在等待测试结果和患者发起的消息时,重复访问患者门户
Bryan D Steitz1, Robert W Turer2,3, Liz Salmi4
1Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee.
JAMA network open
|April 8, 2025
概括
患者经常刷新患者门户,以获取测试结果,特别是高灵敏度的测试结果. 这种与担忧相关的行为可能反映了患者的偏好,而不是测试特征,可能会减少患者发起的信息.
科学领域:
- 医疗信息学 医疗信息学
- 患者体验 患者体验
- 数字健康数字健康
背景情况:
- 立即访问患者门户的测试结果可能会引起患者的焦虑.
- 在等待结果时了解患者的行为对于医疗保健系统提供支持和管理沟通至关重要.
- 识别患者门户使用模式可以帮助量身定制患者参与策略.
研究的目的:
- 为了描述那些在等待测试结果时反复访问其门户的患者.
- 确定患者门户更新行为和随后的患者发起的消息之间的关联.
- 根据测试灵敏度,探索更新行为的差异.
主要方法:
- 在范德比尔特大学医学中心使用MyChart患者门户数据进行了回顾性横截面研究.
- 包括2022年1月至2023年12月期间接受门诊检测结果的成年患者.
- 分析了门户访问日志以识别更新行为,并使用多变量后勤回归与患者特征和消息相关联.
主要成果:
- 超过29万名患者审查了近100万个结果;25.9%的结果促使门户更新.
- 高灵敏度测试 (例如活检) 的更新频率 (39.3%) 比低灵敏度测试 (24.9%) 更高.
- 启用通知的患者显示更新的几率更高,特别是在低敏感度结果 (OR 1.54) 中. 低灵敏度结果的刷新与信息传递的增加有关.
结论:
- 患者门户更新活动,特别是对于低灵敏度结果,与患者发起的消息通信有关.
- 更新行为可能表明患者对结果的态度和偏好,而不是仅仅反映测试的紧迫性或痛苦.
- 医疗保健系统可以利用对刷新行为的理解来改善患者支持和沟通策略.
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