南京医科大学学报（社会科学版）2026，Vol.26Issue(4)：346-352,7.DOI:10.7655/NYDXBSSS260022
数字鸿沟视角下广州市中老年群体智慧医疗使用意愿及影响因素
Research on the willingness to use smart healthcare and its influencing factors among middle-aged and older adults in Guangzhou:from the perspective of digital divide
摘要
Abstract
This study investigated the factors influencing the adoption of smart healthcare among middle-aged and older adults in Guangzhou,a city characterized by the concurrent trends of rapid digitalization and population aging.By integrating the digital divide as a core dimension into Andersen's behavioral model,the study constructed a four-dimensional analytical framework.Binary logistic regression was used for empirical testing.The results showed a 76.5％willingness rate to use smart healthcare services among the respondents.Factors including good self-rated health status(OR=2.635),the presence of chronic diseases(OR=2.615)significantly increased willingness to use such services.Prior experience with smart healthcare services(OR=2.979)and the ability to use the online medical consultation service(OR=2.676)also played important facilitating roles.Educational level(OR=2.532)remained a significant factor.Notably,after incorporating the digital divide,the influence of some traditional demographic variables weakened.The study concludes that the use of smart healthcare among this population in Guangzhou is primarily driven by health needs and constrained by the digital divide,with the key barrier having shifted from access to deficiencies in the application of usage skills and knowledge.The study recommends that community organizations and medical institutions work collaboratively to provide stratified,diversified practical skill training and volunteer assistance.关键词
智慧医疗/中老年人/数字鸿沟/使用意愿Key words
smart healthcare/older and middle-aged people/digital divide/usage intention分类
医药卫生引用本文复制引用
徐璐,钟曦洋,王娜,翟方明..数字鸿沟视角下广州市中老年群体智慧医疗使用意愿及影响因素[J].南京医科大学学报（社会科学版）,2026,26(4):346-352,7.基金项目
广东省哲学社会科学规划青年项目"数字医疗时代基于用户公平感知的隐私保护机制研究"(GD23YGL23) （GD23YGL23）
教育部人文社会科学一般项目"我国基本医保制度成熟定型的路径探索与法治保障研究"(23YJA820005) （23YJA820005）
四川医事卫生法治研究中心——中国卫生法学会科研项目"数字公共卫生背景下个人信息保护机制与对策研究"(YF25-Y13) （YF25-Y13）
