Megan Forster Megan, Dennison Kerrie, Callen Joanne, Andrew Andrew, Westbrook Johanna I
Mater Health Services Brisbane QLD AUSTRALIA.
Australian Institute of Health Innovation, Medicine University of New South Wales Sydney NSW AUSTRALIA.
Health Inf Manag. 2015;44(1):4-11. doi: 10.1177/183335831504400101.
Patients have been able to access clinical information from their paper-based health records for a number of years. With the advent of Electronic Medical Records (EMRs) access to this information can now be achieved online using a secure electronic patient portal. The purpose of this study was to investigate maternity patients' use and perceptions of a patient portal developed at the Mater Mothers' Hospital in Brisbane, Australia. A web-based patient portal, one of the first developed and deployed in Australia, was introduced on 26 June 2012. The portal was designed for maternity patients booked at Mater Mothers' Hospital, as an alternative to the paper-based Pregnancy Health Record. Through the portal, maternity patients are able to complete their hospital registration form online and obtain current health information about their pregnancy (via their EMR), as well as access a variety of support tools to use during their pregnancy such as tailored public health advice. A retrospective cross-sectional study design was employed. Usage statistics were extracted from the system for a one year period (1 July 2012 to 30 June 2013). Patients' perceptions of the portal were obtained using an online survey, accessible by maternity patients for two weeks in February 2013 (n=80). Descriptive statistics were employed to analyse the data. Between July 2012 and June 2013, 10,892 maternity patients were offered a patient portal account and access to their EMR. Of those 6,518 created one (60%; 6,518/10,892) and 3,104 went on to request access to their EMR (48%; 3,104/6,518). Of these, 1,751 had their access application granted by 30 June 2013. The majority of maternity patients submitted registration forms online via the patient portal (56.7%). Patients could view their EMR multiple times: there were 671 views of the EMR, 2,781 views of appointment schedules and 135 birth preferences submitted via the EMR. Eighty survey responses were received from EMR account holders, (response rate of 8.1%; 80/985). The majority of respondents indicated they would use the portal and access their EMR for future pregnancies (86.2%; 69/80). Approximately half looked at their EMR after a visit with their care provider (51.3%); 41/80) and 37.5% (30/80) viewed their EMR before, to prepare for their visit. The majority (65.8%) thought that the EMR improved their ability to understand and recall appointments and almost half (48.1%) thought that with the EMR they were less likely to repeat pregnancy information to caregivers. This study provides the first Australian evidence of a patient portal system, tied to an EMR, working effectively in a maternity care context. It provides new evidence that portals can deliver benefits to maternity patients in terms of providing quick and easy access to current personal and general health information and support patients in their ability to recall and prepare for appointments.
多年来,患者一直能够从纸质健康记录中获取临床信息。随着电子病历(EMR)的出现,现在可以通过安全的电子患者门户在线获取这些信息。本研究的目的是调查澳大利亚布里斯班 Mater Mothers 医院开发的患者门户在产妇中的使用情况和看法。2012 年 6 月 26 日推出了一个基于网络的患者门户,这是澳大利亚最早开发和部署的门户之一。该门户是为在 Mater Mothers 医院预约的产妇设计的,作为纸质妊娠健康记录的替代品。通过该门户,产妇能够在线完成医院登记表,并获取有关其妊娠的当前健康信息(通过其电子病历),以及在孕期使用各种支持工具,如量身定制的公共卫生建议。采用回顾性横断面研究设计。从系统中提取了一年期间(2012 年 7 月 1 日至 2013 年 6 月 30 日)的使用统计数据。通过在线调查获取患者对该门户的看法,2013 年 2 月产妇可在两周内访问该调查(n = 80)。采用描述性统计分析数据。在 2012 年 7 月至 2013 年 6 月期间,为 10,892 名产妇提供了患者门户账户并允许其访问电子病历。其中,6,518 人创建了账户(60%;6,518/10,892),3,104 人随后请求访问其电子病历(48%;3,104/6,518)。其中,1,751 人的访问申请在 2013 年 6 月 30 日前获得批准。大多数产妇通过患者门户在线提交登记表(56.7%)。患者可以多次查看其电子病历:电子病历有 671 次查看,预约时间表有 2,781 次查看,通过电子病历提交了 135 份分娩偏好。收到了 80 份电子病历账户持有者的调查回复(回复率为 8.1%;80/985)。大多数受访者表示他们会在未来怀孕时使用该门户并访问其电子病历(86.2%;69/80)。大约一半的人在与护理人员就诊后查看了其电子病历(51.3%;41/80),37.5%(30/80)的人在就诊前查看电子病历以准备就诊。大多数人(65.8%)认为电子病历提高了他们理解和记住预约的能力,近一半(48.1%)的人认为有了电子病历,他们向护理人员重复妊娠信息的可能性较小。本研究首次提供了澳大利亚的证据,证明与电子病历相关联的患者门户系统在产科护理环境中有效运行。它提供了新的证据,表明门户可以为产妇带来好处,即提供快速便捷地获取当前个人和一般健康信息的途径,并帮助患者记住预约并为预约做好准备。