Pho Kelvin K, Lu Rong, Gates Samantha, Cai Jennifer, Xie Donglu, Xie Yang, Lee Simon J Craddock, Gerber David E
University of Texas Southwestern Medical Center, Dallas, TX.
JCO Clin Cancer Inform. 2019 Feb;3:1-8. doi: 10.1200/CCI.18.00094.
Mobile devices provide individuals with rapid and frequent access to electronic patient portals. We investigated how oncology patients use this technology to review test results and communicate with providers.
We performed a retrospective study of patients enrolled in the MyChart electronic health portal associated with the Epic electronic medical record at the Harold C. Simmons Comprehensive Cancer Center from 2012 to 2017. We recorded type of portal access according to year and patient characteristics. Associations among patient characteristics and types of portal access were tested using Mann-Whitney U test, χ test, and linear Gaussian regression models.
Since the availability of a mobile device application in 2012, 2,524 patients with cancer accessed MyChart from a mobile device at least once, which accounted for 291,526 mobile log-ins. The number of patients with MyChart mobile application log-ins increased from 4% in 2012 to 13% in 2017 ( P = .004). Among these patients, the median proportion of log-ins that occurred through mobile device use increased from 22% to 72% during this time period ( P < .001). Mobile access occurred more frequently among younger ( P < .001), black ( P = .002), and Hispanic ( P = .004) patients. Since 2012, total portal log-in frequency increased approximately 110% among patients who used the mobile application compared with 25% among those who did not use the mobile application ( P < .001).
Mobile access to electronic health portals has increased patient portal use, particularly among traditionally underserved populations. How this widely and immediately available technology affects patient expectations and experiences warrants additional study.
移动设备使个人能够快速且频繁地访问电子患者门户。我们调查了肿瘤患者如何使用这项技术来查看检查结果并与医疗服务提供者进行沟通。
我们对2012年至2017年在哈罗德·C·西蒙斯综合癌症中心与Epic电子病历相关联的MyChart电子健康门户中登记的患者进行了一项回顾性研究。我们根据年份和患者特征记录了门户访问类型。使用曼-惠特尼U检验、χ检验和线性高斯回归模型来检验患者特征与门户访问类型之间的关联。
自2012年移动设备应用程序可用以来，2524名癌症患者至少从移动设备访问过一次MyChart，这占了291526次移动登录。拥有MyChart移动应用程序登录的患者数量从2012年的4%增加到2017年的13%（P = 0.004）。在这些患者中，在此期间通过移动设备使用进行的登录比例中位数从22%增加到72%（P < 0.001）。年轻患者（P < 0.001）、黑人患者（P = 0.002）和西班牙裔患者（P = 0.004）的移动访问更为频繁。自2012年以来，使用移动应用程序的患者的门户总登录频率增加了约110%，而未使用移动应用程序的患者为25%（P < 0.001）。
通过移动设备访问电子健康门户增加了患者对门户的使用，尤其是在传统上服务不足的人群中。这项广泛且即时可用的技术如何影响患者的期望和体验值得进一步研究。
