TY -非盟的基平萨拉非盟-斯塔基,媚兰我非盟-埃尔南德斯,亚历山德拉AU - Nguyen Tan盟——Riahi Sanaz PY - 2016 DA - 2016/11/16 TI -一个基于web的病人精神卫生保健的门户:福利评价乔- J地中海互联网Res SP - e294六世- 18 - 11千瓦效率,组织KW -电子健康记录KW -心理健康KW -精神障碍KW -病人激活AB -背景:精神疾病的治疗已经从单纯注重症状的治疗转向注重个人康复。激活患者是恢复过程的重要组成部分。患者门户网站已经显示出在初级和急性护理环境中增加激活的希望，但对三级精神卫生保健的好处仍然未知。目的:为正在接受严重或持续性精神疾病治疗的患者进行基于web的门户网站的效益评估，以检查对(1)患者激活，(2)恢复，(3)生产力和(4)管理效率的影响。方法:为三级精神卫生保健机构的所有注册住院和门诊患者提供了注册和使用患者门户的机会。选择使用门户的用户和不使用门户的用户分别被指定为“用户”和“非用户”。所有患者均接受常规治疗。用户可以通过web访问查看部分电子医疗记录，查看即将进行的预约，并与他们的医疗保健提供者交流。用户可以参加由业务协调人员或同行支持专家领导的门户培训或支持会议。 A subset of patients who created and utilized their portal account completed 2 Web-based surveys at baseline (just after enrollment; n=91) and at follow-up (6 and 10 months; n=65). The total score of the Mental Health Recovery Measure (MHRM) was a proxy for patient activation and the individual domains measured recovery. The System and Use Survey Tool (SUS) examined the use of functions and general feedback about the portal. Organizational efficiencies were evaluated by examining the odds of portal users and nonusers missing appointments (productivity) or requesting information from health information management (administrative efficiencies) in the year before (2014) and the year after (2015) portal implementation. Results: A total of 461 patients (44.0% male, n=203) registered for the portal, which was used 4761 times over the 1-year follow-up period. The majority of uses (95.34%, 4539/4761) were for e-views. The overall MHRM score increased from 70.4 (SD 23.6) at baseline to 81.7 (SD 25.1) at combined follow-up (P=.01). Of the 8 recovery domains, 7 were increased at follow-up (all P<.05). The odds of a portal user attending an appointment were 67% (CI 56%-79%) greater than that of nonusers over the follow-up period. Compared with 2014, over 2015 there was an 86% and 57% decrease in requests for information in users and nonusers, respectively. The SUS revealed that users felt an increased sense of autonomy and found the portal to be user-friendly, helpful, and efficient but felt that more information should be accessible. Conclusions: The benefits evaluation suggested that access to personal health records via patient portals may improve patient activation, recovery scores, and organizational efficiencies in a tertiary level mental health care facility. SN - 1438-8871 UR - //www.mybigtv.com/2016/11/e294/ UR - https://doi.org/10.2196/jmir.6483 UR - http://www.ncbi.nlm.nih.gov/pubmed/27852556 DO - 10.2196/jmir.6483 ID - info:doi/10.2196/jmir.6483 ER -