患者门户网站使用的行为转变 在政策变化期间和之后 测试结果交付和通知周围的政策变化
Uday Suresh1, Bryan D Steitz1, S Trent Rosenbloom1
1Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
概括
"21世纪治疗法"改善了患者门户的使用,增加了预约安排和临床医生信息传递. 随后的通知政策变化进一步影响了患者对健康信息和服务的参与.
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
- 患者参与 患者参与
背景情况:
- "21世纪治疗法"要求立即将所有测试结果发布到患者门户网站.
- 这一政策转变旨在赋予患者与他们的健康信息的权力.
- 了解对患者门户网站利用和行为的影响至关重要.
研究的目的:
- 评估患者门户网站的使用和行为在"21世纪治疗法"实施后如何变化.
- 评估关于测试结果通知的后续政策调整对患者行动的影响.
主要方法:
- 利用电子健康记录数据来分析患者的行为.
- 在政策变化之前和之后,比较患者的行为 (预约安排,消息传递,远程医疗).
- 检查了最初遵守Cures Act和删除自动通知后的行为变化.
主要成果:
- 在符合"治疗法"后,患者发起的预约安排和临床医生信息增加了4.5%.
- 在删除自动通知后,预约安排额外增加了2.1%.
- 在删除自动通知后,远程医疗遭遇减少了0.8%.
结论:
- 与检测结果访问相关的政策变化显著改变了患者的参与行为.
- 立即获取结果可以增加积极的健康管理行动.
- 通知政策的调整会影响患者与临床医生的交互方式和信息搜索.
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