Chou Ann F, Nagykaldi Zsolt, Aspy Cheryl B, Mold James W
College of Public Health and College of Medicine, Oklahoma City, Oklahoma.
J Prim Care Community Health. 2010 Jul 1;1(2):88-92. doi: 10.1177/2150131910365358.
Optimal delivery of preventive services requires appropriate information processing and patient involvement. However, information is limited in preventive service delivery that integrates health information technology (HIT). This study aimed to develop and pilot test an Internet-based wellness portal to facilitate patient-centered care. Guiding portal development, an advisory panel systematically identified portal elements/features and engaged in the Delphi technique to achieve consensus on portal structure. To pilot test the portal, 30 patients were randomly recruited from 2 practices to complete a questionnaire. Frequency statistics were compiled for structured questions, and content analyses were conducted to examine qualitative responses on portal utility. Participant age ranged from 23 to 83 years (mean, 41 years). About 78% were female, 22% were ethnic minorities, and 80% had some college education. The portal provides a personalized wellness plan for preventive services based on patient demographics, medical history, risk factors, medications, laboratory tests, and functions like symptoms tracking, access to education materials, and secure patient-practice communication. Patients rated the portal in ease of use, importance, and utility/value. Over 90% found the portal easy to use in terms of navigation, finding information, comprehension, and instructions. Patients regarded the portal as an important tool in achieving wellness, improving patient-practice interactions, and a valuable resource. Contents analyses showed that patients found the portal helpful, particularly its reminder and tracking functions. Patients with basic computer literacy may use a simple, consumer-oriented Web site to manage their preventive care. The portal exemplifies how HIT may encourage active patient participation in their care and potentially improve health outcomes.
预防性服务的最佳提供需要适当的信息处理和患者参与。然而，在整合健康信息技术（HIT）的预防性服务提供中，信息是有限的。本研究旨在开发并试点测试一个基于互联网的健康门户网站，以促进以患者为中心的护理。在指导门户网站开发时，一个咨询小组系统地确定了门户网站的元素/功能，并采用德尔菲技术就门户网站结构达成共识。为了对该门户网站进行试点测试，从2家医疗机构中随机招募了30名患者来完成一份问卷。对结构化问题进行了频率统计，并进行了内容分析以检查关于门户网站效用的定性回答。参与者年龄在23岁至83岁之间（平均41岁）。约78%为女性，22%为少数民族，80%有一些大学教育背景。该门户网站根据患者的人口统计学特征、病史、风险因素、药物、实验室检查以及症状跟踪、获取教育材料和安全的患者与医疗机构沟通等功能，为预防性服务提供个性化的健康计划。患者对该门户网站的易用性、重要性和效用/价值进行了评分。超过90%的患者认为该门户网站在导航、查找信息、理解和操作说明方面易于使用。患者将该门户网站视为实现健康、改善患者与医疗机构互动的重要工具以及宝贵资源。内容分析表明，患者发现该门户网站很有帮助，特别是其提醒和跟踪功能。具备基本计算机知识的患者可以使用一个简单的、面向消费者的网站来管理他们的预防性护理。该门户网站例证了健康信息技术如何鼓励患者积极参与自身护理并有可能改善健康结果。
