@Article{信息:doi 10.2196 / / jmir.8.4。e26，作者="Adler, Kenneth G"，标题="初级保健门户网站:患者在线服务的准备和支付意愿评估"，期刊="J医学互联网研究"，年="2006"，月=" 10月"，日="26"，卷="8"，数="4"，页数="e26"，关键词="互联网;沟通;初级保健;电子邮件;患者查阅记录;基于web的服务;背景:领先的初级保健组织已经提出了医生和患者之间的在线网络交流，作为加强医患沟通的一种方式，但缺乏对这项服务的付费已经成为实施的一个重大障碍。目的:本研究评估了在一个相当典型的城市家庭医疗实践中，当前患者对在线服务的准备程度和支付意愿。方法:在2006年春季一个月的时间里，对所有到作者那里就诊的患者进行了匿名调查，使用一页纸的调查工具，询问人口统计数据、为在线服务支付小额年费的意愿、他们愿意支付的最高费用以及他们最期望的服务。 Results: A total of 346 patients out of 2380 active patients in the study practice (14.5{\%}) were surveyed. The valid survey response rate was 95.1{\%} (329/346.) Three quarters, or 75.4{\%}, of patients had Internet access. The group with the highest access were 18- to 29-year-olds (97{\%}), and the group with the least access were those 70 years and up (56{\%}) (P < .001). Categorized by employment, students and employed patients had the best access at 92{\%} and 87{\%}, respectively, and retirees and disabled patients had the worst access at 66{\%} and 42{\%}, respectively (P < .001). Of all patients with Internet access, 74.6{\%} (n = 185) were willing to pay a small annual fee for one or more of the following online services: viewing of parts of their medical record, messaging with their physician, medication refills, appointment requests, and billing inquiries. Willingness to pay did not vary significantly by age (P = .06). Of all respondents, regardless of Internet access, 47.1{\%} (n = 155) were willing to pay US {\$}10 or more per year, with the median amount being US {\$}20. Of those with Internet access (n = 248), 60.1{\%} (n = 149) were willing to pay US {\$}10 or more per year, and 31{\%} were willing to pay US {\$}50 or more per year. The three most important services to patients with Internet access (n = 248), in order of importance, were emailing with their physician (34{\%}), Internet viewing of their medical record (22{\%}), and medication refills (11{\%}) (P < .001). Conclusions: This study suggests that patients of all ages are currently ready and willing to pay a small annual fee for online services with their primary care physician's office. If 47.1{\%} of a practice of 2500 patients each paid US {\$}10 per year for online services, the annual revenue generated would be US {\$}11775. Not only does this study support the economic feasibility of patient Web portals, but it suggests that online services could form a new line of revenue for primary care physicians. ", issn="1438-8871", doi="10.2196/jmir.8.4.e26", url="//www.mybigtv.com/2006/4/e26/", url="https://doi.org/10.2196/jmir.8.4.e26" }