一种经过实践验证的适应性病例管理方法,用于创新的医疗保健服务 (健康电路):集群随机临床试点和描述性观察性研究
Carmen Herranz1,2, Laura Martín-Moreno Banegas3, Fernando Dana Muzzio4
1Consorci d'Atenció Primaria de Salut Barcelona Esquerra, Barcelona, Spain.
Journal of medical Internet research
|June 14, 2023
概括
健康电路,一个数字健康工具,减少了医院再入院和改善了患者赋权. 这种适应性案例管理方法在试点研究中表现出良好的可用性和可接受性.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 数字健康工具对于保持护理连续性至关重要.
- 增强数字健康解决方案对于弥合信息差距和支持灵活的护理计划至关重要.
研究的目的:
- 介绍健康电路,一个适应性病例管理系统.
- 评估其对医疗保健,可用性和患者和专业人员接受度的影响.
主要方法:
- 一项试点随机临床试验 (n=100) 评估了Health Circuit对高风险患者的影响.
- 两项研究评估了高风险患者的可用性 (系统可用性量表) 和可接受性 (净促进者得分).
主要成果:
- 研究1:减少急诊室 (13%对44%) 和增强患者赋权 (P<.001).
- 研究1:良好的可用性 (SUS: 54/100) 和可接受性 (NPS: 31).
- 研究2:高可用性 (SUS:85/100) 和可接受性 (NPS:40;接受率:8.4/10).
结论:
- 健康电路显示出对医疗保健价值创造的承诺.
- 原型展示了良好的可用性和可接受性.
- 在现实环境中对已完成的系统进行进一步测试是有必要的.
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