患者门户在全球范围内变得越来越受欢迎,尽管它们对个人健康和卫生系统效率的影响尚不清楚。
本系统评价的目的是总结有关患者门户对健康结果和医疗保健效率的影响的证据。并检查用户特征,态度,和满意度。
我们在PubMed和WebofScience数据库中搜索了2013年1月1日至2019年10月31日发表的文章。符合条件的研究是报告患者门户采用对健康结果的影响的主要研究。医疗保健效率,和病人的态度和满意度。我们排除了患者无法进入门户的研究和试点研究,除了评估患者态度的文章。
总的来说,筛选了3456条记录,共包括47篇文章。其中,11项研究涉及报告积极结果的健康结果,例如更好地监测健康状况,改善患者与医生的互动,提高护理质量。15项研究评估了数字患者门户对医疗服务利用的影响,结果参差不齐。在32项研究中描述了患者特征,据报道,使用率通常随年龄和女性而增加。最后,30项研究描述了态度并定义了主要障碍(对隐私和数据安全的担忧,和缺乏时间)和促进者(访问临床数据和实验室结果)使用门户。
关于健康结果的证据通常是有利的,病人门户有可能加强医患关系,提高健康状况意识,并增加对治疗的依从性。尚不清楚使用患者门户是否可以提高医疗服务的利用率和效率。
Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear.
The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction.
We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes.
Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal.
Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.