TY - JOUR AU - Stewart, Maureen T AU - Hogan, Timothy P AU - Nicklas, Jeff AU - Robinson, Stephanie A AU - Purington, Carolyn M AU - Miller, Christopher J AU - Vimalananda, Varsha G AU - Connolly, Samantha L AU - Wolfe, Hill L AU - Nazi, Kim M AU - Netherton, Dane AU - Shimada, Stephanie L PY - 2020 DA - 20/7/17 TI -慢性疾病患者入口的承诺:定性研究确定患者参与途径JO - J医学互联网Res SP - e17744 VL - 22 IS - 7kw -患者参与KW -患者门户KW -慢性疾病KW -糖尿病KW -安全消息KW -退伍军人AB -背景:患者在管理他们的健康中起着关键作用，特别是在慢性疾病如糖尿病的情况下。电子患者门户已被确定为提高患者参与度的潜在手段;也就是说，病人参与他们的护理。然而，人们对门户网站可能帮助患者参与护理的途径知之甚少。目的:我们的目的是了解电子患者门户如何促进糖尿病患者的参与。方法:这项定性研究采用半结构化电话采访40名糖尿病患者，这些患者至少自2011年以来一直患有糖尿病，并且在18个月内通过门户网站至少使用了4次安全消息。访谈被记录、转录、编码和分析，主要使用归纳方法来确定糖尿病患者如何使用在线健康门户网站来支持糖尿病自我管理。结果:总体而言，使用门户网站的患者报告了他们对医疗保健的参与感。我们确定了门户促进患者参与和一些挑战的四种途径。 The portal provides a platform that patients use to (1) better understand their health by asking questions about new symptoms, notes, or labs, (2) prepare for medical appointments by reviewing labs and notes, (3) coordinate care between VA (Veterans Affairs) and non-VA health care teams, and (4) reach out to providers to request help between visits. Several patients reported that the portal helped improve the patient-provider relationship; however, aspects of the portal design may hinder engagement for others. Patients reported challenges with both secure messaging and access to medical records that had negative impacts on their engagement. Benefits for patient engagement were described by many types of portal users with varying degrees of diabetes control. Conclusions: Patient portals support engagement by facilitating patient access to their health information and by facilitating patient-provider communication. Portals can help a wide range of users engage with their care. SN - 1438-8871 UR - //www.mybigtv.com/2020/7/e17744 UR - https://doi.org/10.2196/17744 UR - http://www.ncbi.nlm.nih.gov/pubmed/32706679 DO - 10.2196/17744 ID - info:doi/10.2196/17744 ER -