远程医疗导航程序对视频访问安排和完成在初级保健中的影响
Kevin Chen1,2, Kenan Katranji1, Khera Bailey1
1New York City Health + Hospitals, New York, NY, USA.
Journal of primary care & community health
|March 29, 2024
概括
实施远程医疗导航程序减少了视频访问的不出现,但没有显著改变视频访问的安排或完成率. 导航器可以帮助识别远程医疗服务的护理设计改进.
科学领域:
- 医疗保健管理的管理
- 远程医疗远程医疗
- 患者参与 患者参与
背景情况:
- 视频远程医疗访问给患者和临床医生带来了挑战.
- 患者导航在提高患者参与其他医疗保健环境方面已被证明是有效的.
- 实施了一项远程医疗导航程序,以解决视频访问参与的障碍.
研究的目的:
- 评估远程医疗导航程序对视频访问安排的影响.
- 评估对视频访问完成率的影响.
- 为了确定对未参加预定视频访问的影响.
主要方法:
- 准实验性质量改进项目,使用差异分析.
- 在13个月的时间内,包括来自17个成人初级保健中心的数据.
- 干预组接受了远程医疗导航员;对照组没有.
主要成果:
- 视频安排的远程医疗访问比例没有显著差异 (调整后的差异差异: -9.1%).
- 视频完成的远程医疗访问比例没有显著差异 (调整后的差异差异:1.3%).
- 观察到视频访问的非出席人数显著减少 (调整后的差异差异: -3.7%).
结论:
- 远程医疗导航员与较低的视频访问缺席率有关.
- 该计划并没有显著改善视频访问的安排或完成.
- 导航器的存在为优化远程医疗保健设计和患者支持提供了洞察力.
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