%0期刊文章%@ 1438-8871 %I JMIR出版物%V 20%卡塔尔世界杯8强波胆分析 N 9% P e262% T患者门户的使用和用户:横向研究%A Hoogenbosch,Bas %A Postma,Jeroen %A de Man-van Ginkel,Janneke M %A Tiemessen,Nicole AM %A van Delden,Johannes JM %A van Os-Medendorp, harmiieke +乌得勒支大学医学中心皮肤和过敏原科，海德堡兰100，乌得勒支，3584CX，荷兰，31 611619212，h.vanosmedendorp@umcutrecht.nl %K患者门户网站%K电子健康素养%K接受和使用技术统一理论%D 2018 %7 2018年9月17日%9原始论文%J J医学Internet Res %G英文%X背景:患者门户网站为患者提供访问其医疗信息和与医疗保健提供者沟通的工具。研究表明，患者门户网站有可能对健康结果和卫生保健效率产生积极影响。因此，卫生保健组织必须确定使用或不使用患者门户的患者，并探讨这两种情况下的原因。技术接受与使用统一理论(UTAUT)是一种常用的解释信息技术使用的理论。它由以下结构组成:绩效期望、努力期望、社会影响、便利条件和使用行为意图。目的:本研究旨在探讨患者使用门静脉的情况以及使用或不使用门静脉患者的特点。UTAUT的主要结构，以及人口统计学、疾病和护理相关特征，已被测量以探索门户使用的预测因素。方法:在荷兰一所大学医院的成人病人门诊部进行横断面研究。 Following outcomes were included: self-reported portal use, characteristics of users such as demographics, disease- and care-related data, eHealth literacy (modified score), and scores of UTAUT constructs. Descriptive analyses and univariate and multivariate logistic regression were also conducted. Results: In the analysis, 439 adult patients were included. Furthermore, 32.1% (141/439) identified as being a user of the patient portal; 31.2% (137/439) indicated as nonusers, but being aware of the existence of the portal; and 36.6% (161/439) as being nonusers not aware of the existence of the portal. In the entire study population, the factors of being chronically ill (odds ratio, OR 1.62, 95% CI 1.04-2.52) and eHealth literacy (modified score; OR 1.12, 95% CI 1.07-1.18) best predicted portal use. In users and nonusers who were aware of the portal, UTAUT constructs were added to the multivariate logistic regression, with chronically ill and modified eHealth literacy sum score. Effort expectancy (OR 13.02, 95% CI 5.68-29.87) and performance expectancy (OR 2.84, 95% CI 1.65-4.90) are shown to significantly influence portal use in this group. Conclusions: Approximately one-third of the patients of a university hospital self-reported using the patient portal; most expressed satisfaction. At first sight, being chronically ill and higher scores on the modified eHealth literacy scale explained portal use. Adding UTAUT constructs to the model revealed that effort expectancy (ease of use and knowledge and skills related to portal use) and performance expectancy (perceived usefulness) influenced portal use. Interventions to improve awareness of the portal and eHealth literacy skills of patients and further integration of the patient portal in usual face-to-face care are needed to increase use and potential subsequent patient benefits. %M 30224334 %R 10.2196/jmir.9418 %U //www.mybigtv.com/2018/9/e262/ %U https://doi.org/10.2196/jmir.9418 %U http://www.ncbi.nlm.nih.gov/pubmed/30224334