Johnson Adam M, Brimhall Andrew S, Johnson Erica T, Hodgson Jennifer, Didericksen Katharine, Pye Joseph, Harmon G J Corey, Sewell Kerry B
Department of Human Development & Family Science, East Carolina University, Greenville, North Carolina, USA.
Department of Family Medicine, ECU Health, Greenville, North Carolina, USA.
JAMIA Open. 2023 Jan 18;6(1):ooac085. doi: 10.1093/jamiaopen/ooac085. eCollection 2023 Apr.
The objective of this study was to systematically review all literature studying the effect of patient education on patient engagement through patient portals.
Patient portals provide patients access to health records, lab results, medication refills, educational materials, secure messaging, appointment scheduling, and telehealth visits, allowing patients to take a more active role in their health care decisions and management. A debate remains around whether these additional aids actually improve patient engagement and increase their ability to manage their own health conditions. This systematic review looks specifically at the effect of educational materials included in patient portals.
In accordance with PRISMA guidelines, the literature search was mapped across 5 databases (PubMed, CINAHL, Scopus, PsychINFO, Embase), and implemented on June 2, 2020.
Fifty-two studies were included in the review. Forty-six (88.5%) reported rates of patient utilization of educational resources in the patient portal. Thirty (57.9%) shared patients' perceptions of the usefulness of the education materials. Twenty-one (40.4%) reported changes in health outcomes following educational interventions through the patient portal. This review found that efforts are indeed being made to raise awareness of educational resources in patient portals, that patients are increasingly utilizing these resources, that patients are finding them useful, and that they are improving health outcomes.
It seems that patient portals are becoming a powerful tool for patient education and engagement, and show promise as a means of achieving the quadruple aim of healthcare. Moving forward, research should establish more uniform methods of measurement in order to strengthen the literature surrounding the effectiveness of patient education through patient portals.
本研究的目的是系统回顾所有关于通过患者门户网站进行患者教育对患者参与度影响的文献。
患者门户网站为患者提供了访问健康记录、实验室结果、药物续订、教育材料、安全消息传递、预约安排和远程医疗就诊的途径，使患者能够在医疗保健决策和管理中发挥更积极的作用。围绕这些额外的辅助工具是否真的能提高患者参与度并增强他们管理自身健康状况的能力，仍存在争议。本系统综述专门研究患者门户网站中包含的教育材料的效果。
根据PRISMA指南，在5个数据库（PubMed、CINAHL、Scopus、PsychINFO、Embase）中进行文献检索，并于2020年6月2日实施。
该综述纳入了52项研究。46项（88.5%）报告了患者对患者门户网站中教育资源的利用率。30项（57.9%）分享了患者对教育材料有用性的看法。21项（40.4%）报告了通过患者门户网站进行教育干预后健康结果的变化。本综述发现，确实在努力提高患者对患者门户网站中教育资源的认识，患者越来越多地使用这些资源，患者认为它们有用，并且它们正在改善健康结果。
患者门户网站似乎正在成为患者教育和参与的有力工具，并有望成为实现医疗保健四重目标的一种手段。展望未来，研究应建立更统一的测量方法，以加强围绕通过患者门户网站进行患者教育有效性的文献。
