%0期刊文章%@ 1438- 8871% I JMIR出版物%V 19卡塔尔世界杯8强波胆分析% N 7% P e237% T患者对阅读就诊记录的重视:患者对其健康信息体验的定性调查Gerard,Macda %A Fossa,Alan %A Folcarelli,Patricia H %A Walker,Jan %A Bell，西格尔K +贝斯以色列女执事医疗中心，330 Brookline Ave, CO 1309，马萨诸塞州波士顿，02215，美国，1 7818012355，gerard.macda@gmail.com %K患者参与%K质量改善%K电子健康记录%K患者门户%D 2017 %7 14.07.2017 %9原始论文%J J医学互联网Res %G英文%X背景:患者越来越多地要求获得他们的健康数据。然而，很少有人知道是什么促使患者使用电子健康记录(EHR)。此外，缺乏以质量为中心的机制，让患者对他们的记录进行评论。目的:我们的目的是了解更多关于患者阅读和提供访问记录反馈的经验。方法:我们开发了一个与OpenNotes相关的患者反馈工具，作为专注于患者参与的试点质量改进计划的一部分。在2014年8月至2015年8月期间与2个试点项目的初级保健团队成员预约的患者有资格参与。我们询问患者他们喜欢阅读笔记和使用反馈工具的哪些方面，并分析了试验期间提交的所有患者报告。两名研究人员对定性反应进行编码(κ=.74)。 Results: Patients and care partners submitted 260 reports. Among these, 98.5% (256/260) of reports indicated that the reporting tool was valuable, and 68.8% (179/260) highlighted what patients liked about reading notes and the OpenNotes patient reporting tool process. We identified 4 themes describing what patients value about note content: confirm and remember next steps, quicker access and results, positive emotions, and sharing information with care partners; and 4 themes about both patients’ use of notes and the feedback tool: accuracy and correcting mistakes, partnership and engagement, bidirectional communication and enhanced education, and importance of feedback. Conclusions: Patients and care partners who read notes and submitted feedback reported greater engagement and the desire to help clinicians improve note accuracy. Aspects of what patients like about using both notes as well as a feedback tool highlight personal, relational, and safety benefits. Future efforts to engage patients through the EHR may be guided by what patients value, offering opportunities to strengthen care partnerships between patients and clinicians. %M 28710055 %R 10.2196/jmir.7212 %U //www.mybigtv.com/2017/7/e237/ %U https://doi.org/10.2196/jmir.7212 %U http://www.ncbi.nlm.nih.gov/pubmed/28710055