Shaw Ryan J, Ferranti Jeffrey
Duke University School of Nursing, Durham, NC 27710, USA.
Comput Inform Nurs. 2011 Dec;29(12):714-8; quiz 719-20. doi: 10.1097/NCN.0b013e318224b597.
An important emerging information technology tool is the electronic health record with a patient-provider Internet portal. Patient-provider Internet portals offer a venue for providing patient access to personal health data. In this study, we conducted a cross-sectional secondary data analysis to describe the types of diabetes patients who utilize the patient-provider Internet portal and examine any preliminary differences in patient outcomes. Data from this study suggest that a significant portion of patients (29.7%) with diabetes utilize the portal. Clinical outcome results indicated that portal use was not a significant predictor of low-density lipoprotein and total cholesterol levels. However, portal use was a statistically significant predictor of glycosylated hemoglobin (HbA1c) (P < .001). As patient-provider Internet portals are increasingly implemented and utilized across the nation, both clinical and nonclinical impacts must be evaluated. Patient-provider Internet portals have the ability to provide patients with the opportunity tobe increasingly involved in their own care,enhance patient-provider communication, and potentially reduce inequity, improve clinical outcomes, and increase access to care.
一种重要的新兴信息技术工具是带有患者-医疗服务提供者互联网门户的电子健康记录。患者-医疗服务提供者互联网门户提供了一个让患者能够访问个人健康数据的场所。在本研究中，我们进行了一项横断面二次数据分析，以描述使用患者-医疗服务提供者互联网门户的糖尿病患者类型，并检查患者预后的任何初步差异。本研究的数据表明，相当一部分（29.7%）糖尿病患者使用该门户。临床结局结果显示，使用门户并非低密度脂蛋白和总胆固醇水平的显著预测因素。然而，使用门户是糖化血红蛋白（HbA1c）的统计学显著预测因素（P < .001）。随着患者-医疗服务提供者互联网门户在全国范围内越来越多地得到实施和使用，必须评估其临床和非临床影响。患者-医疗服务提供者互联网门户有能力为患者提供更多机会参与自身护理、加强患者与医疗服务提供者的沟通，并有可能减少不公平现象、改善临床结局以及增加医疗服务可及性。
