在手术后自动化患者报告的结果措施
Fady Y Hijji1, Daniel A London2, Andrew D Schneider1
1Department of Orthopedic Surgery, Wright State Boonshoft School of Medicine, Dayton, OH.
The Journal of hand surgery
|May 31, 2023
概括
自动化电子患者报告结果测量 (ePROM) 有效地收集手术后的患者数据. 不完整的ePROM反应与较差的结果和较低的满意度相关.
科学领域:
- 整形外科手术 整形外科手术
- 医疗信息学 医疗信息学
- 患者报告的结果
背景情况:
- 基于价值的医疗保健中,患者报告的结果测量 (PROM) 越来越重要.
- 电子PROM (ePROM) 为收集患者指标提供了一个有前途的方法.
- 使用ePROMs可以有效地监测手术结果.
研究的目的:
- 评估手部手术患者的应答率,使用电子患者报告结果测量 (ePROM).
- 为了确定手术后与ePROM完成相关的患者特征.
- 评估ePROMs在手术后续的临床实用性.
主要方法:
- 一个符合HIPAA的基于网络的系统分发了ePROM (疼痛的VAS,QuickDASH) 给五个机构的手术患者.
- 符合条件的患者 (≥18岁) 在术后3,6,12,24周和52周接受ePROM.
- 通过同步问卷来评估患者的满意度.
主要成果:
- 在6458名符合条件的患者中,70%完成了至少一个ePROM;28%完成了全部五个.
- 在随访期间,不完全响应者具有更高的基线QuickDASH得分和更差的结果 (VAS,QuickDASH).
- 不完全响应的人不太可能对他们的手术感到满意,而且更有可能拥有工人赔偿保险.
结论:
- 基于电子邮件的自动化ePROM系统在手术中有效地分发调查.
- 电子PROM显示出临床应用的潜力,特别是在门诊环境中.
- ePROM 增强了患者指标的收集,支持基于价值的护理计划.
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