TY - JOUR AU - Adler, Kenneth G PY - 2006 DA - 2006/10/26 TI -初级保健门户网站:评估患者准备和在线服务付费意愿JO - J医学互联网Res SP - e26 VL - 8 IS - 4kw -互联网KW -通信KW -初级卫生保健KW -电子邮件KW -患者访问记录KW -基于Web的服务KW -支付方案AB -背景:主要的初级保健组织已经提出了医生和病人之间的在线Web交流，作为一种加强医生和病人交流的方式，但缺乏这种服务的付费成为实施的一个重要障碍。目的:本研究评估在一个相当典型的城市家庭医疗实践中，当前患者为在线服务付费的意愿和意愿。方法:在2006年春一个月的时间里，对所有到作者那里就诊的患者进行匿名调查，使用一页调查工具，询问人口统计数据、支付小额在线服务年费的意愿、他们愿意支付的最大费用以及他们最希望获得的服务。结果:在2380例活跃患者(14.5%)中，共有346例患者被调查。有效问卷回复率为95.1%(329/346)。四分之三(75.4%)的患者可以上网。可接触性最高的是18- 29岁的人(97%)，而可接触性最低的是70岁及以上的人(56%)(P < .001)。按就业情况分类，学生和就业患者的就医机会最好，分别为92%和87%，退休人员和残疾患者的就医机会最差，分别为66%和42% (P < .001)。在所有接入互联网的患者中，74.6% (n = 185)愿意为以下一项或多项在线服务支付少量年费:查看其医疗记录的部分内容、与医生发送消息、重新配药、预约请求和账单查询。 Willingness to pay did not vary significantly by age (P = .06). Of all respondents, regardless of Internet access, 47.1% (n = 155) were willing to pay US $10 or more per year, with the median amount being US $20. Of those with Internet access (n = 248), 60.1% (n = 149) were willing to pay US $10 or more per year, and 31% were willing to pay US $50 or more per year. The three most important services to patients with Internet access (n = 248), in order of importance, were emailing with their physician (34%), Internet viewing of their medical record (22%), and medication refills (11%) (P < .001). Conclusions: This study suggests that patients of all ages are currently ready and willing to pay a small annual fee for online services with their primary care physician’s office. If 47.1% of a practice of 2500 patients each paid US $10 per year for online services, the annual revenue generated would be US $11775. Not only does this study support the economic feasibility of patient Web portals, but it suggests that online services could form a new line of revenue for primary care physicians. SN - 1438-8871 UR - //www.mybigtv.com/2006/4/e26/ UR - https://doi.org/10.2196/jmir.8.4.e26 DO - 10.2196/jmir.8.4.e26 ID - info:doi/10.2196/jmir.8.4.e26 ER -