患者门户访问和错过的医疗预约:一个案例对照研究
Shira Goldstein1, Kaylee Buuck2, Hannah Thompson2
1Department of Family and Community Medicine, UTHealth McGovern Medical School, Houston, TX, USA.
Journal of patient experience
|January 22, 2026
概括
患者门户访问显著减少了错过的初级保健预约. 像患者门户网站这样的数字工具可以提高患者的访问遵守率,并降低医疗保健成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 主要护理医学 医疗保健
背景情况:
- 错过的初级保健预约 (没有出现) 会对及时获得护理产生负面影响,并增加医疗保健费用.
- "21世纪治疗法"促进了患者门户的扩展,可能会改变患者和医疗服务提供者的互动.
- 数字工具越来越多地被整合到医疗保健提供中.
研究的目的:
- 调查患者门户访问与初级保健中错过预约之间的关联.
- 在学术家庭医学环境中识别与不出现相关的因素.
主要方法:
- 在2023年4月至5月使用电子病历进行了一项病例控制研究.
- 病例是18岁以上的患者,他们错过了预约;每个病例中随机选择了两个对照组 (护理患者).
- 后勤回归分析了患者门户访问和未出现之间的联系,并对共变量进行调整.
主要成果:
- 错过预约的患者不太可能进入患者门户 (OR:0.43;95%CI:0.30-0.59).
- 非西班牙裔黑人,西班牙裔患者和那些有公共或没有保险的人中,没有出现的情况更为常见.
- 高血压和骨关节炎与较少的没有出现有关.
结论:
- 患者门户访问与错过初级保健预约的可能性降低有关.
- 数字参与工具可以提高对预定访问的坚持.
- 促进患者门户网站使用的干预措施可以减轻不出现率.
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