在Nudge研究中,临床药剂师收到的患者问题描述
Joel C Marrs1, Steven T Orlando2, Joseph J Saseen3
1Department of Clinical Pharmacy and Translational Science, University of Tennessee Health Science Center, Nashville, TN, and Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
概括
针对药物补充的优化文本提醒导致临床药剂师对患者提出更多问题,这表明参与度增加. 大多数问题涉及药物和补充物流.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
背景情况:
- 药物坚持对于慢性疾病管理至关重要.
- 短信提醒是一个常见的数字健康工具,以提高遵守.
- 了解患者与这些提醒的互动是优化其有效性的关键.
研究的目的:
- 确定在收到短信药物补充提醒后发送给临床药剂师 (CP) 的患者问题频率和类型.
- 在不同的文字提醒策略中比较问题率.
主要方法:
- 一个患者级随机试验 (The Nudge Study) 比较了四个分支:常规护理,通用文本,优化文本和优化文本加聊天机器人.
- 患者来自丹佛卫生和医院管理局 (DHHA) 和退伍军人事务东科罗拉多医疗保健系统 (VA ECHCS).
- 对响应文本或交互式语音响应 (IVR) 消息的患者进行了分析,以便向CP提交问题.
主要成果:
- 在6325名患者中,3323人 (52.5%) 回应了信息;305人 (9.2%) 提出了问题.
- 问题主要与药物相关 (48.2%) 和补充物流 (38.4%).
- 接受优化文本或优化文本加聊天机器人的患者更有可能提出问题.
结论:
- 药物补充的短信干预措施对临床药剂师产生了很少的患者问题.
- 优化的文本提醒,特别是那些具有聊天机器人功能的人,增加了患者的问题.
- 这表明,优化的文本提醒可能会提高患者对其健康状况的参与度.
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