对患者门户参与的洞察力利用观察电子健康数据
Mohamed M Ali1,2, Scott Lunos3, Zachary Henderson2
1Department of Learning, Informatics, Management, and Ethics, Karolinska Institute, Stockholm, Sweden.
The American journal of managed care
|January 27, 2026
概括
患有慢性疾病的老年人中的患者门户参与显示了差异. 需要有针对性的策略来改善所有患者群体的采用和持续使用.
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
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患者门户越来越多地被整合到医疗保健提供中.
- 了解参与模式对于优化数字健康工具至关重要.
- 数字健康工具使用的差异可能会加剧现有的健康不平等.
研究的目的:
- 分析患有慢性疾病的50岁及以上成年人患者门户参与度.
- 为了确定与门户激活和使用的变化相关的患者特征.
- 为改善公平的患者门户网站采用的战略提供信息.
主要方法:
- 来自M Health Fairview系统的电子健康记录数据的回顾性分析.
- 包括50岁以上至少有一种慢性疾病的患者.
- 根据人口统计和临床因素对门户激活和使用的分层分层,采用描述性分析,相关性和回归.
主要成果:
- 61%的人激活了54%的人使用了患者门户;根据年龄,种族,语言,教育和特定的慢性疾病观察到的显著差异.
- 在老年人 (65岁以上),黑人患者,非英语使用者和受教育程度较低的人群中,参与度较低.
- 糖尿病,瘤和高血压等疾病与更高的参与度相关,而心力衰竭和COPD的参与度较低.
结论:
- 在患有慢性疾病的老年人中,患者门户参与度存在显著差异.
- 患者的特征是门户采用和持续使用的关键决定因素.
- 有针对性的干预措施对于在不同患者群体中提高患者门户的利用率至关重要.
更多相关视频
相关概念视频
Data Collection by Observations
14.8K
Data collection refers to a systematic way of obtaining, observing, measuring, and analyzing accurate information. Observational studies are one of the most widely used methods of data collection. It involves collecting data by observing the behavior and physical characteristics of a sample without making any modifications to the sample.
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
14.8K
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
Hepatic Portal System
5.8K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
5.8K
Naturalistic Observations
17.1K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
17.1K
Electron Affinity
43.3K
The electron affinity (EA) is the energy change for adding an electron to a gaseous atom to form an anion (negative ion).
43.3K
Electron Carriers
91.7K
Electron carriers can be thought of as electron shuttles. These compounds can easily accept electrons (i.e., be reduced) or lose them (i.e., be oxidized). They play an essential role in energy production because cellular respiration is contingent on the flow of electrons.
Over the many stages of cellular respiration, glucose breaks down into carbon dioxide and water. Electron carriers pick up electrons lost by glucose in these reactions, temporarily storing and releasing them into the electron...
Over the many stages of cellular respiration, glucose breaks down into carbon dioxide and water. Electron carriers pick up electrons lost by glucose in these reactions, temporarily storing and releasing them into the electron...
91.7K


