An Internet-based patient-provider communication system: randomized controlled trial.
An Internet-based patient-provider communication system: randomized controlled trial.
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DOI：
10.2196/jmir.7.4.e47
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发表时间：
2005-08-05
影响因子：
7.4
通讯作者：
Ross, Stephen E
中科院分区：
文献类型：
--
作者：
Lin, Chen-Tan;Wittevrongel, Loretta;Moore, Laurie;Beaty, Brenda L;Ross, Stephen E
基于互联网的患者交流互动网站(患者门户网站)可能会改善患者与他们的诊所和医生之间的交流。这项研究的目的是评估患者门户对患者获得临床和临床护理的满意度的影响。另一个目标是分析患者发往诊所的电子邮件和电话的内容和数量。这是一项随机对照试验，有606名来自学术内科实践的患者。干预“门户”小组使用患者门户直接向他们的医生发送安全消息，并请求预约、重新开具处方和转诊。对照组给予常规护理。我们在6个月的试验期结束时评估患者的满意度，并比较电话和门户通信的内容。门脉组患者报告与诊所的沟通有所改善(门户：77/174[44%]“稍微好”或“很好”；对照组：18/146[12%]；χ2=38.8，df=11.1，P<0.01)，对整体护理的满意度较高(门户：103/174[59%]“非常好”或“良”；控制：78/162[48%]；χ2=64.1，df=1，P=0.04)。门户组患者对门户的每项服务也报告了更高的满意度。每250名门户患者中，医生每天收到1条门户消息。电话总流量不受影响。与电话相比，患者更有可能通过门户网站发送信息和心理社会信息。在所有接受调查的患者中，162/341(48%)愿意为与医生的在线通信付费。在那些愿意付费的人中，引用的中位数是每条信息2美元。门脉组患者对沟通和整体护理的满意度增加。门户组的患者尤其看重门户的便利性、减少的沟通障碍和医生的直接反应。与电话相比，来自患者的更多在线消息包含信息和心理社会内容，这可能会加强患者与医生的关系。
Internet-based interactive websites for patient communication (patient portals) may improve communication between patients and their clinics and physicians. The aim of the study was to assess the impact of a patient portal on patients’ satisfaction with access to their clinic and clinical care. Another aim was to analyze the content and volume of email messages and telephone calls from patients to their clinic. This was a randomized controlled trial with 606 patients from an academic internal medicine practice. The intervention “portal” group used a patient portal to send secure messages directly to their physicians and to request appointments, prescription refills, and referrals. The control group received usual care. We assessed patient satisfaction at the end of the 6-month trial period and compared the content of telephone and portal communications. Portal group patients reported improved communication with the clinic (portal: 77/174 [44%] “a little better” or “a lot better;” control: 18/146 [12%]; χ2 = 38.8, df = 1, P < .001) and higher satisfaction with overall care (portal: 103/174 [59%] “very good” or “excellent;” control: 78/162 [48%]; χ2 = 4.1, df = 1, P = .04). Portal group patients also reported higher satisfaction with each of the portal’s services. Physicians received 1 portal message per day for every 250 portal patients. Total telephone call volume was not affected. Patients were more likely to send informational and psychosocial messages by portal than by phone. Of all surveyed patients, 162/341 (48%) were willing to pay for online correspondence with their physician. Of those willing to pay, the median amount cited was US $2 per message. Portal group patients demonstrated increased satisfaction with communication and overall care. Patients in the portal group particularly valued the portal’s convenience, reduced communication barriers, and direct physician responses. More online messages from patients contained informational and psychosocial content compared to telephone calls, which may enhance the patient-physician relationship.