Impact of Patient Use of an Online Patient Portal on Diabetes Outcomes
Impact of Patient Use of an Online Patient Portal on Diabetes Outcomes
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DOI：
10.1016/j.jcjd.2013.10.005
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发表时间：
2014-02-01
影响因子：
2.5
通讯作者：
Elliott, Tom
中科院分区：
文献类型：
--
作者：
Lau, Marco;Campbell, Harlan;Elliott, Tom
目的：为了评估患者使用在线患者门户网站对糖尿病outcomes.Methods的影响：纳入的患者是2008年4月至2012年10月期间新转诊至温哥华三级护理糖尿病专家的糖尿病患者。每位患者都接受了糖尿病专家的评估，接受了初步的糖尿病教育，并在必要时被转介接受进一步的教育和自我管理培训。所有在登记时提供电子邮件地址的患者都被邀请开设在线患者门户账户。该门户网站提供了糖尿病教育材料、个人实验室值和一个允许与糖尿病专家和工作人员交流的消息系统。将登录1次或多次的患者定义为门户网站用户（n = 50）;从未登录门户网站的患者定义为非用户（n = 107）。在2个时间点测量A1 C：基线（即初始、诊所内访视）和末次随访（初始访视后不少于6个月且不超过2年的访视）。由于用户身份是自我选择的，因此使用倾向评分匹配来根据可用的基线协变量创建可比较的用户/非用户组。
Objective: To assess the effect of patient use of an online patient portal on diabetes outcomes.Methods: Patients included were those with diabetes who were newly referred to a Vancouver-based tertiary care diabetologist between April 2008 and October 2012. Each patient was assessed by the diabetologist, received initial diabetes education and was referred, as necessary, for further education and self-management training. All patients who provided an e-mail address at registration were invited to open an online patient portal account. The portal provided access to diabetes education material, personal laboratory values and a messaging system allowing communication with the diabetologist and staff. Patients who logged in 1 or more times were defined as portal users (n = 50); patients who never logged in to the portal were defined as non-users (n = 107). A1C was measured at 2 time points: at baseline (i.e. initial, in-clinic visit) and at last follow up (visit no less than 6 months and no more than 2 years after the initial visit). Because usership is self-selected, propensity score matching was used to create comparable user/non-user groups based on available baseline covariates.Results: Compared to non-users, a higher proportion of users achieved A1C