Patient Access to Online Visit Notes: Perceptions of Doctors and Patients at an Urban HIV/AIDS Clinic.
Patient Access to Online Visit Notes: Perceptions of Doctors and Patients at an Urban HIV/AIDS Clinic.
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DOI：
10.1177/2325957414526783
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发表时间：
2015-07
影响因子：
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通讯作者：
Elmore JG
中科院分区：
文献类型：
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作者：
Oster NV;Jackson SL;Dhanireddy S;Mejilla R;Ralston JD;Leveille S;Delbanco T;Walker JD;Bell SK;Elmore JG
艾滋病毒/艾滋病患者面临着巨大的社会和医疗挑战。邀请患者通过安全的电子门户阅读医生的就诊记录可以增强患者的能力并改善健康状况。我们调查了艾滋病毒/艾滋病诊所的医生和患者与初级保健机构的医生和患者对医生记录的利用和看法是否不同。我们分析了 99 名医生和 3819 名患者的干预前和一年后的数据。与初级保健诊所患者相比，HIV 诊所患者在感知风险和获益方面没有差异，但是，他们更有可能与朋友（33% 对 9%，P = .002）、其他卫生专业人员（24% 对 8%，P = .03）或其他医生（38% 对 9%，P < .0001）分享笔记。与初级保健医生相比，艾滋病毒诊所医生不太可能改变访视记录中的坦诚程度 (P < .04)。我们的研究结果表明，艾滋病毒诊所的患者和医生已经准备好在线分享就诊记录。
Patients living with HIV/AIDS face large societal and medical challenges. Inviting patients to read their doctors’ visit notes via secure electronic portals may empower patients and improve health. We investigated whether utilization and perceptions about access to doctors’ notes differed among doctors and patients in an HIV/AIDS clinic versus primary care setting. We analyzed pre- and 1-year postintervention data from 99 doctors and 3819 patients. HIV clinic patients did not report differences in perceived risks and benefits compared to primary care clinic patients, however, they were more likely to share notes with friends (33% versus 9%, P = .002), other health professionals (24% versus 8%, P = .03), or another doctor (38% versus 9%, P < .0001). HIV clinic doctors were less likely than primary care doctors to change=the level of candor in visit notes (P < .04). Our findings suggest that HIV clinic patients and doctors are ready to share visit notes online.