在瘤学远程医疗中实施患者报告结果仪表板:临床医生和患者的采用和可接受性
Nisha A Mohindra1,2, Ava Coughlin3, Sheetal Kircher1,2
1Division of Hematology and Oncology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.
JCO oncology practice
|January 11, 2024
概括
在远程医疗中实施患者报告的结果仪表板是可行的. 针对患者和临床医生的有针对性的策略提高了采用和接受度,在虚拟访问期间加强了沟通和共享决策.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 远程医疗远程医疗
背景情况:
- 远程医疗提供了好处,但在沟通和症状评估方面面临着挑战.
- 患者报告结果 (PRO) 仪表板有可能改善虚拟护理沟通和共享决策 (SDM).
研究的目的:
- 识别在远程医疗中使用PRO仪表板的障碍.
- 开发和完善用于PRO仪表板集成的实施策略.
- 在两个实践设置中试点测试PRO仪表板,以评估可接受性,采用性,忠实性和有效性.
主要方法:
- 混合方法方法包括患者和临床医生的访谈.
- 基于利益相关者反的实施策略的反复改进.
- 试点研究评估仪表板的使用,可接受性,采用性,忠实性和SDM通过collaboRATE措施.
主要成果:
- 60%的患者完成了PRO数据;80%的遭遇涉及临床医生审查.
- 协作仪表板审查发生在27%的遭遇中,SDM得分高 (平均3.40/4).
- 成功的实施策略包括患者参与,教育,远程完成PRO,临床医生教育和实践便利.
结论:
- 将PRO仪表板集成到远程医疗中是可以实现的,只要患者和临床医生可以接受采用.
- 涉及患者和临床医生的多方面的策略对于有效地将PRO整合到远程医疗中至关重要.
- 这种方法增强了虚拟护理环境中的沟通和共享决策.
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