Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.
Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.
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DOI：
10.7326/m19-0876
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发表时间：
2020-06-02
影响因子：
39.2
通讯作者：
Sarkar U
中科院分区：
文献类型：
--
作者：
Lyles CR;Nelson EC;Frampton S;Dykes PC;Cemballi AG;Sarkar U
在美国，90%的医疗保健系统现在提供患者门户网站来访问电子健康记录（EHR），但只有15%至30%的患者使用这些平台。作者利用PubMed确定了2013年9月至2019年6月期间发表的53项研究，这些研究为未来研究患者通过患者门户参与EHR数据的最佳实践和优先事项提供了信息。这些研究主要涉及门诊环境，分为3个主要类别：增加患者门户网站使用的干预措施、门户网站界面的可用性测试以及记录患者和临床医生使用门户网站的障碍。使用一对一患者培训的干预与最高的门户网站使用相关。健康或数字素养有限的患者面临着使用门户网站的挑战。临床医生报告缺乏支持患者在常规实践中使用门户的工作流程。这些研究表明，通过EHR门户网站实现更高的患者参与率将需要更多地关注不同患者的需求，并系统地衡量可用性和内容范围。未来的工作应纳入实施科学的方法，并直接解决临床医生和工作人员在促进门户网站的使用的关键作用。
Ninety percent of health care systems now offer patient portals to access electronic health records (EHRs) in the United States, but only 15% to 30% of patients use these platforms. Using PubMed, the authors identified 53 studies published from September 2013 to June 2019 that informed best practices and priorities for future research on patient engagement with EHR data through patient portals, These studies mostly involved outpatient settings and fell into 3 major categories: interventions to increase use of patient portals, usability testing of portal interfaces, and documentation of patient and clinician barriers to portal use. Interventions that used one-on-one patient training were associated with the highest portal use. Patients with limited health or digital literacy faced challenges to portal use. Clinicians reported a lack of workflows to support patient use of portals in routine practice. These studies suggest that achieving higher rates of patient engagement through EHR portals will require paying more attention to the needs of diverse patients and systematically measuring usability as well as scope of content. Future work should incorporate implementation science approaches and directly address the key role of clinicians and staff in promoting portal use.