University of Iowa Stead Family Children's Hospital, Iowa City, Iowa;
Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa; and.
Hosp Pediatr. 2021 Jun;11(6):587-594. doi: 10.1542/hpeds.2020-003707. Epub 2021 May 18.
Electronic health records are becoming increasingly common tools for storing and sharing patient health information. Many vendors offer patient "portals" as a way for patients and/or proxies to view test results and communicate with their health care teams. Few researchers have looked at patient portals in the inpatient pediatric population. Our objectives were to describe portal activation and use and factors associated with these end points for hospitalized children.
Retrospective, single-center study of pediatric patients birth through 17 years old who had at least one hospital admission and one or more inpatient diagnostic test performed between January 1, 2018, to December 31, 2018. Portal use was defined as viewing one or more test result. Multivariate logistic regression analyzed the association between patient characteristics and portal account activation and use.
A total of 5862 patients with 170 685 diagnostic test results were included. A total of 40.9% of patients had an activated account, and 20.3% viewed one or more test result. Factors associated with an increased odds of portal activation and/or use included English as preferred language, white race, commercial insurance, multiple admissions, previous outpatient testing, and having both laboratory and imaging inpatient studies performed.
In this study, we highlight the underuse of the patient portal in the inpatient pediatric population, especially for patients whose preferred language is not English, self-identify as multiracial and are publicly insured or uninsured. Concerted efforts to eliminate health care disparities in relation to portal activation are needed.
电子健康记录正日益成为存储和共享患者健康信息的常用工具。许多供应商提供患者“门户”，以供患者和/或代理人查看检测结果并与他们的医疗团队进行沟通。很少有研究人员关注住院儿科患者的患者门户。我们的目的是描述住院儿童的门户激活和使用情况，以及与这些终点相关的因素。
这是一项回顾性、单中心研究，纳入了 2018 年 1 月 1 日至 2018 年 12 月 31 日期间至少有一次住院和一次或多次住院诊断性检查的 0 至 17 岁的儿科患者。将门户使用定义为查看一个或多个检测结果。采用多变量逻辑回归分析患者特征与门户账户激活和使用之间的关联。
共纳入 5862 名患者，共进行了 170685 次诊断性检测。共有 40.9%的患者激活了账户，20.3%的患者查看了一个或多个检测结果。与增加的门户激活和/或使用几率相关的因素包括首选语言为英语、白人种族、商业保险、多次住院、以前的门诊检查以及进行实验室和影像学住院检查。
在这项研究中，我们强调了患者门户在住院儿科人群中的使用率较低，尤其是对于首选语言不是英语、自我认定为多种族、有公共保险或无保险的患者。需要做出一致努力，以消除与门户激活相关的医疗保健差异。
