患者参与自动化出院后短信程序,以改善护理过渡
Hassan Fakhoury1, Ricardo Trochez1,2, Sunil Kripalani1,2
1Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Journal of hospital medicine
|March 18, 2024
概括
在医院出院后,患者参与自动短信程序对于防止再入院至关重要. 然而,参与度因患者特征而异,在某些人口和健康素养群体中观察到的响应率较低.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 患者监测技术的使用.
- 医疗保健信息学是一种医疗信息学.
背景情况:
- 自动化短信显示出对出院后患者监测和减少医院再入院的承诺.
- 有限的数据存在于患者参与水平和影响因素在这些计划.
研究的目的:
- 为了检查患者的参与度随着时间的推移,在30天的退院后发短信计划中.
- 为了确定与不同参与水平 (响应率) 相关的患者特征.
主要方法:
- 分析了1324名患者的数据,这些患者参加了一所大学医院的退院后短信计划.
- 作为对短信的响应率的操作化参与.
- 检查了参与趋势和与患者人口统计学,健康素养和患者门户网站使用相关的响应率.
主要成果:
- 63%的患者 (838/1324) 完成了为期30天的计划.
- 平均应答率为33%,并在研究期间下降.
- 较低的响应率与男性患者,黑人/非洲裔美国患者,较低的健康素养和不经常使用患者门户相关.
结论:
- 患者参与自动化出院后短信程序是可变的.
- 特定的患者群体,包括男性,黑人/非洲裔美国人,健康素养较低的患者和不经常的门户用户,表现出较低的参与度.
- 需要进行进一步的研究,以了解和优化数字健康监测中不同患者群体的参与.
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