安全消息传递:示范和注册患者门户程序:患者门户在脆弱人群中使用
Melinda Short-Russell1, Julie Thompson, Julee Waldrop
1Author Affiliation: Duke University School of Nursing, Durham, NC.
Computers, informatics, nursing : CIN
|January 11, 2024
概括
患者门户可以改善弱势群体获得医疗保健的机会. 在这个服务不足的群体中,提供实践援助显著提高了患者门户的采用率和后续遵守率.
科学领域:
- 卫生公平性健康公平性
- 数字健康可访问性 数字健康可访问性
- 质量改善举措 质量改善举措
背景情况:
- 弱势群体在获得优质医疗保健方面遇到重大障碍,导致健康不良结果的风险更高.
- 患者门户和安全消息提供了潜在的解决方案,以提高患者参与,护理准入和遵守医疗建议.
- 减少医疗保健差异需要有针对性的质量改进战略,以确保数字卫生工具带来的公平利益.
研究的目的:
- 增加患者门户注册和在弱势患者群体中安全使用消息.
- 改善使用该门户的患者遵守后续预约的情况.
- 评估患者对患者门户系统的满意度.
主要方法:
- 在一个没有先前患者门户注册的实践场所,在8周的时间内实施了一项质量改进计划.
- 为符合条件的患者提供了直接的,一对一的演示和技术援助.
- 追踪了患者注册率,安全消息使用率和后续预约出席率.
主要成果:
- 61%的受邀患者在8周内注册了患者门户; 85%的这些患者是医疗补助或保险不足的医疗补助领取者.
- 8名患者积极使用安全消息功能.
- 与未被录取的患者相比,被录取的患者显示了更高的随访预约出席率.
- 大多数受访患者对患者门户体验表示满意.
结论:
- 在弱势群体中,通过个性化,实践性的支持,可以成功地增加患者门户的采用和利用.
- 有针对性的干预措施有效地弥合了弱势群体获得医疗保健的数字沟.
- 当患者门户可访问时,可以对脆弱患者的坚持和健康结果产生积极影响.
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