电子健康记录工作流程有助于父母患者门户访问语言偏好差异
Nymisha Chilukuri1, Erin Ballard2, Xuan Xu2
1Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, United States.
Applied clinical informatics
|January 22, 2026
概括
偏爱西班牙语的患者与英语使用者相比,对患者门户 (PP) 的访问率较低. 这凸显了电子健康记录 (EHR) 激活工作流程中的差异,以及需要改善公平获取的需求.
科学领域:
- 医疗信息学 医疗信息学
- 健康 公平 卫生 公平
- 健康差异 在健康上的差异
背景情况:
- 患者门户 (PP) 对于在电子健康记录 (EHR) 系统中获得医疗保健至关重要.
- 识别激活差异是确保公平医疗保健的关键.
- 语言偏好是PP参与的潜在障碍.
研究的目的:
- 调查家长/监护人喜欢的语言与患者门户 (PP) 提供,激活和使用之间的关联.
- 分析跨语言群体不同PP激活方法的有效性.
主要方法:
- 儿科患者 (<12岁) 的回顾性队列研究,有门诊访问.
- 根据父母/监护人的首选语言 (英语与西班牙语) 检查的PP提供,激活和使用率.
- 使用修改的多变量波桑回归来评估关联.
主要成果:
- 与那些更喜欢英语 (PEPL) 的患者相比,更喜欢西班牙语 (PSPL) 的患者被提供 (aRR:0.65),激活 (aRR:0.72) 和使用 (aRR:0.68) PP的概率明显较低.
- 激活成功因方法而异:PSPL通过即时代码或现有账户激活率较低,但通过信件或临床医生协助的激活率相似.
- 总的来说,PSPL在所有PP交互阶段都表现出减少的参与.
结论:
- 在PP提供,激活和使用方面存在显著的差异,这些差异基于儿科卫生系统中首选的语言.
- 当前的PP激活方法对所有语言群体都不同样有效,需要优化工作流.
- 需要有针对性的干预措施来改善公平的个人保险准入,并减少健康差异.
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