期刊文章%@ 1438-8871 %I JMIR出版物%V 22 %N卡塔尔世界杯8强波胆分析 8 %P在COVID-19大流行期间，在患者门户的用户中进行预先护理计划:回顾性观察研究%A Portz,Jennifer D %A Brungardt,Adreanne %A Shanbhag,Prajakta %A Staton,Elizabeth W %A Bose-Brill,Seuli %A Lin,Chen-Tan %A Kutner,Jean S %A Lum,Hillary D %+普通内科，科罗拉多大学医学院，12631东17大道，美国科罗拉多州，80045,1 303 724 4438，jennifer.portz@cuanschutz.edu %K预先护理计划%K电子健康记录%K大流行%K COVID-19 %K预先指示%K患者门户%K规划%K基于web的工具%K卫生系统%D 2020 %7 11.8.2020 %9原始论文%J J Med Internet Res %G英文%X背景:预先护理计划是根据患者的个人价值观讨论卫生保健治疗偏好的过程，它通常涉及预先指示的完成。在2020年的头几个月里，一种新型冠状病毒——严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)开始在美国科罗拉多州广泛传播，导致冠状病毒疾病(COVID-19)的广泛诊断、住院和死亡。在这种情况下，基于技术的非面对面方法通过患者门户进行提前护理规划的重要性有所增加。目的:本研究的目的是确定在COVID-19大流行之前和最初几个月通过基于卫生系统的患者电子门户使用基于web的提前护理规划工具的比率。方法:2017年，我们通过uchealhealth的电子健康记录(EHR)患者门户实现了基于web的工具，让患者了解提前护理计划，并完成电子签署的医疗持久委托书(MDPOA)，以合法指定医疗决策者。访问门户的患者可以完成并提交合法有效的MDPOA，这将成为其医疗记录的一部分。我们收集了COVID-19大流行早期(2019年12月29日至2020年5月30日)患者完成MDPOA的日期、使用提前护理计划信息、年龄、性别和地理位置的数据。结果:在包括科罗拉多州COVID-19大流行早期阶段在内的5个月期间，提前护理规划门户工具的月总使用量从1月的418名用户增加到4月的1037名用户，然后小幅下降到5月的815名用户。 The number of MDPOA forms submitted per week increased 2.4-fold after the stay-at-home order was issued in Colorado on March 26, 2020 (P<.001). The mean age of the advance care planning portal users was 47.7 years (SD 16.1), and 2206/3292 (67.0%) were female. Women were more likely than men to complete an MDPOA, particularly in younger age groups (P<.001). The primary use of the advance care planning portal tools was the completion of an MDPOA (3138/3292, 95.3%), compared to sending an electronic message (148/3292, 4.5%). Over 50% of patients who completed an MDPOA did not have a prior agent in the EHR. Conclusions: Use of a web-based patient portal to complete an MDPOA increased substantially during the first months of the COVID-19 pandemic in Colorado. There was an increase in advance care planning that corresponded with state government shelter-in-place orders as well as public health reports of increased numbers of COVID-19 cases and deaths. Patient portals are an important tool for providing advance care planning resources and documenting medical decision makers during the pandemic to ensure that medical treatment aligns with patient goals and values. %M 32716900 %R 10.2196/21385 %U //www.mybigtv.com/2020/8/e21385/ %U https://doi.org/10.2196/21385 %U http://www.ncbi.nlm.nih.gov/pubmed/32716900