Coughlin Steven S, Prochaska Judith J, Williams Lovoria B, Besenyi Gina M, Heboyan Vahé, Goggans D Stephen, Yoo Wonsuk, De Leo Gianluca
Department of Clinical and Digital Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA.
Department of Medicine, Stanford Prevention Research Center, Stanford University, Stanford, CA.
Risk Manag Healthc Policy. 2017 Apr 7;10:33-40. doi: 10.2147/RMHP.S130431. eCollection 2017.
Efforts aimed at health care reform and continued advances in information technologies have prompted interest among providers and researchers in patient web portals. Patient web portals are password-protected online websites that offer the patients 24-hour access to personal health information from anywhere with an Internet connection.
This article, which is based upon bibliographic searches in PubMed, reviews important developments in web portals for primary and secondary disease prevention, including patient web portals tethered to electronic medical records, disease-specific portals, health disparities, and health-related community web portals.
Although findings have not been uniformly positive, several studies of the effectiveness of health care system patient portals in chronic disease management have shown promising results with regard to patient outcomes. Patient web portals have also shown promising results in increasing adherence with screening recommendations. Racial and ethnic minorities, younger persons, and patients who are less educated or have lower health literacy have been found to be less likely to use patient portals.
Additional studies are needed of the utility and effectiveness of different elements of web portals for different patient populations. This should include additional diseases and health topics such as smoking cessation and weight management.
旨在医疗保健改革的努力以及信息技术的持续进步引发了医疗服务提供者和研究人员对患者网络门户的兴趣。患者网络门户是受密码保护的在线网站，患者可通过互联网连接从任何地方24小时访问个人健康信息。
本文基于对PubMed的文献检索，回顾了用于一级和二级疾病预防的网络门户的重要发展，包括与电子病历相关联的患者网络门户、特定疾病门户、健康差异以及与健康相关的社区网络门户。
尽管研究结果并非一致积极，但几项关于医疗保健系统患者门户在慢性病管理中的有效性的研究已显示出在患者预后方面有前景的结果。患者网络门户在提高对筛查建议的依从性方面也显示出有前景的结果。已发现少数族裔、年轻人以及受教育程度较低或健康素养较低的患者使用患者门户的可能性较小。
需要针对不同患者群体对网络门户不同要素的效用和有效性进行更多研究。这应包括更多疾病和健康主题，如戒烟和体重管理。
