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Meaningful Use and the Patient Portal: Patient Enrollment, Use, and Satisfaction With Patient Portals at a Later-Adopting Center
被引:44
|作者:
Neuner, Joan
[1
]
Fedders, Megan
[2
]
Caravella, Mary
[3
]
Bradford, Lisa
[1
]
Schapira, Marilyn
[4
,5
]
机构:
[1] Med Coll Wisconsin, Milwaukee, WI 53226 USA
[2] Med Coll Wisconsin, Froedtert Hosp, Milwaukee, WI 53226 USA
[3] Univ Connecticut, Sch Business, Storrs, CT USA
[4] Univ Penn, Perleman Sch Med, Philadelphia, PA 19104 USA
[5] Philadelphia VA Med Ctr, CHERP, Philadelphia, PA USA
关键词:
meaningful use;
electronic health records;
patient satisfaction;
medical informatics;
MEDICAL-RECORD;
HEALTH RECORD;
USE CRITERIA;
ACCESS;
SERVICES;
MODEL;
WILL;
CARE;
D O I:
10.1177/1062860614523488
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Many physicians are adopting patient portals in response to governmental incentives for meaningful use (MU), but the stage 2 requirements for portal use may be particularly challenging for newer electronic health record (EHR) users. This study examined enrollment, use based on MU requirements, and satisfaction in a recently adopting fee-for-service multispecialty system. Between 2010 and 2012, overall portal enrollment increased from 13.2% to 23.1% but varied substantially by physician specialty. In 2013, more than 97% of physicians would have met requirements for a stage 2 MU utilization measure requiring that patients download personal health information, but only 38% of all physicians (87% of primary care physicians [PCPs] and 37% of other specialists) would have met e-mail requirements. Satisfaction with the portal overall and with portal-based e-mails was high. These results suggest that later-adopting PCPs can succeed in providing satisfactory record and e-mail access but specialists may find reaching e-mail thresholds more difficult.
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页码:105 / 113
页数:9
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