Introduction
peritonitis
ANDERSEN, PERITONITIS
Continuous ambulatory peritoneal dialysis (CAPD) is a home-based therapy performed autonomously by trained patients or with the assistance of caregivers. Although CAPD offers several benefits for patients and the health care system [Although telehealth service use among patients undergoing CAPD and having other chronic conditions showed high acceptance [Health care service use, particularly telehealth service, might be affected by various factors. The Andersen behavioral model [Predisposing characteristics are defined as personal qualities and beliefs about or attitudes toward health care services [Enabling resources refer to states that allow an individual to act on a value or meet a need related to the use of health services such as financial resources, social support, and other personal resources [Need captures illness-related factors, such as the type and nature of the illness, or health conditions that necessitate health service use [Environmental factors, which are defined as the circumstances and context related to health organizations and health care providers, also have an impact on telehealth service use. Relationships between patients and health care providers are associated with patients’ satisfaction and hence lead to effective and successful delivery of health care services [As mentioned above, existing reports have used various telehealth services with varying platforms in different populations. Hence, the factors associated with those telehealth service uses cannot be concluded. Most studies were conducted under other chronic conditions and in the general population living in developed countries. Higher-income countries show more telehealth activities than lower-income countries [To address these gaps, we aimed to examine the rate of telehealth service use and identify potential factors associated with it. We further explored the relationship between these rates and important health outcomes in patients with CAPD. Informed by the Andersen behavioral model, modifiable factors, including predisposing characteristics (age, health literacy, and perceived usefulness), enabling resources (employment status), need factors (perception of illness), and environment factors (patient-provider relationship), were selected to identify the factors associated with telehealth service use. Additionally, the relationships between the use of telehealth services and health outcomes of patients (quality of life and peritonitis) were explored. The findings of this study may be helpful in enhancing telehealth service use. Furthermore, identifying the relationship between the rates of telehealth service use and health outcomes may aid in determining the optimal level of adherence use of the health service in this population.