在一个大型儿科学术机构的患者门户激活和使用方面的差异
Ethan G Chuang1, Andrew C Richardson2, Zaineb Boulil2
1Department of Pediatrics, University of California San Diego, San Diego, CA, USA.
Journal of racial and ethnic health disparities
|November 4, 2024
概括
患者门户访问存在差异,在西班牙裔,非英语语言和低收入人群中激活率较低. 干预措施可以改善医疗保健的获取和减少医疗保健不平等.
科学领域:
- 医疗信息学 医疗信息学
- 健康 公平 卫生 公平
- 儿科医疗保健 儿科医疗保健
背景情况:
- 患者获得个人医疗信息对于健康理解和自我倡导至关重要.
- 电子医疗记录系统和21世纪CURES法案旨在改善患者的访问.
- 技术依赖的访问方法可能会给某些社区带来差异.
研究的目的:
- 评估一个主要的儿科护理机构患者门户激活的差异.
- 确定与患者门户访问相关的人口因素.
主要方法:
- 对2010-2021年患者门户激活数据的分析.
- 数据按种族,语言偏好和家庭收入中位数分层.
- 后勤回归建模用于识别显著的人口统计学关联.
主要成果:
- 超过100万名患者得到了服务,47.7%的患者启用了患者门户.
- 根据种族,语言偏好和收入观察到门户激活的显著差异.
- 随着时间的推移,机构干预成功地提高了门户激活率.
结论:
- 电子医疗记录门户网站的激活在西班牙裔,非英语人士和低收入患者中不太常见.
- 患者门户访问的差异凸显了针对性干预的必要性.
- 通过改善门户访问,有机会减少服务不足社区的医疗保健差异.
相关概念视频
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
Guidelines and Strategies for Safe Computer Charting
797
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
797
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Legal Guidelines for Documentation
1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K
Ethical Standards I
774
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
774


