학술논문

Identifying How Patient Portals Impact Communication in Oncology.
Document Type
Article
Source
Health Communication. Nov2019, Vol. 34 Issue 12, p1395-1403. 9p. 2 Charts.
Subject
*Web portals
*Medical communication
*Health risk communication
*Online chat
*Communication
*Interviewing
*Access to information
*Internet access
Oncology
Cancer patient attitudes
Oncologists
Physician-patient relations
Health equity
Anxiety
Patient portals
Patient-centered care
Cancer patient medical care
Cancer patient psychology
Health services accessibility
Health status indicators
Research methodology
Research funding
Statistical sampling
Employees' workload
Patient participation
Disclosure
Judgment sampling
Thematic analysis
Self advocacy
Health literacy
Patients' attitudes
Physicians' attitudes
Descriptive statistics
Language
ISSN
1041-0236
Abstract
Patient portals are becoming widespread throughout health-care systems. Initial research has demonstrated that they positively impact patient–provider communication and patients' health knowledge, but little is known about the impact of patient portals in the cancer setting, where highly complex and uncertain medical data are available for patients to view. To better understand communicative behaviors and perceptions of the patient portal and how it is utilized in oncology, in-depth, semi-structured interviews were conducted with 48 participants: 35 patients and 13 oncologists. Thematic analysis identified that portals help to enhance participation during in-person consultations, increase patients' self-advocacy, and build rapport with providers. However, patients' comfort level with reviewing information via the portal depended upon the severity of the test. Oncologists worried about patient anxiety and widening health disparities, but acknowledged that the portal can motivate them to expedite communication about laboratory and scan results. As patient portals become more widely used in all medical settings, oncologists should become more engaged with how patients are viewing their medical information and consider the portal within the framework of patient-centered care by valuing patients' communication preferences. [ABSTRACT FROM AUTHOR]