@文章{info:doi/ 10.296 /21623，作者="Laukka, Elina和Huhtakangas, Moona和Heponiemi, Tarja和Kujala, Sari和Kaihlanen, Anu-Marja和Gluschkoff, Kia和Kanste, Outi"，标题="医疗保健专业人员在患者门户上的医患沟通经验:定性研究的系统综述"，期刊="J Med Internet Res"，年="2020"，月="12"，日="8"，卷="22"，数="12"，页="e21623"，关键词="远程医疗;沟通;病人门户;护士;医生;系统的文献综述;背景:通过患者门户网站进行基于web的患者-专业交流的普及程度正在不断提高。良好的患者-专业沟通是高质量护理和以患者为中心的先决条件。了解医疗保健专业人员在基于web的患者-专业交流中的经验非常重要，因为他们在促使患者使用门户网站方面发挥着关键作用。需要更多的信息来说明医疗保健中的患者门户如何支持患者与专业人员的沟通。 Objective: This systematic review of qualitative studies aims to identify how health care professionals experience web-based patient-professional communication over the patient portals. Methods: Abstract and full-text reviews were conducted by 2 reviewers independently. A total of 4 databases were used for the study: CINAHL (EBSCO), ProQuest (ABI/INFORM), Scopus, and PubMed. The inclusion criteria for the reviewed studies were as follows: the examination of health care professionals' experiences, reciprocal communication between patients and health care professionals, peer-reviewed scientific articles, and studies published between 2010 and 2019. The Joanna Briggs Institute's quality assessment criteria were used in the review process. A total of 13 included studies were analyzed using a thematic synthesis, which was conducted by 3 reviewers. Results: A total of 6 analytical themes concerning health care professionals' experiences of web-based patient-professional communication were identified. The themes were related to health care professionals' work, change in communication over patient portals, patients' use of patient portals, the suitability of patient portals for communication, the convenience of patient portals for communication, and change in roles. Conclusions: Health care professionals' experiences contain both positive and negative insights into web-based patient-professional communication over patient portals. Most commonly, the positive experiences seem to be related to the patients and patient outcomes, such as having better patient engagement. Health care professionals also have negative experiences, for example, web-based patient-professional communication sometimes has deficiencies and has a negative impact on their workload. These negative experiences may be explained by the poor functionality of the patient portals and insufficient training and resources. To reduce health care professionals' negative experiences of web-based patient-professional communication, their experiences should be taken into account by policy makers, health care organizations, and information technology enterprises when developing patient portals. In addition, more training regarding web-based patient-professional communication and patient portals should be provided to health care professionals. ", issn="1438-8871", doi="10.2196/21623", url="//www.mybigtv.com/2020/12/e21623/", url="https://doi.org/10.2196/21623", url="http://www.ncbi.nlm.nih.gov/pubmed/33289674" }