经验与决策辅助对患者对虚拟护理的偏好的影响
Aaron R Prater1,2, Jack T McConnell1,2, Nikhil R Yedulla1,2
1Department of Orthopedic Surgery, Henry Ford Health, Detroit, Michigan, USA.
Telemedicine reports
|April 1, 2024
概括
患者体验,而不是决策辅助工具,大多数影响虚拟护理偏好. 以前的虚拟护理使用导致了更有利的观点,强调了鼓励患者参与虚拟卫生服务的重要性.
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
- 患者教育 患者教育
背景情况:
- 虚拟护理的使用正在增加,需要有效的患者信息策略.
- 决策辅助工具 (DA) 的目的是支持患者在医疗保健方面做出明智的选择.
- 了解影响虚拟护理偏好的因素对于采用至关重要.
研究的目的:
- 为了比较虚拟护理决策辅助 (DA) 与教育和影响患者偏好的先前经验的有效性.
- 评估虚拟护理知识和偏好如何受到DA和患者病史的影响.
主要方法:
- 150名骨科患者被分为三个组:之前的虚拟护理用户 (组1),DA的个人 (组2) 和没有DA的个人 (组3).
- 第1组和第3组完成了远程医疗满意度调查问卷 (TSQ). 第二组在TSQ之前接受了虚拟护理DA和知识测试.
- 第二组和第三组以前没有虚拟护理经验.
主要成果:
- 使用DA的患者在4个领域中的3个领域表现出更好的知识,但与非DA组相比,他们对虚拟护理的偏好没有增加.
- 所有队伍都报告了对虚拟护理的积极看法,原因各不相同.
- 之前有虚拟护理经验的患者 (第一组) 在大多数TSQ问题上报告了最有利的观点.
结论:
- 患者以前与虚拟护理的经验是偏好的主要驱动因素,超过了决策辅助工具对偏好的影响.
- 虽然DAs提高了虚拟护理知识,但它们不一定会增加患者的偏好.
- 专注于促进虚拟护理的初始患者体验是增加其采用的关键.
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