This paper aimed to determine whether there was a connection between patient’s perception of communication with their doctors in the visit and their use of online health information exchange using a nationally representative survey. We used the data from the Health Information National Trends survey pooled HINTS4 Cycle 4 data and assessed outcomes using logistic regression modeling composite communication scores as a continuous variable. We weighted participants to create population-level estimates. We adjusted for age, gender, race, and census region. The 3677 patients were included in the analysis who had an outpatient visit within the previous 12 months. In unadjusted analysis and analysis adjusted for demographic factors, patients who experienced higher communication scores were more likely to use online health information exchange with their providers. In unadjusted analysis, patients had 0.04 higher odds of interest in receiving appointment reminders from health care providers electronically (OR = 1.04 and $p=0.01$ ) and 0.03 higher odds of interest in receiving general health tips (OR = 1.03 and $p=0.04$ ) for every score increase in the communication summary score. In adjusted model, for each score increment in the communication score, patients were 7% more inclined to receive appointment reminders ( $p< 0.05$ ), 4% more inclined to receive general health tips ( $p=0.02$ ), and 4% more likely to exchange information about lifestyle behaviors ( $p=0.02$ ). Findings suggest that the quality of the communication in the visit might increase use of informatics tool to exchange health information.

中文翻译：

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以患者为中心的通信和电子健康信息交换模式：来自全国横断面调查的结果

本文旨在通过一项具有全国代表性的调查来确定患者在就诊期间与医生交流的看法与他们使用在线健康信息交换之间是否存在联系。我们使用了来自 Health Information National Trends 调查的数据，汇集了 HINTS4 Cycle 4 数据，并使用逻辑回归建模复合通信分数作为连续变量来评估结果。我们对参与者进行加权以创建人口水平的估计。我们根据年龄、性别、种族和人口普查地区进行了调整。3677 名在过去 12 个月内进行过门诊就诊的患者被纳入分析。在未调整的分析和针对人口因素调整的分析中，沟通得分较高的患者更有可能与提供者进行在线健康信息交换。在未经调整的分析中，患者以电子方式接收医疗保健提供者的预约提醒的可能性高 0.04（OR = 1.04 和 $p=0.01$ ) 和 0.03 更高的几率获得一般健康提示（OR = 1.03 和 $p=0.04$ ) 对于通信摘要分数的每一个分数增加。在调整后的模型中，沟通分数每增加一个分数，患者收到预约提醒的倾向就会增加 7%（ $p<0.05$ ), 4% 更倾向于接受一般健康提示 ( $p=0.02$ )，并且交流有关生活方式行为的信息的可能性增加 4% ( $p=0.02$ ）。结果表明，访问中的交流质量可能会增加信息学工具的使用，以交换健康信息。