親の患者ポータルアクセスにおける言語設定によるEHRワークフローの格差への寄与
Nymisha Chilukuri1, Erin Ballard2, Xuan Xu2
1Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States.
Applied clinical informatics
|January 22, 2026
まとめ
スペイン語を好む患者は、英語話者と比較して患者ポータル(PP)へのアクセスが低いことが示されました。これは、電子健康記録(EHR)のアクティベーションワークフローにおける格差と、公平なアクセス改善の必要性を浮き彫りにしています。
科学分野:
- ヘルスインフォマティクス
- 健康の公平性
- 健康格差
背景:
- 患者ポータル(PP)は、電子健康記録(EHR)システム内での医療アクセスに不可欠である。
- アクティベーションの格差を特定することは、公平な医療を確保する上で重要である。
- 言語設定はPPエンゲージメントの潜在的な障壁となる。
主な方法:
- 外来受診歴のある小児患者(12歳未満)の後ろ向きコホート研究。
- 親/保護者の希望言語(英語対スペイン語)に基づいたPPの提供、アクティベーション、利用率を調査した。
- 関連性を評価するために、修正多変量ポアソン回帰を使用した。
結論:
- 小児医療システムにおいて、希望言語に基づくPPの提供、アクティベーション、利用には有意な格差が存在する。
- 現在のPPアクティベーション方法は、すべての言語グループに対して等しく効果的ではなく、ワークフローの最適化が必要である。
- 公平なPPアクセスを改善し、医療格差を減らすためには、ターゲットを絞った介入が必要である。
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