Peremislov Diana
Author Affiliation: Medpace Medical Device, Blaine, Minnesota.
Comput Inform Nurs. 2017 Sep;35(9):473-482. doi: 10.1097/CIN.0000000000000348.
High incidence and prevalence of type 2 diabetes require urgent attention to the management of this chronic disease. The purpose of this study was to explore electronic communication (e-communication) between patients with type 2 diabetes and their providers within the patient portal. Qualitative design with conventional content analysis techniques was used. A purposive random sample of 90 electronic medical record charts of patient-portal users with type 2 diabetes was subjected to a retrospective review. The sample mainly consisted of patients between the ages of 50 and 70 years, who were white, non-Hispanic, and English-speaking. The three major themes that emerged in e-communication via patient portal were inform theme, which was the most frequently identified theme; instruct/request theme, which was mainly used in initiation of e-communication; and the question theme. The patient portal was used primarily for requests by patients and instruction by providers, showing relatively short e-message encounters with a high number of partially completed encounters, frequent lack of resolution, and a low level of involvement of diabetes specialists in e-communication. There is a need to revise healthcare system guidelines on initiation and use of e-communication via patient portal and develop standardized templates to promote diabetes education in type 2 diabetes.
2型糖尿病的高发病率和患病率需要我们紧急关注这一慢性疾病的管理。本研究的目的是探讨2型糖尿病患者与其医疗服务提供者在患者门户网站内的电子通信（电子沟通）情况。研究采用了常规内容分析技术的定性设计。对90份患有2型糖尿病的患者门户网站用户的电子病历进行了目的抽样回顾。样本主要由年龄在50至70岁之间、白人、非西班牙裔且说英语的患者组成。通过患者门户网站进行电子沟通时出现的三大主题分别是告知主题（这是最常出现的主题）、指导/请求主题（主要用于电子沟通的发起）和问题主题。患者门户网站主要用于患者提出请求以及医疗服务提供者进行指导，电子信息交流相对简短，大量交流未完成，问题常常得不到解决，且糖尿病专科医生在电子沟通中的参与度较低。有必要修订关于通过患者门户网站发起和使用电子沟通的医疗系统指南，并开发标准化模板以促进2型糖尿病的糖尿病教育。
