Suresh Uday, Steitz Bryan D, Rosenbloom S Trent, Griffith Kevin N, Ancker Jessica S
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Health Policy, Vanderbilt University Medical Center, Nashville, TN, USA.
AMIA Annu Symp Proc. 2025 May 22;2024:1089-1098. eCollection 2024.
Because of the 21st Century Cures Act, many health systems now release all test results into patient portals immediately. To investigate if changes in access to test results shifted patient portal usage, we used data from the electronic health record to evaluate how patients behaved after this policy change and a subsequent policy adjustment requiring patients to opt in for notifications about new test results. We found that following institutional compliance with the Cures Act, proportions of patients who scheduled a new appointment and messaged their clinician after accessing a new test result increased, both by 4.5%. After removing automatic notifications of new results, the proportion of patients who scheduled a new appointment increased by 2.1%, and the proportion of patients who had telemedicine encounters decreased by 0.8%. Our work identified changes in patient behavior that track how policy changes map to burden for clinicians and information-seeking behavior in patients.
由于《21世纪治愈法案》，现在许多医疗系统会立即将所有检测结果发布到患者门户网站上。为了调查获取检测结果方式的变化是否改变了患者对门户网站的使用情况，我们利用电子健康记录中的数据来评估在这一政策变化以及随后要求患者选择接收新检测结果通知的政策调整之后患者的行为表现。我们发现，在机构遵守《治愈法案》之后，查看新检测结果后预约新门诊和给临床医生发信息的患者比例均上升了4.5%。取消新结果的自动通知后，预约新门诊的患者比例上升了2.1%，进行远程医疗问诊的患者比例下降了0.8%。我们的研究确定了患者行为的变化，这些变化反映了政策变化如何对应临床医生的负担以及患者的信息寻求行为。
