缺席预约和对导航程序感兴趣的玻璃眼患者的护理障碍
Lauren M Wasser1,2, Todd M Bear3,4, Matthew Sommers1
1Department of Ophthalmology, University of Pittsburgh School of Medicine.
Journal of glaucoma
|November 17, 2023
概括
错过预约的玻璃眼患者面临着交通和成本等障碍. 一个病人导航程序可以帮助解决社会需求,并重新参与患者的护理.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
背景情况:
- 绿眼的治疗需要对患者进行持续的随访.
- 错过的预约在绿眼的护理中是一个重大挑战.
- 健康的社会决定因素会影响患者遵守治疗计划.
研究的目的:
- 为了识别障碍,以照顾错过预约的玻璃眼患者.
- 评估患者对患者导航程序的兴趣.
- 了解社会风险因素在约会遵守中的作用.
主要方法:
- 在一个学术眼科中心错过预约的成年玻璃眼病患者的横截面调查.
- 收集关于错过预约的原因,护理障碍,社会风险因素和对患者导航感兴趣的数据.
- 统计分析以确定风险因素与航行兴趣之间的关联.
主要成果:
- 主要障碍包括预约安排困难,运输问题和成本问题.
- 超过一半的受访者报告至少有一个社会风险因素.
- 在社会风险因素和对患者导航的兴趣之间发现了显著的关联 (OR=6.7,P=0.009).
- 三分之一的患者对患者导航程序表示兴趣.
结论:
- 错过预约的玻璃眼患者会遇到重大障碍和社会风险.
- 患者导航计划显示出解决社会需求和改善参与度的前景.
- 针对性的外展,如电话,可能有助于重新参与患者在他们的眼治疗.
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