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患者对电子患者门户的激活与使用。

Patient activation and use of an electronic patient portal.

作者信息

Ancker Jessica S, Osorio Snezana N, Cheriff Adam, Cole Curtis L, Silver Michael, Kaushal Rainu

机构信息

Department of Healthcare Policy and Research, Weill Cornell Medical College , New York, NY , USA .

出版信息

Inform Health Soc Care. 2015;40(3):254-66. doi: 10.3109/17538157.2014.908200. Epub 2014 Apr 30.

Abstract

PRIMARY OBJECTIVE

Electronic patient portals give patients access to personal medical data, potentially creating opportunities to improve knowledge, self-efficacy, and engagement in healthcare. The combination of knowledge, self-efficacy, and engagement has been termed activation. Our objective was to assess the relationship between patient activation and outpatient use of a patient portal.

RESEARCH DESIGN

Survey.

METHODS AND PROCEDURES

A telephone survey was conducted with 180 patients who had been given access to a portal, 113 of whom used it and 67 of whom did not. The validated patient activation measure (PAM) was administered along with questions about demographics and behaviors.

RESULTS

Portal users were no different from nonusers in patient activation. Portal users did have higher education level and more frequent Internet use, and were more likely to have precisely 2 prescription medications than to have more or fewer.

CONCLUSION

Patients who chose to use an electronic patient portal were not more highly activated than nonusers, although they were more educated and more likely to be Internet users.

摘要

主要目标

电子患者门户网站使患者能够访问个人医疗数据,这有可能创造机会来提高患者在医疗保健方面的知识水平、自我效能感以及参与度。知识、自我效能感和参与度的结合被称为激活度。我们的目标是评估患者激活度与患者门户网站门诊使用情况之间的关系。

研究设计

调查。

方法与步骤

对180名有权限访问门户网站的患者进行了电话调查,其中113人使用了该网站,67人未使用。我们使用了经过验证的患者激活度测量方法(PAM),并询问了有关人口统计学和行为的问题。

结果

在患者激活度方面,门户网站用户与非用户没有差异。门户网站用户的教育水平更高,上网频率更高,并且与使用更多或更少处方药的人相比,恰好使用两种处方药的可能性更大。

结论

选择使用电子患者门户网站的患者,其激活度并不比未使用者更高,尽管他们受教育程度更高,且更有可能是互联网用户。

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