在儿科急诊室的患者门户激活和使用方面的差异
Mary Beth Howard1,2, Keith Kleinman1, Philip J Spevak3
1Department of Pediatrics, Division of Pediatric Emergency Medicine.
Pediatric emergency care
|April 24, 2025
概括
在儿科急诊室 (ED) 中,患者门户的使用率很高,但存在差异. 需要有针对性的干预措施,以确保所有年轻患者平等获得他们的健康信息.
科学领域:
- 医疗信息学 医疗信息学
- 儿科急救医学 儿科急救医学
- 数字健康 公平数字健康
背景情况:
- 患者门户改善了参与和结果,但在儿科急诊室 (ED) 没有研究过.
- 这项研究解决了儿童ED环境中了解患者门户激活和代理使用的差距.
研究的目的:
- 评估患者门户激活和代理使用在儿科ED.
- 检查与患者门户使用相关的人口和临床因素.
- 评估青少年患者中代理使用模式.
主要方法:
- 从单个城市儿科ED (2022年7月至2023年6月) 的电子健康记录数据的回顾性分析.
- 患者门户使用的分类:活跃,非活跃和非用户.
- 多变量分析以确定与青少年的门户使用和代理访问相关的因素.
主要成果:
- 超过18,000名患者 (27,000+次访问) 显示58.1%的受访者积极使用门户.
- 活跃用户更年轻,有私人保险,不太可能是非西班牙裔黑人.
- 只有青少年患者的门户访问量随着年龄的增长而显著增加 (12岁的1.9%到17岁的82.0%).
结论:
- 儿科ED的整体患者门户使用率很高,但人口差异仍然存在.
- 针对性干预对于公平的门户采用和获取医疗记录至关重要.
- 调查结果与"治疗法案"最后规则的患者数据访问目标相一致.
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