基于自动文本信息的程序和急性医疗保健资源在出院后的使用:一项随机临床试验
Eric Bressman1,2,3, Judith A Long1,2,3, Robert E Burke1,2,3
1Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
JAMA network open
|April 2, 2024
概括
医院出院后自动发短信并没有减少初级保健患者的急性护理复诊. 这种过渡性护理干预与标准的电话随访相比没有显著差异.
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
- 过渡期护理是指过渡期护理.
背景情况:
- 释放后的外展对过渡期护理至关重要.
- 电话通话很常见,但劳动密集且有限.
- 自动短信为患者支持提供了一个可扩展的替代方案.
研究的目的:
- 为了评估30天的自动短信程序是否减少急性护理患者在初级保健患者出院后的重访.
- 评估数字健康工具在过渡期护理中的有效性.
主要方法:
- 一个双臂随机临床试验,涉及30个实践中的4736名初级保健患者.
- 干预组接受了30天的自动短信;对照组接受了标准的电话.
- 主要结局:急性护理复诊 (ED访问或再接收) 在出院后30天内.
主要成果:
- 在自动短信组 (23.9%) 和对照组 (23.4%) 之间,急性护理复诊没有显著差异.
- 再次检查的风险比为1.02 (95% CI,0.92-1.13).
- 在干预组中,79.5%的人参与了信息,41.9%的人发现了需求.
结论:
- 退院后30天的自动短信程序并没有显著减少急性护理复诊.
- 自动短信可能不能替代传统的外展来减少再接收.
- 需要进一步的研究来优化过渡期护理的数字干预措施.
相关概念视频
Discharge Summary Forms
754
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
754
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Health Information Technology and Healthcare Information System
837
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
837
Methods of Documentation VI: Case Management Model
571
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
571
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
SBAR I: Understanding the Concept
4.5K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.5K


