在信息封锁后规则时代,入院患者门户访问
Joséphine A Cool1, Cancan Zhang1, Julius Yang1
1Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Journal of hospital medicine
|June 6, 2025
概括
住院患者使用患者门户很少,在访问方面存在显著差异. 老年人,黑人,男性,非英语语言和医疗补助患者不太可能使用他们的电子病历 (EMR) 门户.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康 公平
- 患者参与 患者参与
背景情况:
- "21世纪治疗法"要求患者及时访问电子病历 (EMR).
- 在住院成年人中,关于患者门户使用的研究有限.
- 了解门户的使用对于公平的信息获取至关重要.
研究的目的:
- 检查现有患者门户账户的住院成年人的特征.
- 确定影响住院期间患者门户访问的人口因素.
主要方法:
- 在伯特以色列迪康尼斯医疗中心 (BIDMC) 进行单中心,横截面的观察性研究.
- 分析了2021年4月至2023年3月的成人住院病例.
- 主要结局:有活跃EMR门户账户的患者比例 (PatientSite).
主要成果:
- 在43588名患者中,有31.0%的患者有一个活跃的PatientSite帐户,54.0%的患者在住院期间访问了该帐户.
- 老年人,黑人,男性,非英语,医疗补助和州外患者不太可能拥有活跃的门户账户.
- 观察到门户登录和访问临床医生笔记的差异,尽管小于帐户访问差异.
结论:
- 在住院患者中,患者门户的利用率较低.
- 基于种族/种族,性别,年龄和保险状况的门户访问存在重大差异.
- 解决这些差异对于公平的EMR接入至关重要.
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