Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
J Am Med Inform Assoc. 2011 Dec;18 Suppl 1(Suppl 1):i24-7. doi: 10.1136/amiajnl-2011-000381. Epub 2011 Oct 5.
The patient portal is a web service which allows patients to view their electronic health record, communicate online with their care teams, and manage healthcare appointments and medications. Despite advantages of the patient portal, registrations for portal use have often been slow. Using a secure video system on our existing exam room electronic health record displays during regular office visits, the authors showed patients a video which promoted use of the patient portal. The authors compared portal registrations and portal use following the video to providing a paper instruction sheet and to a control (no additional portal promotion). From the 12,050 office appointments examined, portal registrations within 45 days of the appointment were 11.7%, 7.1%, and 2.5% for video, paper instructions, and control respectively (p<0.0001). Within 6 months following the interventions, 3.5% in the video cohort, 1.2% in the paper, and 0.75% of the control patients demonstrated portal use by initiating portal messages to their providers (p<0.0001).
患者门户是一项网络服务，允许患者查看他们的电子健康记录、与他们的护理团队在线交流，并管理医疗预约和药物。尽管患者门户有优势，但患者注册使用的速度往往很慢。作者在现有诊室电子健康记录显示器上使用安全视频系统，向患者播放一段视频，宣传患者门户的使用。作者比较了视频后、提供纸质说明后和对照组（无额外门户推广）的门户注册和门户使用情况。在检查的 12050 个办公预约中，视频组、纸质说明组和对照组在预约后 45 天内的门户注册率分别为 11.7%、7.1%和 2.5%（p<0.0001）。在干预措施实施后的 6 个月内，视频组有 3.5%、纸质组有 1.2%、对照组有 0.75%的患者通过向他们的提供者发起门户消息来使用门户（p<0.0001）。
