Ochoa Alejandro, Kitayama Ken, Uijtdehaage Sebastian, Vermillion Michelle, Eaton Michael, Carpio Felix, Serota Martin, Hochman Michael E
UCLA PRIME, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Professor of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
J Am Med Inform Assoc. 2017 Nov 1;24(6):1160-1164. doi: 10.1093/jamia/ocx040.
To assess patient and provider perspectives on the potential value and use of a bilingual patient portal in a large safety-net health system serving predominantly Spanish-speaking patients.
We captured patient and provider perspectives through the administration of surveys to assess Internet access, barriers, and facilitators to patient portal adoption, along with portal preferences. We report on these survey results using descriptive and comparative statistics.
Four hundred patients (82% response rate) and 59 providers (80% response rate) participated in the study. Although 73% of providers believed that the patient portal would increase patient satisfaction, just 39% planned to recommend portal use to patients, citing concerns related to time and reimbursement. In contrast, 72% of patients believed the patient portal would strengthen the patient-provider relationship and 77% believed it would improve the quality of care. Latino patients in particular believed the patient portal would strengthen the patient-provider relationship. Seventy-five percent of patients reported interest in a mobile version of the portal.
Patients from a safety-net health system, most of whom were Spanish-speaking, reported a high level of interest in the patient portal. Providers at the same health system expressed reluctance about the portal due to concerns related to time and reimbursement.
Bilingual patient portal implementation has considerable potential to promote health care engagement within Spanish-speaking safety-net populations; however, lack of provider engagement in the process could undermine the effort.
评估在一个主要服务讲西班牙语患者的大型安全网医疗系统中，患者和医疗服务提供者对双语患者门户网站的潜在价值及使用情况的看法。
我们通过开展调查来获取患者和医疗服务提供者的看法，以评估互联网接入情况、采用患者门户网站的障碍和促进因素以及对门户网站的偏好。我们使用描述性和比较性统计数据来报告这些调查结果。
400名患者（回复率82%）和59名医疗服务提供者（回复率80%）参与了该研究。尽管73%的医疗服务提供者认为患者门户网站会提高患者满意度，但只有39%的人计划向患者推荐使用该门户网站，理由是担心时间和报销问题。相比之下，72%的患者认为患者门户网站会加强医患关系，77%的患者认为它会提高医疗质量。特别是拉丁裔患者认为患者门户网站会加强医患关系。75%的患者表示对门户网站的移动版本感兴趣。
来自安全网医疗系统的患者，其中大多数讲西班牙语，对患者门户网站表现出高度兴趣。同一医疗系统的医疗服务提供者由于担心时间和报销问题，对该门户网站表示不情愿。
实施双语患者门户网站在促进讲西班牙语的安全网人群参与医疗保健方面具有相当大的潜力；然而，医疗服务提供者在这一过程中缺乏参与可能会破坏这一努力。
