美国的以患者为中心的沟通,差异和患者门户,2017-2022年
Denise Anthony1, Celeste Campos-Castillo, Akira Nishii
1Department of Health Management and Policy, School of Public Health, University of Michigan, 1420 Washington Heights, M3174, Ann Arbor, MI 48109.
The American journal of managed care
|January 25, 2024
概括
以患者为中心的沟通影响了患者门户的提供和访问. 然而,这并不能解释成年保险人使用患者门户的人口差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
- 患者参与 患者参与
背景情况:
- 在线患者门户网站是越来越常见的医疗保健访问和沟通工具.
- 了解影响门户提供和使用的因素对于公平的数字健康实施至关重要.
- 以患者为中心的沟通可能会在弥合医疗保健中的数字沟方面发挥作用.
研究的目的:
- 检查以患者为中心的沟通与患者门户提供和使用之间的关联.
- 调查以患者为中心的沟通在保险成年人平等访问患者门户的作用.
- 确定与患者门户提供和访问相关的社会人口统计因素.
主要方法:
- 从健康信息国家趋势调查 (HINTS) 的四个周期 (2017-2022) 的数据分析.
- 包括美国的已成年保险患者.
- 多变量后勤回归用于评估以患者为中心的沟通,社会人口统计学特征和门户提供/访问之间的关联.
主要成果:
- 大约三分之二的保险成年人获得了患者门户网站,其中一半在2017-2022年期间访问了其中一个门户网站.
- 较低的以患者为中心的沟通,男性性别,西班牙裔种族,较低的教育程度和缺乏互联网接入与门户网站提供和访问的减少有关.
- 这些人口因素不太可能报告被提供或访问门户.
结论:
- 以患者为中心的沟通对于促进患者门户提供和访问很重要.
- 以患者为中心的沟通似乎不是患者门户使用人口差异的主要驱动因素.
- 需要进一步的研究,以解决患者门户网站利用中数字沟的根本原因.
相关概念视频
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:21Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:18Introduction To Health Care Delivery System
2.8K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.8K
01:19Standards of Care II
656
Nurses bear specific legal responsibilities under several federal statutes, including:
656