TY - JOUR AU - Baek, Juha AU - Simon-Friedt, Bridget AU - Lopez, Adriana AU - Kolman, Jacob M AU - Nicolas, Juan AU - Jones, Stephen L AU - Phillips, Robert A AU - Menser, Terri PY - 2021 DA - 201/9/1 TI -评估自然灾害期间患者需求:混合方法分析飓风哈维期间发送的门户消息JO - J医学Internet Res SP - e31264 VL - 23 IS - 9kw -哈维飓风KW -自然灾害KW -患者门户KW -电子消息KW -应急准备KW -灾难医学AB -背景:患者门户在连接患者与其医疗护理团队方面发挥着重要作用，这提高了患者对治疗计划的参与程度，减少了不必要的访问，并降低了成本。在自然灾害期间，患者的需求增加，而可用资源，特别是获得护理的机会却变得有限。目的:本研究旨在通过分析飓风哈维期间发送的电子信息来检查自然危机期间患者的健康需求，以指导未来的灾难规划工作。方法:我们研究了大休斯顿地区一个大型医疗保健系统的患者门户使用数据，重点关注飓风哈维灾难的第一周，从2017年8月25日登陆开始，到2017年8月31日。采用混合方法评估在常规和紧急医疗护理中断期间患者的即时健康需求和担忧。定量分析使用逻辑回归模型来评估飓风哈维期间使用门户的患者的预测特征。这项研究还包括按类型(急诊、住院、观察、门诊和门诊手术)和时间(哈维飓风之前、期间和之后)进行的遭遇。对于定性分析，使用恒定比较方法检查这些信息的内容，以确定在信息文本中发现的新兴主题。结果:在557,024名患者中，4079名(0.73%)在飓风哈维期间发送了消息，而31,737名(5.69%)使用了门户网站。 Age, sex, race, and ethnicity were predictive factors for using the portal and sending a message during the natural disaster. We found that prior use of the patient portal increased the likelihood of portal use during Hurricane Harvey (odds ratio 13.688, 95% CI 12.929-14.491) and of sending a portal message during the disaster (odds ratio 14.172, 95% CI 11.879-16.907). Having an encounter 4 weeks before or after Hurricane Harvey was positively associated with increased use of the portal and sending a portal message. Patients with encounters during the main Hurricane Harvey week had a higher increased likelihood of portal use across all five encounter types. Qualitative themes included: access, prescription requests, medical advice (chronic conditions, acute care, urgent needs, and Hurricane Harvey–related injuries), mental health, technical difficulties, and provider constraints. Conclusions: The patient portal can be a useful tool for communication between patients and providers to address the urgent needs and concerns of patients as a natural disaster unfolds. This was the first known study to include encounter data to understand portal use compared with care provisioning. Prior use was predictive of both portal use and message sending during Hurricane Harvey. These findings could inform the types of demands that may arise in future disaster situations and can serve as the first step in intentionally optimizing patient portal usability for emergency health care management during natural disasters. SN - 1438-8871 UR - //www.mybigtv.com/2021/9/e31264 UR - https://doi.org/10.2196/31264 UR - http://www.ncbi.nlm.nih.gov/pubmed/34468328 DO - 10.2196/31264 ID - info:doi/10.2196/31264 ER -