Department of General Internal Medicine,Lahey Hospital & Medical
EmpiraMed.
Int J Technol Assess Health Care. 2017 Jan;33(1):63-68. doi: 10.1017/S0266462317000137. Epub 2017 Apr 24.
Patient Web portals (PWPs) have been gaining traction as a means to collect patient-reported outcomes and maintain quality patient care between office visits. PWPs have the potential to impact patient-provider relationships by rendering additional channels for communication outside of clinic visits and could help in the management of common chronic medical conditions. Studies documenting their effect in primary care settings are limited. This perspective aims to summarize the benefits and drawbacks of using PWPs in the management of chronic conditions, such as diabetes mellitus, hypertension, and asthma, focusing on communication, disease management, compliance, potential barriers, and the impact on patient-provider dynamic. After a review of these topics, we present potential future directions.
We conducted an exploratory PubMed search of the literature published from inception through December 2015, and focused our subsequent searches specifically to assess benefits and drawbacks of using PWPs in the management of diabetes mellitus, hypertension, and asthma.
Our search revealed several potential benefits of PWP implementation in the management of chronic conditions with regards to patient-provider relationships, such as improved communication, disease management, and compliance. We also noted drawbacks such as potentially unreliable reporting, barriers to use, and increased workload.
PWPs offer opportunities for patients to report symptoms and outcomes in a timely manner and allow for secure online communication with providers. Despite the drawbacks noted, the overall benefits from successful PWP implementation could improve patient-provider relationships and help in the management of chronic conditions, such as diabetes mellitus, hypertension, and asthma.
患者网络门户(PWPs)作为一种在就诊之外收集患者报告结果和维持患者医疗质量的手段,越来越受到关注。PWPs 有可能通过在就诊之外提供额外的沟通渠道来影响医患关系,并有助于管理常见的慢性疾病。记录其在初级保健环境中效果的研究有限。本观点旨在总结在管理糖尿病、高血压和哮喘等慢性病方面使用 PWPs 的优缺点,重点关注沟通、疾病管理、依从性、潜在障碍以及对医患动态的影响。在回顾这些主题之后,我们提出了一些潜在的未来方向。
我们对从成立到 2015 年 12 月发表的文献进行了探索性 PubMed 搜索,并专门进行了后续搜索,以评估在管理糖尿病、高血压和哮喘方面使用 PWPs 的优缺点。
我们的搜索结果显示,在管理慢性病方面,PWPs 的实施有几个潜在的好处,例如改善医患关系,提高沟通、疾病管理和依从性。我们还注意到一些缺点,如报告可能不可靠、使用障碍和工作负荷增加。
PWPs 为患者及时报告症状和结果提供了机会,并允许与提供者进行安全的在线沟通。尽管存在上述缺点,但成功实施 PWPs 的总体好处可以改善医患关系,并有助于管理糖尿病、高血压和哮喘等慢性病。