorders. It has the potential to improve patient engagement and access to health care, which are crucial areas of need in this vulnerable population. However, it is important to clearly communicate the privacy risk of digital health tools and to implement eCHAT such that it will add value to, rather than displace, in-person consultations with the family doctor.

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中文翻译：

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数字医疗工具和有药物使用障碍的患者：电子病例查找和帮助评估工具（eCHAT）的定性患者体验研究。

背景：数字健康的一项承诺是更好地吸引患者并改善对弱势人群的护理。患有药物滥用疾病的患者是弱势群体，他们经常因药物滥用疾病以及其他医疗保健需求而无法获得所需的护理。药物滥用障碍患者的适当初级保健应以患者为中心，整体，高度可及且具有吸引力。电子病例发现和帮助评估工具（eCHAT）被设计为以患者为中心的工具，用于识别和测量有问题的健康行为和情绪状态。目的：本研究的目的是探讨澳大利亚家庭医学诊所针对吸毒障碍患者使用eCHAT的经验。方法：总共对患者进行了12次半结构式访谈，对医生进行了两次访谈，对患者倡导者进行了一个焦点小组讨论，患者倡导者曾是研究所在诊所的先前患者。使用归纳主题分析法分析成绩单。结果：从访谈和焦点小组中确定的关键主题如下：（1）eCHAT有助于减少医患咨询中与药物使用相关的污名；（2）有限的回答选项影响了患者讲故事的能力，（3）与患者相关的反应因素，（4）咨询过程中效率的提高以及（5）在安全性和隐私方面的关注程度存在分歧。结论：eCHAT有潜力帮助基层医疗中的弱势患者更多地与医生互动，并减少污名化的经历。eCHAT可能是家庭医学诊所中针对药物滥用障碍患者的有用的数字健康干预措施。它具有改善患者参与度和获得医疗保健的潜力，这是这个脆弱人群的关键需求领域。但是，重要的是要清楚地传达数字医疗工具的隐私风险，并实施eCHAT，这样它将增加与家庭医生的亲自咨询的价值，而不是取代他们的亲身咨询。这些弱势人群的关键需求领域。但是，重要的是要清楚地传达数字医疗工具的隐私风险，并实施eCHAT，这样它将增加与家庭医生的亲自咨询的价值，而不是取代他们的亲身咨询。这些弱势人群的关键需求领域。但是，重要的是要清楚地传达数字医疗工具的隐私风险，并实施eCHAT，这样它将增加与家庭医生的亲自咨询的价值，而不是取代他们的亲身咨询。

这仅仅是抽象的。阅读JMIR网站上的全文。JMIR是互联网时代电子健康和医疗保健领域领先的开放获取期刊。