@文章{info:doi/10.2196/31264，作者=“Baek, Juha和Simon-Friedt, Bridget和Lopez, Adriana和Kolman, Jacob M和Nicolas, Juan和Jones, Stephen L和Phillips, Robert A和Menser, Terri”，标题=“评估自然灾害期间的患者需求:飓风哈维期间发送的门户信息的混合方法分析”，期刊=“J Med Internet Res”，年=“2021”，月=“9”，日=“1”，卷=“23”，数=“9”，页=“e31264”，关键词=“飓风哈维;自然灾害;病人门户;电子信息;应急准备;背景:患者门户在连接患者与医疗护理团队方面发挥着重要作用，它提高了患者对治疗计划的参与度，减少了不必要的访问，并降低了成本。在自然灾害期间，患者的需求增加，而可用资源，特别是获得护理的机会则变得有限。目的:本研究旨在通过分析飓风哈维期间发送的电子信息来检查自然危机期间患者的健康需求，以指导未来的灾害规划工作。方法:我们研究了来自大休斯顿地区一个大型医疗保健系统的患者门户使用数据，这些数据主要集中在飓风哈维灾难发生的第一周，从2017年8月25日登陆到2017年8月31日。采用了混合方法的方法，以评估在获得常规和紧急医疗服务中断期间患者的直接健康需求和关切。 Quantitative analysis used logistic regression models to assess the predictive characteristics of patients using the portal during Hurricane Harvey. This study also included encounters by type (emergency, inpatient, observation, outpatient, and outpatient surgery) and time (before, during, and after Hurricane Harvey). For qualitative analysis, the content of these messages was examined using the constant comparative method to identify emerging themes found within the message texts. Results: Out of a total of 557,024 patients, 4079 (0.73{\%}) sent a message during Hurricane Harvey, whereas 31,737 (5.69{\%}) used the portal. Age, sex, race, and ethnicity were predictive factors for using the portal and sending a message during the natural disaster. We found that prior use of the patient portal increased the likelihood of portal use during Hurricane Harvey (odds ratio 13.688, 95{\%} CI 12.929-14.491) and of sending a portal message during the disaster (odds ratio 14.172, 95{\%} CI 11.879-16.907). Having an encounter 4 weeks before or after Hurricane Harvey was positively associated with increased use of the portal and sending a portal message. Patients with encounters during the main Hurricane Harvey week had a higher increased likelihood of portal use across all five encounter types. Qualitative themes included: access, prescription requests, medical advice (chronic conditions, acute care, urgent needs, and Hurricane Harvey--related injuries), mental health, technical difficulties, and provider constraints. Conclusions: The patient portal can be a useful tool for communication between patients and providers to address the urgent needs and concerns of patients as a natural disaster unfolds. This was the first known study to include encounter data to understand portal use compared with care provisioning. Prior use was predictive of both portal use and message sending during Hurricane Harvey. These findings could inform the types of demands that may arise in future disaster situations and can serve as the first step in intentionally optimizing patient portal usability for emergency health care management during natural disasters. ", issn="1438-8871", doi="10.2196/31264", url="//www.mybigtv.com/2021/9/e31264", url="https://doi.org/10.2196/31264", url="http://www.ncbi.nlm.nih.gov/pubmed/34468328" }