杂志文章@ 2292- 9495% I JMIR出版物V 8% N 2卡塔尔世界杯8强波胆分析% P e25054% T教育漫画对加强患者-医生-电子健康记录的影响:前瞻性观察研究Alkureishi,Maria A Johnson,Tyrone %A Nichols,Jacqueline %A Dhodapkar,Meera %A Czerwiec,M K %A Wroblewski,Kristen %A Arora,Vineet M %A Lee,Wei Wei +美国伊利诺伊州芝加哥市，1773 834 8927，马里兰州大道5841号，MC 6082室C124，美国，1 773 834 8927，malkureishi@peds.bsd.uchicago.edu %K电子健康记录%K患者%K漫画%K教育%K参与%D 2021 %7 28.4.2021 %9原始论文%J JMIR Hum因素%G英文%X背景:电子健康记录(EHR)的使用可能阻碍或增强医患沟通。然而，很少有研究探讨使用教育漫画来改善患者-医生-电子病历的互动。目的:评价教育漫画对患者EHR自我倡导行为的影响，以促进患者在门诊就诊时对EHR的参与。方法:我们在芝加哥大学综合内科(GIM)和儿科初级保健(PPC)诊所的成年患者和儿科患者的父母中进行了一项前瞻性观察研究。我们开发了一份教育漫画，突出了EHR自我宣传行为，并在2017年5月至2018年5月期间，将其分发给在初级保健就诊期间签到的研究参与者。参与者在参观后立即完成了一项调查，其中包括一个关于他们是否有兴趣进行后续电话采访的问题。在那些表示感兴趣的人中，随机从成人和儿童父母组中各抽取50名参与者，在访问后8个月(范围3-12个月)进行随访电话采访。结果:总体而言，71.0%(115/162)的成年患者和71.6%(224/313)的儿科家长同意漫画鼓励参与电子病历。 African American and Hispanic participants were more likely to ask to see the screen and become involved in EHR use due to the comic (adult P=.01, P=.01; parent P=.02, P=.006, respectively). Lower educational attainment was associated with an increase in parents asking to see the screen and to be involved (ρ=−0.18, P=.003; ρ=−0.19, P<.001, respectively) and in adults calling for physician attention (ρ=−0.17, P=.04), which was confirmed in multivariate analyses. Female GIM patients were more likely than males to ask to be involved (median 4 vs 3, P=.003). During follow-up phone interviews, 90% (45/50) of adult patients and all pediatric parents (50/50) remembered the comic. Almost half of all participants (GIM 23/50, 46%; PPC 21/50, 42%) recalled at least one best-practice behavior. At subsequent visits, adult patients reported increases in asking to see the screen (median 3 vs 4, P=.006), and pediatric parents reported increases in asking to see the screen and calling for physician attention (median 3 vs 4, Ps<.001 for both). Pediatric parents also felt that the comic had encouraged them to speak up and get more involved with physician computer use since the index visit (median 4 vs 4, P=.02) and that it made them feel more empowered to get involved with computer use at future visits (median 3 vs 4, P<.001). Conclusions: Our study found that an educational comic may improve patient advocacy for enhanced patient-physician-EHR engagement, with higher impacts on African American and Hispanic patients and patients with low educational attainment. %M 33908891 %R 10.2196/25054 %U https://humanfactors.www.mybigtv.com/2021/2/e25054 %U https://doi.org/10.2196/25054 %U http://www.ncbi.nlm.nih.gov/pubmed/33908891