访问类型和年龄组在患者门户使用广度中的作用：观察性研究。

The Role of Access Type and Age Group in the Breadth of Use of Patient Portals: Observational Study.

机构信息

Belk College of Business, University of North Carolina at Charlotte, Charlotte, NC, United States.

State University of New York, University at Buffalo, Buffalo, NY, United States.

出版信息

J Med Internet Res. 2022 Dec 27;24(12):e41972. doi: 10.2196/41972.

DOI:10.2196/41972

PMID:36574284

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9832356/

Abstract

BACKGROUND

Health care delivery and patient satisfaction are improved when patients engage with their medical information through patient portals. Despite their wide availability and multiple functionalities, patient portals and their functionalities are still underused.

OBJECTIVE

We seek to understand factors that lead to patient engagement through multiple portal functionalities. We provide recommendations that could lead to higher patients' usage of their portals.

METHODS

Using data from the Health Information National Trends Survey 5, Cycle 3 (N=2093), we performed descriptive statistics and used a chi-square test to analyze the association between the demographic variables and the use of mobile health apps for accessing medical records. We further fitted a generalized linear model to examine the association between access type and the use of portal functionalities. We further examined the moderation effects of age groups on the impact of access type on portal usage.

RESULTS

Our results show that accessing personal health records using a mobile health app is positively associated with greater patient usage of access capabilities (β=.52; P<.001), patient-provider interaction capabilities (β=.24, P=.006), and patient-personal health information interaction capabilities (β=.23, P=.009). Patients are more likely to interact with their records and their providers when accessing their electronic medical records using a mobile health app. The impacts of mobile health app usage fade with age for tasks consisting of viewing, downloading, and transmitting medical results to a third party (β=-.43, P=.005), but not for those involving patient-provider interaction (β=.05, P=.76) or patient-personal health information interaction (β=-.15, P=.19).

CONCLUSIONS

These findings provide insights on how to increase engagement with diverse portal functionalities for different age groups and thus improve health care delivery and patient satisfaction.

摘要

背景

当患者通过患者门户参与其医疗信息时，医疗服务的提供和患者满意度会得到提高。尽管患者门户广泛可用且具有多种功能，但它们的使用仍然不足。

目的

我们旨在了解通过多个门户功能促使患者参与的因素。我们提供了一些建议，这些建议可能会促使患者更多地使用其门户。

方法

我们使用来自健康信息国家趋势调查 5 号，第 3 周期（N=2093）的数据，进行描述性统计，并使用卡方检验分析人口统计学变量与使用移动医疗应用程序访问医疗记录之间的关联。我们进一步拟合了广义线性模型，以检验访问类型与门户功能使用之间的关联。我们进一步检验了年龄组对访问类型对门户使用影响的调节作用。

结果

我们的结果表明，使用移动医疗应用程序访问个人健康记录与患者更频繁地使用访问功能（β=.52；P<.001）、患者-提供者交互功能（β=.24，P=.006）和患者-个人健康信息交互功能（β=.23，P=.009）正相关。当患者使用移动医疗应用程序访问其电子病历时，他们更有可能与记录和提供者进行交互。移动医疗应用程序使用的影响随着年龄的增长而减弱，对于查看、下载和向第三方传输医疗结果等任务（β=-.43，P=.005），但对于涉及患者-提供者交互（β=.05，P=.76）或患者-个人健康信息交互（β=-.15，P=.19）的任务则不然。