Amirkiai Semira, Obadan-Udoh Enihomo
J Am Dent Assoc. 2023 Apr;154(4):330-339.e3. doi: 10.1016/j.adaj.2022.12.010. Epub 2023 Feb 21.
Patient health portals (PHPs) encourage patient engagement to achieve the quadruple aim of health care: to improve the patient's experience of care, improve population health, reduce health care costs, and improve the work life of health care providers. The purpose of this study was to capture dental patients' perspectives on PHPs and their desired content. Specifically, the authors examined the important features for dental patients to have as well as the barriers and facilitators of PHPs.
The authors conducted a cross-sectional study of adult patients attending the predoctoral, faculty, and resident clinics at an academic dental center from July through October 2020. Patients were invited to complete an 18-item self-administered survey. The survey captured patient demographics, preferences, desired content, and facilitators and barriers of PHPs. The authors performed descriptive statistical analysis and bivariate analysis.
A total of 325 people participated. Most participants had a bachelor's degree, internet access, government insurance, and a combined household income of more than $50,000 per year. Completed procedures, past visit summaries, and date of last visit were the top 3 types of information patients desired in dental health PHPs. The top 3 desired oral health topics in PHPs included signs of gingival disease and proper management, caries prevention, and proper toothbrushing and flossing techniques. Highest perceived barriers included high cost and privacy and security concerns. Highest perceived facilitators included user-friendly portals and monitoring personal health.
This study highlights dental patients' preferences for a PHP and can inform the development of dental PHPs. Dentists must overcome identified barriers to increase patient engagement in using dental PHPs.
Implementing the patient-identified features in a dental PHP will help improve the quality of oral health care delivery by increasing patient engagement and improving the patient's experience.
患者健康门户网站(PHPs)鼓励患者参与,以实现医疗保健的四重目标:改善患者的就医体验、提升人群健康水平、降低医疗成本以及改善医疗服务提供者的工作生活。本研究的目的是了解牙科患者对患者健康门户网站的看法及其期望的内容。具体而言,作者考察了牙科患者认为重要的功能特性以及患者健康门户网站的障碍和促进因素。
作者对2020年7月至10月在一所学术性牙科中心的博士前、教职员工和住院医师诊所就诊的成年患者进行了一项横断面研究。邀请患者完成一份包含18个项目的自填式调查问卷。该调查收集了患者的人口统计学信息、偏好、期望的内容以及患者健康门户网站的促进因素和障碍。作者进行了描述性统计分析和双变量分析。
共有325人参与。大多数参与者拥有学士学位、能上网、有政府保险,家庭年收入合计超过5万美元。已完成的诊疗程序、既往就诊总结以及上次就诊日期是牙科健康患者健康门户网站中患者期望的前3类信息。患者健康门户网站中前3个期望的口腔健康主题包括牙龈疾病的迹象及正确管理、龋齿预防以及正确的刷牙和使用牙线技巧。最高的感知障碍包括成本高以及对隐私和安全的担忧。最高的感知促进因素包括用户友好的门户网站和监测个人健康。
本研究突出了牙科患者对患者健康门户网站的偏好,并可为牙科患者健康门户网站的开发提供参考。牙医必须克服已识别的障碍,以提高患者对使用牙科患者健康门户网站的参与度。
在牙科患者健康门户网站中实施患者确定的功能特性将有助于通过提高患者参与度和改善患者体验来提升口腔医疗服务的质量。