在"21世纪疗法法"法案之后,未经请求的患者投诉信息封锁规则
Robert J Dambrino1,2, Henry J Domenico3,4, John A Graves2
1Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
JAMA health forum
|September 29, 2023
概括
根据"21世纪治疗法" (IBR) 的信息封锁规则,未经要求的患者投诉 (UPC) 对于医生护理并没有增加. 分析UPC可以帮助准备患者在临床医生审查之前立即获得健康信息.
科学领域:
- 医疗信息学 医疗信息学
- 患者体验 患者体验
- 医疗保健政策 医疗保健政策
背景情况:
- "21世纪治疗法"引入了一项信息屏蔽规则 (IBR),要求患者立即访问电子健康记录.
- 这引发了人们对潜在的患者困惑和在临床医生咨询之前增加的无需患者投诉 (UPC) 的担忧.
研究的目的:
- 评估IBR实施对医生相关UPC频率的影响.
- 在UPC中识别主题,这些主题可能表明患者由于立即获取信息而感到困惑或痛苦.
主要方法:
- 一项回顾性队列研究分析了从2020年1月到2022年6月在一个学术医疗中心的UPC.
- 间断时间序列分析比较了IBR实施前 (2020年1月至2021年1月) 和之后 (2021年1月至2022年6月) 的月度UPC利率.
- 定性分析检查了IBR实施后的UPC主题.
主要成果:
- 在研究期间,共记录了8495个UPC.
- 在IBR实施之前和之后,每月每1000名患者遇到的UPC的月率没有发现统计学上显著的差异 (P=.86).
- 分段回归分析也显示每月UPC没有显著变化 (P=.72).
结论:
- 治疗法案IBR的实施与每月未经请求的患者投诉的增加无关.
- 积极审查潜在的IBR相关投诉可以帮助医疗机构为患者准备及时获得结果.
- 这表明,患者教育和支持系统可以减轻立即获得健康信息的潜在负面影响.
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