@Article{信息:doi 10.2196 / / jmir。5207，作者=“Emani, Srinivas和Healey, Michael和Ting, David Y和Lipsitz, Stuart R和Ramelson, Harley和Suric, Vladimir和Bates, David W”，标题=“通过患者门户的访后总结的意识和使用:患者特征的评估和计划行为理论的应用”，期刊=“J医学互联网研究”，年=“2016”，月=“Apr”，日=“13”，卷=“18”，数=“4”，页=“e77”，关键词=“患者门户;访后总结(AVS);有意义的使用;电子健康记录;背景:患者门户被用于向患者提供门诊就诊的临床总结或访后总结(AVS)。关于通过患者门户访问AVS的患者的特征以及他们对AVS的看法的研究相对较少。目的:目的是(1)评估了解并通过患者门户访问AVS的患者的特征;(2)应用计划行为理论(TPB)预测患者访问通过患者门户提供的AVS的行为意图。方法:我们开发了一项调查，捕获TPB的组成部分(信念、态度、感知规范和感知行为控制)。在6个月的时间里，使用我们组织的调度系统确定了拥有患者门户帐户并在前一周访问过办公室的患者。 These patients were sent an email about the study and a link to the survey via their portal account. We applied univariate statistical analysis (Pearson chi-square and 1-way ANOVA) to assess differences among groups (aware/unaware of AVS and accessed/did not access AVS). We reported means and standard deviations to depict belief strengths and presented correlations between beliefs and attitude, perceived norm, and perceived behavioral control. We used hierarchical regression analysis to predict behavioral intention toward accessing the AVS through the patient portal. Results: Of the 23,336 patients who were sent the survey, 5370 responded for a response rate of 23.01{\%}. Overall, 76.52{\%} (4109/5370) were aware that the AVS was available through the patient portal and 54.71{\%} of those (2248/4109) accessed the AVS within 5 days of the office visit. Patients who accessed the AVS had a greater number of sessions with the portal (mean 119, SD 221.5) than those who did not access the AVS (mean 79.1, SD 123.3, P<.001); the difference was not significant for awareness of the AVS. The strongest behavioral beliefs with accessing the AVS were being able to track visits and tests (mean 2.53, SD 1.00) followed by having medical information more readily accessible (mean 2.48, SD 1.07). In all, 56.7{\%} of the variance in intention to access the AVS through the portal was accounted for by attitude, perceived norm, and perceived behavioral control. Conclusions: Most users of a patient portal were aware that the AVS was accessible through the portal. Patients had stronger beliefs about accessing the AVS with the goal of timely and efficient access of information than with engaging in their health care. Interventions to improve patient access of the AVS can focus on providers promoting patient beliefs about the value of the AVS for tracking tests and visits, and timely and efficient access of information. ", issn="1438-8871", doi="10.2196/jmir.5207", url="//www.mybigtv.com/2016/4/e77/", url="https://doi.org/10.2196/jmir.5207", url="http://www.ncbi.nlm.nih.gov/pubmed/27076485" }