Web-based patient portals are increasingly part of the outpatient experience and help patients engage in their own care (1, 2). In contrast, finding examples of hospitalized patients using portals during their inpatient stays is difficult. For example, a recent systematic review of patient portals found 120 studies published since 2006, but they all involved outpatient portals; inpatient portals were not mentioned (3). In addition, a systematic review focusing on inpatient portals found only 4 examples (4). The first allowed patients to use their mobile phone to access their medical record as well as information about their care team. The second allowed patients to use an electronic tablet to view profiles of their care team and hospital medication record. The third allowed patients to use an electronic tablet to access their care plans as well as information on diet and safety. The fourth example was set in the emergency department, where patients could view their medical record on a large display mounted in their room. Although all 4 examples were associated with positive outcomes, none allowed patients to send messages to their care team or to add or modify information in their medical record, features that have been shown to enhance engagement (5, 6).

基于网络的患者门户越来越成为门诊经验的一部分，可以帮助患者进行自己的护理（1、2）。相反，很难找到在住院期间使用门户网站住院的患者的实例。例如，最近对患者门户网站的系统评价发现，自2006年以来发表了120项研究，但这些研究都涉及门诊门户网站。没有提到住院门户（3）。此外，针对住院门的系统评价仅发现了4个例子（4）。第一个允许患者使用手机访问他们的病历以及有关其护理团队的信息。第二个允许患者使用电子平板电脑查看其护理团队的资料和医院用药记录。第三个允许患者使用电子平板电脑访问他们的护理计划以及饮食和安全性信息。第四个例子是在急诊室，病人可以在房间里的大显示屏上查看病历。尽管所有四个示例均与阳性结果相关，但没有一个示例允许患者向其护理团队发送消息或在其病历中添加或修改信息，这些功能已被证明可以提高参与度（5、6）。