@文章{信息:doi/10.2196/18976，作者="Alturkistani, Abrar和Qavi, Ambar和Anyanwu, Philip Emeka和Greenfield, Geva和Greaves, Felix和Costelloe, Ceire"，标题="糖尿病患者的患者门户功能和患者预后:系统评价"，期刊="J医学互联网研究"，年="2020"，月="Sep"，日="22"，卷="22"，数="9"，页数="e18976"，关键词="个人健康记录;病人门户;电子健康记录;在线访问;病人的记录;背景:使用患者门户可以帮助改善糖尿病患者的护理和健康结果，因为它具有预约、电子消息(e-messaging)和重复处方订购等功能，从而实现了以患者为中心的护理，提高了患者对疾病的自我管理。目的:本综述旨在总结成人糖尿病患者的患者门户使用(连接到电子医疗记录的门户)或患者门户功能使用(例如，预约和电子消息)及其与健康和医疗质量结果之间的关联的证据。方法:我们检索了MEDLINE、Embase和Scopus数据库，并使用系统评价和荟萃分析(PRISMA)指南首选报告项目报告方法。三名独立审稿人筛选标题和摘要，两名审稿人评估相关研究全文，并对纳入的研究进行数据提取和质量评估。我们使用Cochrane协作偏倚风险工具和国家心肺血液研究所(NHLBI)研究质量评估工具来评估纳入研究的偏倚风险。 Data were summarized through narrative synthesis. Results: Twelve studies were included in this review. Five studies reported overall patient portal use and its association with diabetes health and health care quality outcomes. Six studies reported e-messaging or email use--associated outcomes, and two studies reported prescription refill--associated outcomes. The reported health outcomes included the associations of patient portal use with blood pressure, low-density lipoprotein cholesterol, and BMI. Few studies reported health care utilization outcomes such as office visits, emergency department visits, and hospitalizations. A limited number of studies reported overall quality of care for patients with diabetes who used patient portals. Conclusions: The included studies mostly reported improved glycemic control outcomes for patients with diabetes who used patient portals. However, limitations of studying the effects of patient portals exist, which do not guarantee whether the outcomes reported are completely the result of patient portal use or if confounding factors exist. Randomized controlled trials and mixed-methods studies could help understand the mechanisms involved in health outcome improvements and patient portal use among patients with diabetes. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) CRD42019141131; https://www.crd.york.ac.uk/prospero/display{\_}record.php?ID=CRD42019141131. International Registered Report Identifier (IRRID): RR2-10.2196/14975 ", issn="1438-8871", doi="10.2196/18976", url="//www.mybigtv.com/2020/9/e18976/", url="https://doi.org/10.2196/18976", url="http://www.ncbi.nlm.nih.gov/pubmed/32960182" }