McAlearney Ann Scheck, Walker Daniel M, Gaughan Alice, Moffatt-Bruce Susan, Huerta Timothy R
Department of Family Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, USA.
CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Telemed J E Health. 2020 Sep;26(9):1184-1187. doi: 10.1089/tmj.2019.0198. Epub 2020 Jan 28.
As more hospitals introduce inpatient portals, it is increasingly important to understand their impact on patient experience and the care process. We conducted this study to learn from patients and care team members about their experience with an inpatient portal. We interviewed 120 patients and 433 care team members across a seven-hospital academic medical center that offers an inpatient portal to hospitalized patients. Interviewees were asked about their use of the inpatient portal and its impact on patient experience. Recorded interviews were transcribed and rigorously analyzed using both inductive and deductive methods. We found that the inpatient portal was perceived to help patients be "better patients" by improving their ability to be informed about their health and by enabling them to be more involved in the care process. Care team members suggested portal use could be improved by addressing challenges with tablet administration, use of the patient education feature, and the functionality of the scheduling feature. Across interviewees, we found that inpatient portals were perceived to improve the hospital experience and increase empowerment for patients by offering information about care in a manner that allowed patients to join their care teams as active, participating members.
随着越来越多的医院引入住院患者门户网站,了解其对患者体验和护理过程的影响变得越发重要。我们开展这项研究,旨在向患者和护理团队成员了解他们使用住院患者门户网站的体验。我们在一家拥有七家医院的学术医疗中心采访了120名患者和433名护理团队成员,该中心为住院患者提供住院患者门户网站。受访者被问及他们对住院患者门户网站的使用情况及其对患者体验的影响。对录制的访谈进行了转录,并采用归纳法和演绎法进行了严格分析。我们发现,住院患者门户网站被认为有助于患者成为“更好的患者”,方法是提高他们了解自身健康状况的能力,并使他们能够更多地参与护理过程。护理团队成员建议,通过解决平板电脑使用、患者教育功能使用以及预约功能的实用性等方面的问题,可以改进门户网站的使用。在所有受访者中,我们发现住院患者门户网站被认为可以改善医院体验,并通过以一种让患者能够作为积极参与的成员加入其护理团队的方式提供护理信息,增强患者的自主权。