Barriers and facilitators of electronic patient portal uptake for asthma management.
Barriers and facilitators of electronic patient portal uptake for asthma management.
复制标题
哮喘管理电子患者门户的障碍和促进因素。
DOI：
10.1080/02770903.2022.2087190
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Ross,MindyK
中科院分区：
文献类型：
--
作者：
Radparvar,Ilana;Ross,MindyK
积极的患者-医生伙伴关系是哮喘管理的一个关键方面，患者报告的数据有助于共同决策。技术进步，如电子患者门户网站，可以促进伙伴关系，以改善哮喘的结果。然而，最终用户对哮喘管理门户网站的使用率很低。我们研究了基于门户的哮喘干预措施，以了解其使用的障碍和促进因素。数据来源我们在PubMed，Web of Science，Scopus，MEDLINE和Google Scholar数据库中进行了搜索。研究选择我们使用PRISMA扩展进行范围审查，以指导我们对哮喘和患者门户相关研究的分析。我们总结了相关的研究中的障碍和促进因素以及研究characteristics.Results16研究包括在我们的最终分析。患者门户网站用于哮喘管理的常见障碍是终端用户缺乏感知价值、终端用户技术素养低和资源有限。门户网站使用的促进因素包括易用性、个性化和充分的技术支持。在这些研究中，患者门户网站被用于各种应用程序相关的核心哮喘管理概念的评估和监测，教育的伙伴关系，哮喘护理，环境因素，共病，和medication.ConclusionsPatient的门户网站使用哮喘管理可以鼓励确保门户网站易于访问和导航，演示的价值，以及随时可用的技术支持。让最终用户密切参与设计过程和实施可能有助于消除障碍。需要特别关注技术资源有限的群体。
ObjectiveAn active patient-practitioner partnership is a key aspect of asthma management and patient-reported data helps with shared decision making. Technological advances such as the electronic patient portal can facilitate partnership, with the goal of improved asthma outcomes. However, uptake of portals by end-users for asthma management has been low. We studied portal-based asthma interventions to understand barriers and facilitators to its use.Data SourcesWe searched within the PubMed, Web of Science, Scopus, MEDLINE, and Google Scholar databases.Study SelectionsWe used the PRISMA extension for scoping reviews to guide our analysis of studies related to asthma and patient portals. We summarized relevant studies in terms of barriers and facilitators as well as study characteristics.ResultsSixteen studies were included in our final analysis. Common barriers to patient portal use for asthma management were lack of perceived value by the end-user, low end-user technological literacy, and limited resources. Facilitators of portal use included ease of use, personalization, and adequate technical support. Patient portals in these studies were used for a variety of applications related to core asthma management concepts of assessment and monitoring, education for a partnership in asthma care, environmental factors, co-morbidities, and medications.ConclusionsPatient portal use for asthma management can be encouraged by ensuring the portal is easy to access and navigate, demonstrates values, as well as has readily available technical support. Involving end-users closely in the design process and implementation may help address barriers. Special attention is needed for groups with technological resource limitations.
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