Improving Acceptance of Inpatient Portals: Patients' and Care Team Members' Perspectives
Improving Acceptance of Inpatient Portals: Patients' and Care Team Members' Perspectives
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DOI：
10.1089/tmj.2019.0026
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发表时间：
2019-05-13
影响因子：
4.7
通讯作者：
Huerta, Timothy R.
中科院分区：
文献类型：
--
作者：
McAlearney, Ann Scheck;Gaughan, Alice;Huerta, Timothy R.
背景：住院患者门户作为一种增加住院期间以患者为中心的护理的手段，正在引起人们的兴趣。然而，接受一项新技术，如住院病人门户，取决于对其有用性和易用性的认识。这些因素尚未在住院门户实现的背景下进行研究。方法：我们采访了患者（n=123）和护理团队成员（n=447），了解他们使用在一家大型学术医疗中心实施的住院患者门户网站的经验。访谈时间为5-15min，录音，逐字抄录，然后运用演绎与归纳相结合的方法进行分析。结果：总的来说，受访者报告说，住院门户是一个有用的工具，因为它改善了患者对信息的获取，加强了沟通，促进了教育，并似乎促进了患者在医院期间的控制感。大多数受访者还发现这项技术易于使用。然而，有人担心，对于那些缺乏技术经验的人来说，门户网站并不容易使用。受访者认为有必要强调该技术对患者和护理团队成员的价值，并需要提供额外的培训以支持门户网站的使用，以此作为促进接受该工具的方法。讨论和结论：住院患者门户可以改善以患者为中心的护理，但这种改进需要患者和护理团队成员都接受该工具。我们关于住院患者门户的有用性和易用性的研究结果可以为未来改进这项新技术的实施和接受提供信息。
Background: Inpatient portals are gaining interest as a means to increase patient-centered care during hospitalization. However, acceptance of a new technology such as the inpatient portal relies on perceptions of both its usefulness and ease of use. These factors have not been studied in the context of inpatient portal implementation.Methods: We interviewed patients (n=123) and care team members (n=447) about their experiences using an inpatient portal that had been implemented across a large, academic medical center. Interviews lasted 5-15min, were audio-recorded, transcribed verbatim, and then analyzed using a combination of deductive and inductive methods.Results: Collectively, interviewees reported that the inpatient portal was a useful tool as it improved patients' access to information, enhanced communication, facilitated education, and appeared to promote patients' sense of control while in the hospital. Most interviewees also found the technology easy to use. However, there were concerns that the portal was not easy to use for those less experienced with technology. Interviewees identified the need to emphasize the value of the technology to both patients and care team members and the need to provide additional training to support portal use, as ways to promote acceptance of the tool.Discussion and Conclusions: Inpatient portals can improve patient-centered care, but such improvements require acceptance of the tool by both patients and care team members. Our findings about the usefulness and ease of use of an inpatient portal can inform future efforts to improve the implementation and acceptance of this new technology.