远程医疗减少了错过预约,但差异仍然存在
Chinedum O Ojinnaka1, Lara Johnstun2, Anthony Dunnigan2
1College of Health Solutions, Arizona State University, Temple, Arizona.
American journal of preventive medicine
|February 19, 2024
概括
远程医疗预约与面对面的访问相比,显著减少了错过的预约. 这种虚拟护理方法为减少服务不足患者群体中没有出现的患者提供了最大的好处.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 健康 公平 卫生 公平
背景情况:
- 错过的预约 (没有出现) 会对医疗保健提供和患者的结果产生负面影响.
- 诸如劳动冲突和交通问题等障碍导致了高的无人出现率.
- COVID-19大流行加速了远程医疗的采用,为减少错过预约提供了一个潜在的解决方案.
研究的目的:
- 调查远程医疗与错过预约率之间的关联.
- 分析远程医疗如何影响安全网学术医疗中心的no-show事件.
主要方法:
- 使用电子健康记录的回顾性队列研究 (2020年3月至2022年12月).
- 分析包括474212个预约,比较了面对面和远程医疗访问.
- 用通用估计方程来评估约会类型和不出现率之间的关系.
主要成果:
- 远程医疗预约的没有出现率 (12%) 与面对面预约 (25%) 相比显著降低.
- 多变量分析证实远程医疗与不出现的可能性降低有关 (OR=0.40).
- 美国原住民和非西班牙裔黑人患者的不出现率减少最为明显.
结论:
- 远程医疗与错过预约的可能性降低有关.
- 远程医疗在减少无人出现方面的好处对于服务不足的种族和民族群体来说尤为重要.
- 增加远程医疗接入至关重要,特别是对弱势群体来说,以改善医疗保健公平.
相关概念视频
Issues 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
Current 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
Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
Barriers 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
Introduction To Health Care Delivery System
2.7K
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...
2.7K
Errors occurring during blood pressure monitoring
726
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
726


