患者门户网站参与度与艾滋病治疗结果：南方城市诊所 MyChart 使用情况的回顾性队列分析.pdf

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1、Patient Access to EHRs:Broad Assessment and Review of Local TrendsPresenter:John Phillips,MDPreceptor:Lauren Richey,MDInfectious Diseases SectionDepartment of Internal MedicineLSU-New OrleansSeptember 15th,2025September 15-17,2025A secure,web-based application or website that provides patients with

2、access to their information and enable communications with providersAccess to review lab results,medication lists,visit summaries,upcoming appointments and historic schedule,immunization history,etcCommunication with healthcare providers via secure systemPatient PortalsPurposesEnhance patient engage

3、ment and patient-centered careImprove communications between patients and their providersPromotion of management of chronic diseasesMore active role in their care and making more informed decisions outside the healthcare settingFacilitate health service management(eg.billing),data collection,efficie

4、ncy,etcBackgroundSeptember 15-17,20252002 Epic Systems creates MyChart2009/2014-HITECH Acts PassedFederal Incentives for“meaningful”EHR usage,which eventually became penalties for not providing meaningful access2016-21st Century Cures Act PassedSpecified the requirement for real-time access to resul

5、ts most clinical documentation2020s-EPIC Systems makes significant expansion into mobile apps,automated systemsTimelineSignificant adoptionHospital systems w/pt EHR access%pts who have accessed their EHR%pts offered accessSeptember 15-17,2025Disparities SeenMultiple studies indicate there is a gap i

6、n both being offered access and actually using accessSome have found underwhelming representation from older adults,Black/Hispanic groups,limited English proficiency,lowest income quintiles,rural residents,low digital/health literacy.September 15-17,2025EffectsMost data suggestive of a positive impa