Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee 37232-8300, USA.
J Am Med Inform Assoc. 2011 Dec;18 Suppl 1(Suppl 1):i18-23. doi: 10.1136/amiajnl-2011-000184. Epub 2011 Jul 31.
Explicit guidelines are needed to develop safe and effective patient portals. This paper proposes general principles, policies, and procedures for patient portal functionality based on MyHealthAtVanderbilt (MHAV), a robust portal for Vanderbilt University Medical Center. We describe policies and procedures designed to govern popular portal functions, address common user concerns, and support adoption. We present the results of our approach as overall and function-specific usage data. Five years after implementation, MHAV has over 129,800 users; 45% have used bi-directional messaging; 52% have viewed test results and 45% have viewed other medical record data; 30% have accessed health education materials; 39% have scheduled appointments; and 29% have managed a medical bill. Our policies and procedures have supported widespread adoption and use of MHAV. We believe other healthcare organizations could employ our general guidelines and lessons learned to facilitate portal implementation and usage.
需要明确的指导方针来开发安全有效的患者门户。本文基于范德比尔特大学医学中心的强大门户 MyHealthAtVanderbilt (MHAV)，提出了患者门户功能的一般原则、政策和程序。我们描述了旨在管理流行门户功能、解决常见用户问题和支持采用的政策和程序。我们以总体和特定功能的使用数据呈现我们方法的结果。实施五年后，MHAV 拥有超过 129,800 名用户；45%的用户使用了双向消息传递；52%的用户查看了测试结果，45%的用户查看了其他医疗记录数据；30%的用户访问了健康教育材料；39%的用户预约了；29%的用户管理了医疗账单。我们的政策和程序支持 MHAV 的广泛采用和使用。我们相信其他医疗机构可以采用我们的一般准则和经验教训，以促进门户的实施和使用。
