患者对全科医院医疗记录的在线访问的影响:纵向调查研究
Rosa R L C Thielmann1, Ciska Hoving1, Jochen W L Cals1
1School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.
Journal of medical Internet research
|June 2, 2023
概括
在线访问医疗记录可以赋予患者权力,改善医疗保健决策,尽管目前的影响很小. 更高的数字和健康素养增强了这些好处,表明了未来增长和公平分配的潜力.
科学领域:
- 医疗信息学 医疗信息学
- 患者赋权是患者赋权的一种方式.
- 数字健康数字健康
背景情况:
- 理论上,患者在线访问医疗记录是为了增强患者赋权和以患者为中心的护理.
- 关于患者在线访问医疗记录所感知的影响和结果的经验证据仍然有限.
研究的目的:
- 调查在线访问医疗记录对患者赋权的影响.
- 从患者的角度评估对知情决策和患者-提供者关系的影响.
主要方法:
- 这是一项纵向调查研究,涉及2402名荷兰成年人,分两波 (2021年7月和2022年1月).
- 使用线性回归分析来检查在线记录访问对各种结果的感知影响,控制社会人口统计学因素和患者特征.
主要成果:
- 与非用户相比,用户报告了在医疗保健参与方面更强烈的感知效益,改善了患者与全科医生的关系,并支持了知情决策.
- 经过对混因素进行调整后,这些发现很强大,尽管效应大小很小 (B在-0.39和0.28之间).
- 更高的数字和健康素养与对所有测量效应的更积极看法相关.
结论:
- 在线访问医疗记录显示了患者赋权和知情决策的潜力,其影响可能随着时间的推移而增加.
- 调节因素,如全科医生的态度,可能会影响结果,表明好处可能分布不均.
- 需要进一步的研究,以了解如何利用在线记录访问来提高医疗保健效率,而不会加剧健康不平等.
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