%0期刊文章@ 1438- 8871% I Gunther Eysenbach %V 7% N 4% P 47% T基于互联网的患者-提供者通信系统:随机对照试验%A Lin,Chen-Tan %A Wittevrongel,Loretta %A Moore,Laurie %A Beaty,Brenda L %A Ross,Stephen E %+ UCDHSC普通内科分部，4200 E Ninth Avenue B180, Denver, CO 80262， +1 303 372 9084, CT.Lin@uchsc.edu %K门诊护理%K网络%K沟通%K患者满意度%K随机对照试验%D 2005 %7 5.8.2005 %9原始论文%J J Med Internet Res %G英文%X背景:基于互联网的患者交流互动网站(患者门户)可以改善患者与诊所和医生之间的交流。目的:本研究的目的是评估患者门户网站对患者访问其诊所和临床护理的满意度的影响。另一个目的是分析病人打到诊所的电子邮件信息和电话的内容和数量。方法:这是一项来自学术内科实践的606名患者的随机对照试验。干预“门户”组使用患者门户直接向他们的医生发送安全消息，并请求预约、处方补充和转诊。对照组接受常规治疗。在6个月的试用期结束时，我们评估了患者的满意度，并比较了电话和门户通信的内容。结果:门静脉组患者报告与诊所的沟通有所改善(门静脉:77/174[44%]“稍微好一点”或“好多了”;对照组:18/146 [12%]; χ2 = 38.8, df = 1, P < .001) and higher satisfaction with overall care (portal: 103/174 [59%] “very good” or “excellent;” control: 78/162 [48%]; χ2 = 4.1, df = 1, P = .04). Portal group patients also reported higher satisfaction with each of the portal’s services. Physicians received 1 portal message per day for every 250 portal patients. Total telephone call volume was not affected. Patients were more likely to send informational and psychosocial messages by portal than by phone. Of all surveyed patients, 162/341 (48%) were willing to pay for online correspondence with their physician. Of those willing to pay, the median amount cited was US $2 per message. Conclusions: Portal group patients demonstrated increased satisfaction with communication and overall care. Patients in the portal group particularly valued the portal’s convenience, reduced communication barriers, and direct physician responses. More online messages from patients contained informational and psychosocial content compared to telephone calls, which may enhance the patient-physician relationship. %M 16236699 %R 10.2196/jmir.7.4.e47 %U //www.mybigtv.com/2005/4/e47/ %U https://doi.org/10.2196/jmir.7.4.e47 %U http://www.ncbi.nlm.nih.gov/pubmed/16236699

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