Oster Natalia V, Jackson Sara L, Dhanireddy Shireesha, Mejilla Roanne, Ralston James D, Leveille Suzanne, Delbanco Tom, Walker Janice D, Bell Sigall K, Elmore Joann G
Division of General Internal Medicine, University of Washington, Seattle, WA, USA
Division of General Internal Medicine, University of Washington, Seattle, WA, USA.
J Int Assoc Provid AIDS Care. 2015 Jul-Aug;14(4):306-12. doi: 10.1177/2325957414526783. Epub 2014 Apr 11.
Patients living with HIV/AIDS face large societal and medical challenges. Inviting patients to read their doctors' visit notes via secure electronic portals may empower patients and improve health. We investigated whether utilization and perceptions about access to doctors' notes differed among doctors and patients in an HIV/AIDS clinic versus primary care setting. We analyzed pre- and 1-year postintervention data from 99 doctors and 3819 patients. HIV clinic patients did not report differences in perceived risks and benefits compared to primary care clinic patients, however, they were more likely to share notes with friends (33% versus 9%, P=.002), other health professionals (24% versus 8%, P=.03), or another doctor (38% versus 9%, P<.0001). HIV clinic doctors were less likely than primary care doctors to change the level of candor in visit notes (P<.04). Our findings suggest that HIV clinic patients and doctors are ready to share visit notes online.
感染艾滋病毒/艾滋病的患者面临着巨大的社会和医疗挑战。通过安全的电子门户邀请患者阅读他们的就诊记录可能会增强患者的能力并改善健康状况。我们调查了在艾滋病毒/艾滋病诊所与初级保健机构中，医生和患者在利用和获取就诊记录的认知方面是否存在差异。我们分析了99名医生和3819名患者在干预前和干预后1年的数据。与初级保健诊所的患者相比，艾滋病毒诊所的患者在感知风险和益处方面没有差异，然而，他们更有可能与朋友分享记录（33%对9%，P = .002）、其他医疗专业人员（24%对8%，P = .03）或另一位医生（38%对9%，P < .0001）。艾滋病毒诊所的医生比初级保健医生更不可能改变就诊记录中的坦诚程度（P < .04）。我们的研究结果表明，艾滋病毒诊所的患者和医生已准备好在网上分享就诊记录。
