为充血性心力衰竭患者提供具有电子通信功能的基于web的在线医疗记录:随机试验%A Ross,Stephen E %A Moore,Laurie A %A Earnest,Mark A %A Wittevrongel,Loretta %A Lin，陈谭%+ AOP/内科，邮编F729，邮政信箱6510，美国Aurora CO 80010， +1 720 848 2341，Steve.Ross@uchsc.edu %K心力衰竭%K充血性%K患者参与%K患者主张%K患者依从性%K互联网%K随机对照试验%K电子通信%K电子健康记录%D 2004 %7 14.5.2004 %9原始论文%J J医学互联网决议%G英文%X背景:使用互联网为患者提供安全访问其医疗记录是可能的。这种途径可以帮助患者对心力衰竭等慢性疾病进行自我管理。目的:评估患者可访问的在线病历对患者护理和临床操作的影响。SPPARO(提供在线记录访问系统)软件由基于web的电子病历、教育指南和使患者和工作人员之间能够进行电子通信的消息系统组成。方法:在心脏衰竭患者的专业实践中进行随机对照试验。评估医患沟通、依从性和健康状况的调查分别在基线、6个月和1年进行。监测了系统的使用、信息量、临床服务的使用和死亡率。结果:纳入107例患者(干预组54例，对照组53例)。 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. %M 15249261 %R 10.2196/jmir.6.2.e12 %U //www.mybigtv.com/2004/2/e12/ %U https://doi.org/10.2196/jmir.6.2.e12 %U http://www.ncbi.nlm.nih.gov/pubmed/15249261

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