Nagykaldi Zsolt J, Chou Ann F, Aspy Cheryl B, Mold James W
University of Oklahoma Health Sciences Center, Department of Family and Preventive Medicine, 900 NE 10th St., Oklahoma City, OK 73104, USA.
J Okla State Med Assoc. 2010 Oct;103(10):498-501.
Patient-centeredness is one of the key dimensions of the patient-centered medical home model, yet it is still not uniformly understood. A goal-directed care approach that incorporates active preparation and comprehensive patient visits has been suggested to empower patients and improve health outcomes by various resources, including patient-side health IT (e.g. portals). In the context of a recent randomized controlled trial funded by the Agency of Healthcare Research and Quality, we developed a patient Wellness Portal that was linked to a previously designed and implemented clinician-portal. A six-month pilot implementation study was followed by a 12-month randomized controlled trial to determine the impact of the Portal on patient and practice-level outcomes. Results indicate that the Wellness Portal was easy to use, well received by patients, helped users educate themselves about their conditions, gauge their health status, and create a longitudinal wellness plan for discussion during an annual wellness visit. A preliminary analysis also showed that a greater proportion of patients received preventive services in the Portal intervention group than in the control group.
以患者为中心是“以患者为中心的医疗之家”模式的关键维度之一，但人们对此仍未形成统一的理解。有人建议采用一种目标导向的护理方法，该方法包括积极准备和全面的患者问诊，通过各种资源（包括患者端健康信息技术，如门户网站）来增强患者权能并改善健康结果。在医疗保健研究与质量局资助的一项近期随机对照试验的背景下，我们开发了一个患者健康门户网站，该网站与之前设计并实施的临床医生门户网站相连。在进行了为期六个月的试点实施研究之后，又开展了一项为期12个月的随机对照试验，以确定该门户网站对患者和实践层面结果的影响。结果表明，健康门户网站易于使用，受到患者好评，有助于用户自我了解病情、评估自身健康状况，并制定一份纵向健康计划，以便在年度健康问诊时进行讨论。一项初步分析还表明，与对照组相比，门户网站干预组中有更大比例的患者接受了预防服务。
