Steitz Bryan, Cronin Robert M, Davis Sharon E, Yan Ellen, Jackson Gretchen P
Bryan Steitz, 2525 West End Avenue, Suite 1475, Nashville, TN 37203, Tel. (502) 320-6797, Email:
Appl Clin Inform. 2017 Aug 2;8(3):779-793. doi: 10.4338/ACI-2017-01-RA-0005.
Patient portal adoption has increased over the last two decades. Most research about patient portals has focused on adult populations in the primary care and medical specialty settings.
We describe initial and long-term portal use by pediatric patients and their caregivers in a broadly deployed patient portal at an academic medical center.
We analyzed portal usage for pediatric patients and their caregivers from 2008 to 2014. We recorded usage events with time stamps; user role defined as self, surrogate (i.e., parent or guardian), or delegate; and functions accessed. Usage events were grouped into sessions to calculate descriptive statistics by patient age, user role, and active use over time.
From 2008 to 2014, the number of portal accounts increased from 633 to 17,128. 15.9% of pediatric patients had their own account; 93.6%, a surrogate account; and 2.2% a delegate account. During the study period, 15,711 unique users initiated 493,753 sessions and accessed 1,491,237 functions. Most commonly used functions were secure messaging (accessed in 309,204 sessions; 62.6%); test results (174,239; 35.3%) and appointments (104,830; 21.2%). Function usage was greatest for patients ages 0-2 years (136,245 functions accessed; 23.1%) and 15-17 years (109,241;18.5%). Surrogate users conducted 83.2% of logins for adolescent patients. Portal accounts were actively used for < 1 year for 9,551 patients (55.8%), 1-2 years for 2,826 patients (16.5%), 2-3 years for 1,968 patients (11.5%) and over 3 years for 2,783 patients (16.3%).
Pediatric patients and caregivers have avidly used messaging, test result, and appointment functions. The majority of access was done by surrogates. Adolescent portal usage increased with age. Most accounts for pediatric patients were only used actively for a few years, with peak usage for patients in early childhood and late adolescence.
在过去二十年中，患者门户的采用率有所增加。大多数关于患者门户的研究都集中在初级保健和医学专科环境中的成年人群体。
我们描述了一家学术医疗中心广泛部署的患者门户中儿科患者及其护理人员的初始和长期门户使用情况。
我们分析了2008年至2014年儿科患者及其护理人员的门户使用情况。我们记录了带有时间戳的使用事件；用户角色定义为本人、代理人（即父母或监护人）或代表；以及访问的功能。使用事件被分组为会话，以按患者年龄、用户角色和随时间的活跃使用情况计算描述性统计数据。
从2008年到2014年，门户账户数量从633个增加到17,128个。15.9%的儿科患者有自己的账户；93.6%有代理人账户；2.2%有代表账户。在研究期间，15,711名独特用户发起了493,753个会话并访问了1,491,237项功能。最常用的功能是安全消息传递（在309,204个会话中访问；62.6%）；检查结果（174,239；35.3%）和预约（104,830；21.2%）。0至2岁患者的功能使用量最大（访问了136,245项功能；23.1%），15至17岁患者的功能使用量也较大（109,241；18.5%）。代理人用户进行了青少年患者83.2%的登录操作。9,551名患者（55.8%）的门户账户活跃使用时间不到1年，2,826名患者（16.5%）为1至2年，1,968名患者（11.5%）为2至3年，2,783名患者（16.3%）超过3年。
儿科患者及其护理人员积极使用消息传递、检查结果和预约功能。大多数访问是由代理人进行的。青少年的门户使用随年龄增长而增加。大多数儿科患者的账户仅活跃使用了几年，幼儿期和青春期后期患者的使用量达到峰值。
