Patient and physician willingness to use personal health records in the emergency department.
Patient and physician willingness to use personal health records in the emergency department.
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DOI：
10.5811/westjem.2011.11.6844
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发表时间：
2012-05
期刊：
影响因子：
--
通讯作者：
Duriseti R
中科院分区：
文献类型：
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作者：
Menon AS;Greenwald S;Ma TJ;Kooshesh S;Duriseti R
急诊科(ED)的病人护理往往因为无法获得准确的既往病史而变得复杂，即使病人能够与急诊科工作人员沟通。个人健康记录(PHR)可以减轻这种信息差距的影响。这项研究评估了ED患者采用PHR的意愿和治疗医生使用该信息的意愿。这项横断面研究由分布在学术急诊室的219项(84%)调查中的184名患者回答。患者调查收集了有关人口统计学、采用PHR的意愿和障碍以及患者感知的疾病严重程度的数据，满分为5分。每个患者调查都与治疗医生调查相关联，其中219人中有210人(96%)做出了回应。在完成的184项调查中，78%的受访者希望将他们的个人健康记录上传到互联网上，83%的提供商认为他们会访问互联网。不到10%的人希望软件公司、保险公司或政府控制他们的健康信息，而超过50%的人希望医院控制这些信息。这些提供者不会使用PHR的患者，由治疗医生确定的疾病严重程度评分与他们将使用PHR的患者相比，有统计学意义的较低的严重程度评分(1.5vs2.4，P<；0.01)。57%的医生只会在访问PHR不到5分钟的情况下使用PHR。急症室的大部分病人和医生都愿意采用PHR，特别是在医院参与的情况下。急诊科医生更有可能检查病情较重的患者的PHR。访问速度对急诊医生来说很重要。
Patient care in the emergency department (ED) is often complicated by the inability to obtain an accurate prior history even when the patient is able to communicate with the ED staff. Personal health records (PHR) can mitigate the impact of such information gaps. This study assesses ED patients' willingness to adopt a PHR and the treating physicians' willingness to use that information. This cross-sectional study was answered by 184 patients from 219 (84%) surveys distributed in an academic ED. The patient surveys collected data about demographics, willingness and barriers to adopt a PHR, and the patient's perceived severity of disease on a 5-point scale. Each patient survey was linked to a treating physician survey of which 210 of 219 (96%) responded. Of 184 surveys completed, 78% of respondents wanted to have their PHR uploaded onto the Internet, and 83% of providers felt they would access it. Less than 10% wanted a software company, an insurance company, or the government to control their health information, while over 50% wanted a hospital to control that information. The patients for whom these providers would not have used a PHR had a statistically significant lower severity score of illness as determined by the treating physician from those that they would have used a PHR (1.5 vs 2.4, P < 0.01). Fifty-seven percent of physicians would only use a PHR if it took less than 5 minutes to access. The majority of patients and physicians in the ED are willing to adopt PHRs, especially if the hospital participates. ED physicians are more likely to check the PHRs of more severely ill patients. Speed of access is important to ED physicians.