@Article{信息:doi 10.2196 / / jmir.6.2。e12，作者=“Ross, Stephen E and Moore, Laurie A and Earnest, Mark A and Wittevrongel, Loretta and Lin, Chen-Tan”，标题=“为充血性心力衰竭患者提供具有电子通信功能的基于web的在线病历:随机试验”，期刊=“J Med Internet Res”，年=“2004”，月=“5”，日=“14”，卷=“6”，数=“2”，页数=“e12”，关键词=“心力衰竭;充血性;病人参与;病人宣传;病人的依从性;互联网;随机对照试验;电子通信;背景:利用因特网为病人提供安全的医疗记录访问是可能的。 Such access may assist patients in the self-management of chronic diseases such as heart failure. Objective: To assess how a patient-accessible online medical record affects patient care and clinic operations. The SPPARO (System Providing Access to Records Online) software consisted of a web-based electronic medical record, an educational guide, and a messaging system enabling electronic communication between the patient and staff. Methods: A randomized controlled trial was conducted in a specialty practice for patients with heart failure. Surveys assessing doctor-patient communication, adherence, and health status were conducted at baseline, 6 months, and 1 year. Use of the system, message volume, utilization of clinical services, and mortality were monitored. Results: One hundred and seven patients were enrolled (54 intervention and 53 controls). At 12 months, the intervention group was not found to be superior in self-efficacy (KCCQ self-efficacy score 91 vs. 85, p=0.08), but was superior in general adherence (MOS compliance score 85 vs. 78, p=0.01). A trend was observed for better satisfaction with doctor-patient communication. The intervention group had more emergency department visits (20 vs. 8, p=0.03), but these visits were not temporally related to use of the online medical record. There were no adverse effects from use of the system. Conclusions: Providing patients with congestive heart failure access to an online medical record was feasible and improved adherence. An effect on health status could not be demonstrated in this pilot study. ", issn="1438-8871", doi="10.2196/jmir.6.2.e12", url="//www.mybigtv.com/2004/2/e12/", url="https://doi.org/10.2196/jmir.6.2.e12", url="http://www.ncbi.nlm.nih.gov/pubmed/15249261" }