实时电子患者门户网站在急诊室患者中使用
Robert W Turer1,2, Samuel A McDonald1,2, Christoph U Lehmann2,3
1Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas.
JAMA network open
|May 3, 2024
概括
随着时间的推移,急诊室 (ED) 的患者门户的使用量增加了,但差异仍然存在. 紧急服务部门可以通过招募和培训患者来帮助弥合这一差距,以改善患者的访问和参与.
科学领域:
- 医疗信息学 医疗信息学
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 不公平的患者门户访问与急诊室 (ED) 使用率的增加有关.
- 了解ED设置中的患者门户网站使用模式对于改善护理准入至关重要.
研究的目的:
- 分析ED患者的实时患者门户网站使用趋势.
- 为了比较门户用户与非用户的人口和临床特征.
主要方法:
- 一项横截面研究评估了8个卫生系统超过120万次ED遭遇的患者门户访问和使用数据.
- 数据从2021年4月到2022年4月收集,重点关注实时门户互动,如登录,查看测试结果和临床笔记.
- 聚合的随机效应模型评估了与门户使用相关的时间趋势和因素.
主要成果:
- 17.4%的患者在ED访问期间登录患者门户; 14.1%查看了测试结果,2.5%查看了临床笔记.
- 实时门户访问,检测结果查看和临床笔记查看从研究期开始到结束时显著增加.
- 现有门户账户的患者表现出更高的参与率. 相反,男性,黑人和没有保险的患者使用门户的几率较低.
结论:
- 在ED中实时患者门户的使用正在增长,但在访问和利用方面存在显著的差异反映了更广泛的趋势.
- 紧急服务部门提供了一个关键的机会,可以招募和教育患者使用门户,从而提高访问期间和之后的参与度.
- 解决这些差异对于公平的医疗保健提供和利用数字卫生工具至关重要.
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