Empowering Patients during Hospitalization: Perspectives on Inpatient Portal Use
Empowering Patients during Hospitalization: Perspectives on Inpatient Portal Use
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DOI：
10.1055/s-0039-1677722
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发表时间：
2019-01-01
影响因子：
2.9
通讯作者：
Sieck, Cynthia J.
中科院分区：
文献类型：
--
作者：
McAlearney, Ann Scheck;Fareed, Naleef;Sieck, Cynthia J.
背景患者已经表现出渴望使用门户网站来访问他们的健康信息并与护理提供者联系。虽然门诊门户网站已被广泛研究，有一个公认的需要研究，检查住院portals.Objective我们进行了这项研究，以提高我们的理解的门户网站的作用，在住院病人的护理。我们的研究集中在一个大样本的一般成人住院人口，并从患者和护理团队成员的角度住院portal use.Methods我们采访了患者（n = 120）谁使用住院门户在住院期间在15天或6个月后出院，了解他们的门户网站的使用。我们还采访了护理团队成员（n = 331）4周，6个月，12个月后，住院门户网站的实施，收集有关他们正在进行的观点对患者的使用portal.Results的患者和护理团队成员的观点一般收敛于他们的意见，住院门户网站。三项功能--（1）订餐、（2）查找健康信息和（3）查看护理团队--是最常用的;安全消息传递功能不太常用，并且对护理团队成员来说有些担忧。住院病人门户网站受益于四个主要方面：（1）促进独立，（2）减少焦虑，（3）知情的家庭，（4）增加empowerment.Conclusion住院病人门户网站被认为是一种工具，可以提高以病人为中心的护理交付。除了通过增加患者的控制感来增强患者的能力外，住院门户网站还可以在整个住院期间为家庭成员和护理人员提供支持。考虑到患者和护理团队成员对门户网站使用的一致性，我们的研究结果表明，住院门户网站可能会促进组织文化的转变，增加以患者为中心的护理，并改善患者在医院的体验。
Background Patients have demonstrated an eagerness to use portals to access their health information and connect with care providers. While outpatient portals have been extensively studied, there is a recognized need for research that examines inpatient portals.Objective We conducted this study to improve our understanding about the role of a portal in the context of inpatient care. Our study focused on a large sample of the general adult inpatient population and obtained perspectives from both patients and care team members about inpatient portal use.Methods We interviewed patients (n = 120) who used an inpatient portal during their hospitalization at 15 days or 6 months after discharge to learn about their portal use. We also interviewed care team members (n = 331) 4 weeks, 6 months, and 12 months after inpatient portal implementation to collect information about their ongoing perspectives about patients' use of the portal.Results The perspectives of patients and care team members generally converged on their views of the inpatient portal. Three features-(1) ordering meals, (2) looking up health information, and (3) viewing the care team-were most commonly used; the secure messaging feature was less commonly used and of some concern to care team members. The inpatient portal benefited patients in four main ways: (1) promoted independence, (2) reduced anxiety, (3) informed families, and (4) increased empowerment.Conclusion Inpatient portals are recognized as a tool that can enhance the delivery of patient-centered care. In addition to empowering patients by increasing their sense of control, inpatient portals can support family members and caregivers throughout the hospital stay. Given the consistency of perspectives about portal use across patients and care team members, our findings suggest that inpatient portals may facilitate shifts in organizational culture that increase the patient centeredness of care and improve patient experience in the hospital context.