Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Ann Am Thorac Soc. 2014 May;11(4):608-12. doi: 10.1513/AnnalsATS.201401-032PS.
Much asthma research directed at achieving health equity is focused on patient education for self-management. Although adults are more likely to die from asthma, most studies target children. With the advent of the electronic health record, patient portals potentially offer adult patients as well as children and their caretakers a resource for disease management education, facilitating communication with health care providers and improving patient access to health care. However, difficult, limited, or inconvenient access to these patient portals could increase health disparities, whereas features such as accompanying audio platforms, the use of multimedia, and the ability to communicate across language barriers and educational levels potentially could improve communication and reduce differences in health outcomes.
许多旨在实现健康公平的哮喘研究都集中在针对自我管理的患者教育上。尽管成年人死于哮喘的可能性更大，但大多数研究都针对儿童。随着电子健康记录的出现，患者门户为成年患者以及儿童及其照顾者提供了疾病管理教育资源，促进了与医疗保健提供者的沟通，并改善了患者获得医疗保健的机会。然而，患者门户难以访问、访问受限或不方便，这可能会加剧健康差距，而诸如伴随的音频平台、多媒体的使用以及跨越语言障碍和教育水平进行交流的能力等功能，则有可能改善沟通并减少健康结果的差异。
