调查出院后短信计划与患者体验,再接收和再访率的结果之间的患者参与关系
Courtenay Bruce1, Theresa Pinn-Kirkland2, Adam Meyers3
1System Patient Experience, Houston Methodist, Houston, Texas, USA crbruce@houstonmethodist.org.
BMJ open
|March 14, 2024
概括
患者参与出院后的短信计划改善了医院对医疗保健提供者和系统 (HCAHPS) 的消费者评估得分,并减少了再入院和再访. 这项短信计划提高了患者的护理和资源利用率.
科学领域:
- 医疗信息学 医疗信息学
- 患者参与 患者参与
- 医疗保健操作 医疗保健操作
背景情况:
- 出院后的患者参与对于改善健康结果和减少医院再入院至关重要.
- 短信程序为患者的沟通和支持提供了一个可扩展和可访问的方法.
- 关于双向短信对患者体验和急性护理利用的影响的研究有限.
研究的目的:
- 评估患者参与退院后的短信计划与HCAHPS分数,再录取和再访率之间的关联.
- 确定在大型卫生系统内实施此类短信计划的操作和临床考虑因素.
主要方法:
- 一个回顾性,观察性队列研究比较了参与 (3+文本) 和非参与 (0-2文本) 患者.
- 从2022年12月到2023年5月,在一个学术和六家社区医院收集了数据.
- 统计分析包括t测试,奇平方测试和混合效应物流回归模型.
主要成果:
- 与没有参与的患者相比,参与的患者在所有领域都显示出更高的HCAHPS得分.
- 参与的队列经历了29%更少的再接收和20%更少的再访.
- 在大多数参与的医院中,观察到统计学上显著的改善.
结论:
- 患者参与双向出院后的短信与改善HCAHPS得分和减少急性护理资源利用有关.
- 这项研究是首次记录了基于文本的放学后计划与HCAHPS分数之间的联系.
- 对医院出院后护理的各种短信模式进行进一步的研究是有必要的.
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