TY - JOUR AU - Emani, Srinivas AU - Healey, Michael AU - Ting, David Y AU - Lipsitz, Stuart R AU - Ramelson, Harley AU - Suric, Vladimir AU - Bates, David W PY - 2016 DA - 2016/04/13 TI -通过患者门户了解和使用访后总结:JO - J Med Internet Res SP - e77 VL - 18 IS - 4kw -患者门户KW -访后总结(AVS) KW -有意义的使用KW -电子健康记录(EHRs) KW -信念AB -背景:患者门户被用于向患者提供办公室访问的临床总结或访后总结(AVS)。关于通过患者门户访问AVS的患者的特征以及他们对AVS的看法的研究相对较少。目的:目的是(1)评估了解并通过患者门户访问AVS的患者的特征;(2)应用计划行为理论(TPB)预测患者访问通过患者门户提供的AVS的行为意图。方法:我们开发了一项调查，捕获TPB的组成部分(信念、态度、感知规范和感知行为控制)。在6个月的时间里，使用我们组织的调度系统确定了拥有患者门户帐户并在前一周访问过办公室的患者。这些患者通过他们的门户账户收到了一封关于这项研究的电子邮件和一个调查链接。我们应用单变量统计分析(Pearson卡方和单因素方差分析)来评估各组之间的差异(知道/不知道AVS和访问/未访问AVS)。我们报告了描述信念力量的均值和标准差，并展示了信念和态度、感知规范和感知行为控制之间的相关性。我们使用层次回归分析来预测通过患者门户访问AVS的行为意图。 Results: Of the 23,336 patients who were sent the survey, 5370 responded for a response rate of 23.01%. Overall, 76.52% (4109/5370) were aware that the AVS was available through the patient portal and 54.71% of those (2248/4109) accessed the AVS within 5 days of the office visit. Patients who accessed the AVS had a greater number of sessions with the portal (mean 119, SD 221.5) than those who did not access the AVS (mean 79.1, SD 123.3, P<.001); the difference was not significant for awareness of the AVS. The strongest behavioral beliefs with accessing the AVS were being able to track visits and tests (mean 2.53, SD 1.00) followed by having medical information more readily accessible (mean 2.48, SD 1.07). In all, 56.7% of the variance in intention to access the AVS through the portal was accounted for by attitude, perceived norm, and perceived behavioral control. Conclusions: Most users of a patient portal were aware that the AVS was accessible through the portal. Patients had stronger beliefs about accessing the AVS with the goal of timely and efficient access of information than with engaging in their health care. Interventions to improve patient access of the AVS can focus on providers promoting patient beliefs about the value of the AVS for tracking tests and visits, and timely and efficient access of information. SN - 1438-8871 UR - //www.mybigtv.com/2016/4/e77/ UR - https://doi.org/10.2196/jmir.5207 UR - http://www.ncbi.nlm.nih.gov/pubmed/27076485 DO - 10.2196/jmir.5207 ID - info:doi/10.2196/jmir.5207 ER -