TY -的盟Hoogenbosch Bas AU - Postma,珀斯AU - de Man-van Ginkel,詹妮克M盟——Tiemessen妮可AU - van Delden, Johannes JM AU - van Os-Medendorp Harmieke PY - 2018 DA - 2018/09/17 TI -使用和病人的用户门户:横断面研究乔- J地中海互联网Res SP - e262六世- 20 - 9千瓦-病人门户KW -电子健康素养KW -统一的技术接受和使用AB -理论背景:患者门户允许患者访问他们的医疗信息和工具，以便与医疗保健提供者进行通信。研究表明，患者门户网站有可能对健康结果和卫生保健效率产生积极影响。因此，卫生保健组织必须确定使用或不使用患者门户的患者，并探讨这两种情况下的原因。技术接受与使用统一理论(UTAUT)是一种常用的解释信息技术使用的理论。它由以下结构组成:绩效期望、努力期望、社会影响、便利条件和使用行为意图。目的:本研究旨在探讨患者使用门静脉的情况以及使用或不使用门静脉患者的特点。UTAUT的主要结构，以及人口统计学、疾病和护理相关特征，已被测量以探索门户使用的预测因素。方法:在荷兰一所大学医院的成人病人门诊部进行横断面研究。以下结果包括:自我报告的门户使用情况、用户特征(如人口统计数据、疾病和护理相关数据)、电子健康素养(修改评分)以及UTAUT构造的评分。 Descriptive analyses and univariate and multivariate logistic regression were also conducted. Results: In the analysis, 439 adult patients were included. Furthermore, 32.1% (141/439) identified as being a user of the patient portal; 31.2% (137/439) indicated as nonusers, but being aware of the existence of the portal; and 36.6% (161/439) as being nonusers not aware of the existence of the portal. In the entire study population, the factors of being chronically ill (odds ratio, OR 1.62, 95% CI 1.04-2.52) and eHealth literacy (modified score; OR 1.12, 95% CI 1.07-1.18) best predicted portal use. In users and nonusers who were aware of the portal, UTAUT constructs were added to the multivariate logistic regression, with chronically ill and modified eHealth literacy sum score. Effort expectancy (OR 13.02, 95% CI 5.68-29.87) and performance expectancy (OR 2.84, 95% CI 1.65-4.90) are shown to significantly influence portal use in this group. Conclusions: Approximately one-third of the patients of a university hospital self-reported using the patient portal; most expressed satisfaction. At first sight, being chronically ill and higher scores on the modified eHealth literacy scale explained portal use. Adding UTAUT constructs to the model revealed that effort expectancy (ease of use and knowledge and skills related to portal use) and performance expectancy (perceived usefulness) influenced portal use. Interventions to improve awareness of the portal and eHealth literacy skills of patients and further integration of the patient portal in usual face-to-face care are needed to increase use and potential subsequent patient benefits. SN - 1438-8871 UR - //www.mybigtv.com/2018/9/e262/ UR - https://doi.org/10.2196/jmir.9418 UR - http://www.ncbi.nlm.nih.gov/pubmed/30224334 DO - 10.2196/jmir.9418 ID - info:doi/10.2196/jmir.9418 ER -