%0期刊文章%@ 2292-9495 %I JMIR出版物%V 8% 卡塔尔世界杯8强波胆分析N 3% P e28501 %T研究互联网用户如何信任和访问电子健康记录患者门户:调查研究%A Yin,Rong %A Law,Katherine %A Neyens,David %+克莱姆森大学工业工程系，100 Freeman Hall，克莱姆森，SC，美国，1 8646564719,dneyens@clemson.edu %K互联网%K消费者健康信息%K患者门户%K参与式医疗%K电子健康记录%K logistic模型%K调查%K问卷%D 2021 %7 21.9.2021 %9原始论文%J JMIR Hum Factors %G英文%X背景:电子健康记录(EHR)患者门户旨在为患者提供医疗健康记录。使用电子病历门户网站有望促进积极的健康结果，并促进患者与提供者的沟通。目的:我们的目的是研究门户用户如何报告使用他们的门户网站，以及与从互联网获得健康信息相关的因素。我们还研究了所需的门户功能、影响用户对门户信任的因素以及使用门户的障碍。方法:使用Amazon Mechanical Turk进行基于互联网的调查研究。所有的参与者都是使用患者门户的美国成年人。调查的问题包括参与者如何使用他们的门户网站，什么因素成为使用门户网站的障碍，以及他们如何使用和信任多少其他基于网络的健康信息来源及其门户网站。采用逻辑回归模型分析了影响参与者对门户网站信任的因素。 Additionally, the desired features and design characteristics were identified to support the design of future portals. Results: A total of 394 participants completed the survey. Most of the participants were less than 35 years old (212/394, 53.8%), with 36.3% (143/394) aged between 35 and 55 years, and 9.9% (39/394) aged above 55 years. Women accounted for 48.5% (191/394) of the survey participants. More than 78% (307/394) of the participants reported using portals at least monthly. The most common portal features used were viewing lab results, making appointments, and paying bills. Participants reported some barriers to portal use including data security and limited access to the internet. The results of a logistic regression model used to predict the trust in their portals suggest that those comfortable using their portals (odds ratio [OR] 7.97, 95% CI 1.11-57.32) thought that their portals were easy to use (OR 7.4, 95% CI 1.12-48.84), and frequent internet users (OR 43.72, 95% CI 1.83-1046.43) were more likely to trust their portals. Participants reporting that the portals were important in managing their health (OR 28.13, 95% CI 5.31-148.85) and that their portals were a valuable part of their health care (OR 6.75, 95% CI 1.51-30.11) were also more likely to trust their portals. Conclusions: There are several factors that impact the trust of EHR patient portal users in their portals. Designing easily usable portals and considering these factors may be the most effective approach to improving trust in patient portals. The desired features and usability of portals are critical factors that contribute to users’ trust in EHR portals. %M 34546182 %R 10.2196/28501 %U https://humanfactors.www.mybigtv.com/2021/3/e28501 %U https://doi.org/10.2196/28501 %U http://www.ncbi.nlm.nih.gov/pubmed/34546182