Lo Brian, Charow Rebecca, Laberge Sarah, Bakas Vasiliki, Williams Laura, Wiljer David
UHN Digital, University Health Network, Toronto, ON, Canada.
Information Management Group, Centre for Addiction and Mental Health, Toronto, ON, Canada.
J Patient Exp. 2022 Jul 18;9:23743735221112216. doi: 10.1177/23743735221112216. eCollection 2022.
The COVID-19 pandemic has changed how care is being delivered in Canada. With conventional in-person care being transitioned to virtual care, the approach that patients are able to engage and access their care has dramatically changed. At the University Health Network (UHN), which is Canada's largest academic and teaching hospital network, we expanded the myUHN Patient Portal in 2017 after its early adopter phase to enable patients and family members to view parts of their clinical notes and test results. As the pandemic progressed, we observed high adoption of myUHN to support virtual care and rapid delivery of COVID-19 test results in real time. In this article, we share and reflect on our experience of adapting myUHN to support the demands of the pandemic, including portal adoption outcomes across multiple waves of the pandemic, the impetus for increased patient experience staff dedicated for myUHN support, and patients' perceptions of the value of the portal and virtual care. Based on these reflections, we outline our perspectives on the future role of patient portals to support patient care and experience in a post-pandemic environment.
新冠疫情改变了加拿大的医疗服务提供方式。随着传统的面对面医疗服务向虚拟医疗服务转变,患者参与并获得医疗服务的方式发生了巨大变化。在加拿大最大的学术和教学医院网络——大学健康网络(UHN),我们在2017年“我的UHN患者门户”早期采用阶段之后对其进行了扩展,使患者及其家属能够查看部分临床记录和检查结果。随着疫情的发展,我们发现“我的UHN”被广泛采用,以支持虚拟医疗服务并实时快速提供新冠病毒检测结果。在本文中,我们分享并反思了我们使“我的UHN”适应疫情需求的经验,包括疫情多阶段中门户的采用情况、增加专门支持“我的UHN”的患者体验工作人员的动因,以及患者对该门户和虚拟医疗服务价值的看法。基于这些反思,我们概述了我们对患者门户在疫情后环境中支持患者护理和体验的未来作用的看法。