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首页> 外文期刊>The HIM journal >Maternity patients' access to their electronic medical records: use and perspectives of a patient portal
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Maternity patients' access to their electronic medical records: use and perspectives of a patient portal

机译：产妇患者访问其电子病历：患者门户网站的使用和观点

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Patients have been able to access clinical information from their paper-based health records for a number of years. With the advent of Electronic Medical Records (EMRs) access to this information can now be achieved online using a secure electronic patient portal.The purpose of this study was to investigate maternity patients' use and perceptions of a patient portal developed at the Mater Mothers' Hospital in Brisbane.Australia.A web-based patient portal, one of the first developed and deployed in Australia, was introduced on 26 June 2012.The portal was designed for maternity patients booked at Mater Mothers' Hospital, as an alternative to the paper-based Pregnancy Health Record.Through the portal, maternity patients are able to complete their hospital registration form online and obtain current health information about their pregnancy (via their EMR), as well as access a variety of support tools to use during their pregnancy such as tailored public health advice. A retrospective cross-sectional study design was employed. Usage statistics were extracted from the system for a one year period (I July 2012 to 30 June 2013). Patients' perceptions of the portal were obtained using an online survey, accessible by maternity patients for two weeks in February 2013 (n=80). Descriptive statistics were employed to analyse the data. Between July 2012 and June 2013, 10,892 maternity patients were offered a patient portal account and access to their EMR. Of those 6,518 created one (60%; 6,518/10,892) and 3,104 went on to request access to their EMR (48%; 3,104/6,518). Of these, 1,751 had their access application granted by 30 June 2013.The majority of maternity patients submitted registration forms online via the patient portal (56.7%). Patients could view their EMR multiple times: there were 671 views of the EMR, 2,781 views of appointment schedules and 135 birth preferences submitted via the EMR. Eighty survey responses were received from EMR account holders, (response rate of 8.1%; 80/985).The majority of respondents indicated they would use the portal and access their EMR for future pregnancies (86.2%; 69/80). Approximately half looked at their EMR after a visit with their care provider (51.3%);41/80) and 37.5% (30/80) viewed their EMR before, to prepare for their visit.The majority (65.8%) thought that the EMR improved their ability to understand and recall appointments and almost half (48.1 %) thought that with the EMR they were less likely to repeat pregnancy information to caregivers.This study provides the first Australian evidence of a patient portal system, tied to an EMR, working effectively in a maternity care context. It provides new evidence that portals can deliver benefits to maternity patients in terms of providing quick and easy access to current personal and general health information and support patients in their ability to recall and prepare for appointments.
机译：多年来，患者已经能够从其纸质健康记录中获取临床信息。随着电子病历（EMR）的出现，现在可以使用安全的电子患者门户网站在线访问此信息。本研究的目的是调查产妇患者的使用和对母校母亲建立的患者门户网站的看法。澳大利亚布里斯班医院于2012年6月26日引入了一个基于网络的患者门户网站，该门户网站是澳大利亚最早开发和部署的门户网站，该门户网站是为在Mater Mothers's Hospital预订的产妇设计的。基于怀孕的健康记录。通过门户网站，孕妇可以在线填写医院登记表并获得有关怀孕的最新健康信息（通过EMR），并可以使用各种支持工具在怀孕期间使用这些信息。作为量身定制的公共卫生建议。采用回顾性横断面研究设计。从系统中提取一年的使用情况统计数据（2012年7月1日至2013年6月30日）。患者对门户的看法是通过在线调查获得的，孕妇在2013年2月进行了为期两周的访问（n = 80）。描述性统计数据用于分析数据。在2012年7月至2013年6月之间，为10,892名产妇患者提供了患者门户帐户并可以访问其EMR。在这6,518个创建者中（60％; 6,518 / 10,892），其中3,104个继续请求访问其EMR（48％; 3,104 / 6,518）。其中有1751名在2013年6月30日获得准入申请。大多数产妇通过患者门户在线提交了注册表。（56.7％）。患者可以多次查看其电子病历：通过电子病历提交的电子病历视图为671次，预约时间表为2781次，出生偏好为135次。从EMR帐户持有人那里收到了80份调查答复（答复率为8.1％; 80/985）。大多数受访者表示，他们将使用门户网站访问其EMR以备将来怀孕（86.2％; 69/80）。大约一半的人在与医疗服务提供者拜访之后看过他们的EMR（51.3％; 41/80），而37.5％（30/80）在看过他们的EMR以为他们的拜访做准备。大多数（65.8％）认为电子病历提高了他们理解和回忆约会的能力，几乎一半（48.1％）的人认为，通过电子病历，他们不太可能向护理人员重复妊娠信息。这项研究提供了澳大利亚首个与电子病历相关的患者门户系统的证据，在孕产保健方面有效地工作。它提供了新的证据，表明门户网站可以为产妇患者带来好处，因为它可以快速轻松地访问当前的个人和一般健康信息，并支持患者回忆和准备约会的能力。

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