Mobile-accessible personal health records increase the frequency and timeliness of PHR use for patients with diabetes
Mobile-accessible personal health records increase the frequency and timeliness of PHR use for patients with diabetes
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DOI：
10.1093/jamia/ocy129
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发表时间：
2019-01-01
影响因子：
6.4
通讯作者：
Reed, Mary E.
中科院分区：
文献类型：
--
作者：
Graetz, Ilana;Huang, Jie;Reed, Mary E.
个人健康记录（PHRs）为患者提供了查看实验室结果、与医生沟通和补充药物的门户。扩大对移动设备的PHR访问可以增加患者对其PHR的参与。我们研究了获得移动优化的PHR是否会改变综合输送系统中成年糖尿病患者使用PHR的频率和及时性。在最初仅通过电脑使用医疗记录的患者中，使用医疗记录的频率随着移动接入而增加。如果非白人患者有电脑和移动设备，与只有电脑的患者相比，他们更有可能在7天内查看他们的实验室结果；然而，白人患者之间没有统计学上的显著差异。更频繁和及时地移动访问PHR数据和工具可能导致方便和有效的PHR参与，以支持患者自我管理。未来的研究应该评估使用移动设备的PHR是否与自我管理和结果的改变有关。
Personal health records (PHRs) offer patients a portal to view lab results, communicate with their doctors, and refill medications. Expanding PHR access to mobile devices could increase patients' engagement with their PHRs. We examined whether access to a mobile-optimized PHR changed the frequency and timeliness of PHR use among adult patients with diabetes in an integrated delivery system. Among patients originally using the PHR only by computer, PHR use frequency increased with mobile access. Non-White patients were more likely to view their lab results within 7 days if they had computer and mobile access compared with computer only; however, there were no statistically significant differences among White patients. More frequent and timely mobile access to PHR data and tools may lead to convenient and effective PHR engagement to support patient self-management. Future studies should evaluate whether PHR use with a mobile device is associated with changes in self-management and outcomes.