服务质量和居民对便利自助服务基金疾病查的偏好:跨部门研究
Senlin Lin1,2,3, Yingyan Ma1,2,3,4, Yanwei Jiang5
1Shanghai Eye Diseases Prevention &Treatment Center/ Shanghai Eye Hospital, School of Medicine, Tongji University, Shanghai, China.
Journal of medical Internet research
|April 17, 2024
概括
自助式眼科查提供了与手动方法相比的质量,但面临着较低的患者偏好. 建立信任是采用新数字健康技术的关键.
科学领域:
- 眼科和公共卫生.
- 数字卫生技术数字卫生技术
- 提供医疗保健服务 提供医疗保健服务
背景情况:
- 眼球底部摄影对于查眼睛疾病至关重要.
- 在中国上海开发了一种使用自动化 fundus 摄像头的自助式眼睛查系统,以解决医疗保健劳动力短缺问题.
- 这种新的自助服务模式的服务质量和患者偏好在很大程度上尚未评估.
研究的目的:
- 为了比较服务质量和患者偏好之间的自助服务和传统的手动查.
- 调查查服务质量与患者偏好之间的相关性.
主要方法:
- 上海的一项横截面研究比较了一组自助服务组和一组传统手动查对照组.
- 根据图像质量,查效率,生理不适,安全性,方便性和可信度来评估服务质量.
- 评估了患者对未来查的偏好,使用奇平方测试和泛化逻辑模型进行子组分析.
主要成果:
- 在服务质量指标 (图像质量,效率,舒适性,安全性,方便性,可信度) 中,自助服务和手工组之间没有发现显著差异.
- 然而,在自助服务组中,显著较少的参与者表示愿意在未来的查中使用相同的方法 (P<.001).
- 对自助服务系统的不信任被确定为增加未来查拒绝可能性的因素 (P=.02).
结论:
- 简化自助式基金查显示了良好的服务质量,但很难立即将患者的偏好从既定的手动方法转移.
- 医疗保健的数字化转型需要谨慎的方法,优先考虑个体患者的需求和建立信任.
- 未来的进步应该集中在人机协作和个性化健康管理解决方案上.
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