开发和整合患者报告的措施到电子卫生系统:试点可行性研究
Goda Elizabeta Vaitkevičienė1,2, Karolis Ažukaitis2,3, Augustina Jankauskienė2,3
1Center of Pediatric Oncology and Hematology, Vilnius University Hospital Santaros Klinikos, 08406 Vilnius, Lithuania.
Healthcare (Basel, Switzerland)
|August 26, 2023
概括
这项研究开发了一种新工具,可以在整个医疗保健过程中收集患者的反,证明了这一点.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验测量 患者体验测量
- 数字健康数字健康
背景情况:
- 以患者为中心的护理至关重要,但收集全面的患者反,特别是在复杂的条件下,是具有挑战性的.
- 现有的方法往往无法在一个单一点上捕捉完整的患者旅程.
- 需要综合工具来收集患者报告的结果和经验.
研究的目的:
- 开发和试验一种用于收集患者报告结果测量 (PROM) 和患者报告体验测量 (PREM) 的新型仪器,涵盖整个患者旅程.
- 将该仪器集成到医院信息系统 (HIS) 中.
- 评估这种方法在患有脏和血液病的成年患者中的可行性和相关性.
主要方法:
- 开发一个结合原始PREM问题和EQ-5D-5L问卷的工具.
- 将使用REDCap软件的电子问卷集成到HIS.
- 与成年患者进行的试点可行性研究,包括电子与纸质管理的比较.
主要成果:
- 综合仪器的试点试验成功,证明了可行性.
- 电子问卷的总体响应率为57.1%,完成时间为2.0分钟 (PROM) 和3.7分钟 (PREM).
- 心理/社会服务和初级保健设置被确定为改善的关键领域;PREM维度与PROM响应相关.
结论:
- 开发的综合PROM和PREM采集方法是可行的,并且可能与了解患者旅程有关.
- 建议在不同的医疗保健机构进行更大规模的研究来验证这些发现.
- 这种方法提供了一种有前途的方法,可以有效地捕获全面的患者反.
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