TY - JOUR AU - Ross, Stephen E AU - Moore, Laurie A AU - Earnest, Mark A AU - Wittevrongel, Loretta AU - Lin, Chen-Tan PY - 2004 DA - 2004/5/14 TI -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JO - J医疗互联网Res SP - e12 VL - 6 IS - 2kw -心力衰竭KW -充血性KW -患者参与KW -患者主张KW -患者依从性KW -互联网KW -随机对照试验KW -电子通信KW -电子健康记录AB -背景:有可能为患者提供安全访问他们的医疗记录使用互联网。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)。12个月时，干预组在自我效能方面不占优势(KCCQ自我效能得分91比85,p=0.08)，但在总体依从性方面占优势(MOS依从性得分85比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. SN - 1438-8871 UR - //www.mybigtv.com/2004/2/e12/ UR - https://doi.org/10.2196/jmir.6.2.e12 UR - http://www.ncbi.nlm.nih.gov/pubmed/15249261 DO - 10.2196/jmir.6.2.e12 ID - info:doi/10.2196/jmir.6.2.e12 ER -