护理团队对患者门户消息的反应的差异 根据患者的种族和种族
Mitchell Tang1,2, Rebecca G Mishuris3,4, Lily Payvandi5,6
1Harvard Graduate School of Arts and Sciences, Cambridge, Massachusetts.
JAMA network open
|March 18, 2024
概括
患者门户信息在COVID-19后增加. 护理团队对来自所有种族群体的信息做出了类似的反应,但少数群体的患者接受的医生反应较少,这表明潜在的护理不平等.
科学领域:
- 医疗信息学 医疗信息学
- 健康 公平 研究 健康 公平 研究
- 数字健康传播数字健康传播
背景情况:
- 患者门户消息在COVID-19大流行期间激增,并且仍然很高.
- 之前的研究表明,在种族/族裔少数群体中,患者门户网站的*使用*存在差异.
- 基于种族/种族的患者信息的护理团队 * 响应 * 的差异尚未得到充分理解.
研究的目的:
- 根据患者的种族和种族,调查护理团队对患者门户消息的反应的差异.
- 分析响应率和响应类型 (例如,主治医生与护士) 的差异.
主要方法:
- 来自安全网卫生系统的医疗建议信息线程的横截面研究 (2021年).
- 包括亚洲,黑人,西班牙裔和白人患者在2020年进行初级保健访问.
- 比较响应率和响应类型,控制患者和消息特征.
主要成果:
- 虽然总体响应的可能性相似,但响应类型因种族/种族而异.
- 黑人患者不太可能收到主治医生的反应,更有可能收到注册护士的反应.
- 与白人患者相比,亚洲人和西班牙裔患者中观察到类似的差异,尽管差异较小.
结论:
- 研究结果表明,在对患者门户消息进行分类时,可能存在种族/民族偏见.
- 护理团队反应的差异可能会影响护理准入和公平.
- 解决这些不平等问题对于优化数字健康沟通和确保公平的护理提供至关重要.
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