Department of Medicine, University of Washington School of Medicine, Seattle, WA, United States.
Beth Israel Deaconess Medical Center, Harvard Medical School, Brookline, MA, United States.
Patient Educ Couns. 2018 May;101(5):956-959. doi: 10.1016/j.pec.2017.11.004. Epub 2017 Nov 8.
Chronic disease management can require daily attention, and increased levels of patient activation and engagement. We examined whether patients with diabetes perceive a greater benefit to having electronic access to their doctors' clinic notes compared to patients without diabetes. We hypothesized that easy electronic access to these notes may help patients with self-care by improving education and communication.
Survey of patients with and without diabetes in Massachusetts and Pennsylvania about perceptions of potential benefits and risks of reading their visit notes via an electronic patient information portal. Administrative data were used to identify patients with diabetes; we compared their perceptions to those of patients without diabetes.
The majority of patients (both with and without diabetes) perceived a positive impact of using the portal. Patients with diabetes were significantly more likely to believe that having access to and reading their notes would help them take their medication better and take better care of themselves.
Patients with chronic diseases such as diabetes might receive an even greater benefit from access to their doctors' notes than the general patient population.
Doctors should encourage their patients with diabetes (or other chronic diseases) to use patient portals.
慢性病管理需要每天关注，并提高患者的积极性和参与度。我们研究了与没有糖尿病的患者相比，糖尿病患者是否认为电子获取医生的诊所记录对他们更有好处。我们假设，通过改善教育和沟通，这些记录的便捷电子访问可能有助于患者进行自我护理。
在马萨诸塞州和宾夕法尼亚州对有和没有糖尿病的患者进行调查，了解他们对通过电子患者信息门户阅读就诊记录的潜在益处和风险的看法。使用行政数据来识别糖尿病患者；我们将他们的看法与没有糖尿病的患者进行了比较。
大多数患者（有和没有糖尿病的患者）都认为使用门户具有积极影响。有糖尿病的患者更有可能认为访问和阅读他们的记录将帮助他们更好地服药并更好地照顾自己。
患有糖尿病等慢性病的患者可能比一般患者群体从访问医生记录中获得更大的益处。
医生应鼓励患有糖尿病（或其他慢性病）的患者使用患者门户。
