Risks for digital exclusion include older age, disability, and deprivation. No literature exists examining frailty as an additional possible risk factor. Many studies have shown frailty to be a more accurate predictor of adverse outcome in healthcare than age alone. Understanding risk factors for digital exclusion may help healthcare services appropriately tailor interventions. The Healthier Together integrated care system (HTICS) in Bristol is developing video consultations for clinics. The aim of this prospective observational cross-sectional study is to identify whether living with frailty is a risk factor of digital exclusion from video consultation. Data will be collected using a structured survey including patients from three sites across the Heal secondary care services at North Bristol Trust, and then two subsequent sites will be included across HTICS. Data will be collected on known risk factors for digital exclusion, frailty using the Clinical Frailty Scale, and will cover four domains for digital exclusion as defined by NHS Digital: access, skill, motivation, and confidence. Data will be presented with descriptive statistics. The association between frailty and outcomes will be analysed with a multivariable logistic regression.

中文翻译：

---

一项跨综合护理系统的多中心观察研究协议，以了解体弱者生活对获得视频咨询的影响

数字排斥的风险包括老年、残疾和剥夺。没有文献将虚弱作为额外的可能风险因素进行研究。许多研究表明，与单独年龄相比，虚弱是医疗保健不良结果的更准确预测指标。了解数字排斥的风险因素可能有助于医疗保健服务适当地调整干预措施。布里斯托尔的 Healthier Together 综合护理系统 (HTICS) 正在为诊所开发视频咨询。这项前瞻性观察性横断面研究的目的是确定身体虚弱是否是数字排除视频咨询的风险因素。将使用结构化调查收集数据，其中包括来自北布里斯托信托基金 Heal 二级保健服务的三个地点的患者，然后将在 HTICS 中包含两个后续站点。将使用临床虚弱量表收集有关数字排斥、虚弱的已知风险因素的数据，并将涵盖 NHS Digital 定义的数字排斥的四个领域：访问、技能、动机和信心。数据将与描述性统计一起呈现。将使用多变量逻辑回归分析虚弱与结果之间的关联。