在低收入患者群体中使用患者门户的障碍:一种定性描述性研究
Journal of health care for the poor and underserved
|November 28, 2023
概括
许多低收入患者使用像MyChart.com这样的患者门户面临障碍. 提高认识和提供招生援助可以改善联邦合格卫生中心的患者门户网站采用.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
背景情况:
- 患者门户网站为医疗管理和患者参与提供了许多好处.
- 关于弱势群体患者门户采用特定障碍的研究有限,例如联邦合格卫生中心 (FQHC) 提供的服务.
研究的目的:
- 质量地探索阻碍低收入患者利用患者门户的障碍.
- 在FQHC的背景下,确定影响患者门户采用的因素.
主要方法:
- 对来自FQHC的25名志愿者样本进行了深入采访 (30-45分钟).
- 通过简短的自我管理调查收集人口统计和入学数据.
- 分析了定性数据,以确定与患者门户网站使用障碍相关的主题.
主要成果:
- 超过60%的参与者听说过MyChart患者门户,但只有40%的参与者注册.
- 识别的招生和使用障碍被分类为个人,组织和结构层面.
- 低识字信息材料和直接招生援助被强调为潜在的促进者.
结论:
- 在低收入人群中,FQHC应该主动解决患者门户网站使用的障碍.
- 策略包括提高患者对门户福利的认识,并提供实际的入学支持.
- 针对性干预对于改善数字健康公平性和服务不足社区的患者参与至关重要.
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