Carryer Jenny, Kooienga Sarah
School of Nursing/College of Health, Massey University, Palmerston North, New Zealand.
Fay W. Whitney School of Nursing, University of Wyoming, Laramie, USA.
J Prim Health Care. 2017 Dec;9(4):262-268. doi: 10.1071/HC17016.
AIM This exploratory qualitative study provides insight into E-portal use in rural primary care. INTRODUCTION As of February 2017, almost 300,000 New Zealanders were using E-portals, offered in over 455 general practices. Patient portals are intended to give patients convenient and secure electronic access to their health information and increase their ability to manage their own health care. Early patient experience of E-portal use in New Zealand has not yet been studied. METHODS Thirty-three patients from three rural general practice sites were interviewed between December 2015 and June 2016. Eleven patients were not using a portal. Data were analysed using ethnograph and comparative analysis between two researchers. RESULTS Four major themes emerged from the data: (i) technology acceptance, (ii) activation to full engagement with E-portals, (iii) benefits and concerns, and (iv) the impact of rural contextual understandings for these 33 patients. DISCUSSION Portal use in New Zealand is in its infancy, but signs suggest that New Zealanders are ready and enthusiastic adopters of such technology. Engagement levels are variable and it is too soon to fully explore the impact of E-portals on the general practice culture, provider relationships and the degree to which portals increase personal self-efficacy in relation to health care.
目的 这项探索性定性研究深入探讨了农村基层医疗中电子门户的使用情况。
引言 截至2017年2月，近30万新西兰人在使用电子门户，这些门户在超过455家普通诊所提供。患者门户旨在为患者提供便捷、安全的电子方式获取其健康信息，并增强他们管理自身医疗保健的能力。新西兰早期患者使用电子门户的体验尚未得到研究。
方法 在2015年12月至2016年6月期间，对来自三个农村普通诊所的33名患者进行了访谈。11名患者未使用门户。两名研究人员使用人种学方法和对比分析对数据进行了分析。
结果 数据中出现了四个主要主题：（i）技术接受度，（ii）从激活到全面参与电子门户，（iii）益处与担忧，以及（iv）农村背景理解对这33名患者的影响。
讨论 新西兰的门户使用尚处于起步阶段，但有迹象表明新西兰人已准备好并热衷于采用此类技术。参与程度各不相同，目前全面探究电子门户对普通诊所文化、提供者关系以及门户在多大程度上提高个人在医疗保健方面的自我效能感的影响还为时过早。
