Res Gerontol Nurs. 2021 May-Jun;14(3):138-149. doi: 10.3928/19404921-20210324-01. Epub 2021 May 1.
Patient engagement is essential for improving health outcomes and lowering health care costs. The use of patient portals is becoming increasingly important for patient health care engagement. A convenience sample of 100 community-dwelling older adults completed a battery of surveys to explore the use of patient portals as an engagement tool. Criterion sampling was used to select a subset of 23 participants from the initial telephone survey to participate in one of four focus groups based on prior experience with a patient health portal (yes or no) and level of health literacy (low or high). Two core concepts and corresponding themes emerged: Patient Engagement Behaviors included the themes of , , , , , and . Patient-Provider Interactions included the themes of , , , , and . Findings revealed a synergistic relationship among Patient Engagement Behaviors Patient-Provider Interactions, and family support that can be strengthened in combination to promote the health care engagement capacity of older adults. [(3), 138-149.].
患者参与对于改善健康结果和降低医疗保健成本至关重要。患者门户的使用对于患者医疗保健参与变得越来越重要。一项方便抽样的 100 名社区居住的老年人完成了一系列调查，以探索将患者门户用作参与工具。标准抽样用于从最初的电话调查中选择 23 名参与者的子集，根据他们之前使用患者健康门户的经验（是或否）和健康素养水平（低或高），将他们分为四个焦点小组之一。出现了两个核心概念和相应的主题：患者参与行为包括以下主题：自我效能、自我管理、互动、沟通和信任。医患互动包括以下主题：信息共享、决策支持、关系建立和沟通。研究结果表明，患者参与行为、医患互动和家庭支持之间存在协同关系，可以结合起来增强老年人的医疗保健参与能力。[(3)，138-149]。
