Primary Care Providers' Views of Patient Portals: Interview Study of Perceived Benefits and Consequences
Primary Care Providers' Views of Patient Portals: Interview Study of Perceived Benefits and Consequences
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DOI：
10.2196/jmir.4953
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发表时间：
2016-01-01
影响因子：
7.4
通讯作者：
Arcury, Thomas A.
中科院分区：
文献类型：
--
作者：
Miller, David P., Jr.;Latulipe, Celine;Arcury, Thomas A.
背景资料：美国政府正在鼓励医生采用患者门户网站-允许患者访问他们的健康信息的安全网站。为了使患者门户网站充分认识到其潜力并改善患者护理，医疗保健提供者的接受和鼓励将是至关重要的。然而，很少有人知道供应商的关注或意见的patient portals.Objective：我们进行了这项定性研究，以确定如何管理员，诊所工作人员，和卫生保健提供者在实践中服务于低收入的成年人口看待病人门户网站的潜在利益，关注的领域，并希望为未来。我们在2013年10月至2014年6月期间对从北卡罗来纳州四个县的卫生中心招募的20名诊所人员进行了深入访谈。经过培训的研究人员按照访谈者指南进行个体访谈，以了解患者门户网站的利弊。访谈被记录和转录。研究小组成员审查了主要主题的转录采访，以构建编码词典。然后，两名研究人员编码每个成绩单，通过discussion.Results解决任何编码差异：采访显示，诊所人员认为病人的门户网站作为一个强制性的产品，有潜力改善沟通，加强信息共享。然而，他们表达了许多担忧，包括门户网站可能会产生更多的工作，混淆患者，疏远非用户，并增加健康差距。诊所人员预计很少有老年人和弱势患者使用portal.Conclusions：鉴于诊所人员对门户网站的意外后果有显着的关注，他们的摄取和对护理的影响可能是有限的。今后的研究应审查如何在实践中实施门户网站，以解决提供者的关切，满足弱势群体的需要。
Background: The United States government is encouraging physicians to adopt patient portals-secure websites that allow patients to access their health information. For patient portals to recognize their full potential and improve patient care, health care providers' acceptance and encouragement of their use will be essential. However, little is known about provider concerns or views of patient portals.Objective: We conducted this qualitative study to determine how administrators, clinic staff, and health care providers at practices serving a lower income adult population viewed patient portals in terms of their potential benefit, areas of concern, and hopes for the future.Methods: We performed in-depth interviews between October 2013 and June 2014 with 20 clinic personnel recruited from health centers in four North Carolina counties. Trained study personnel conducted individual interviews following an interviewer guide to elicit perceptions of the benefits and disadvantages of patient portals. Interviews were recorded and transcribed. Research team members reviewed transcribed interviews for major themes to construct a coding dictionary. Two researchers then coded each transcript with any coding discrepancies resolved through discussion.Results: The interviews revealed that clinic personnel viewed patient portals as a mandated product that had potential to improve communication and enhance information sharing. However, they expressed many concerns including portals' potential to generate more work, confuse patients, alienate non-users, and increase health disparities. Clinic personnel expected few older and disadvantaged patients to use a portal.Conclusions: Given that clinic personnel have significant concerns about portals' unintended consequences, their uptake and impact on care may be limited. Future studies should examine ways portals can be implemented in practices to address providers' concerns and meet the needs of vulnerable populations.