一个全系统的方法,以数字公平:在初级保健数字接入协调员计划在初级保健
Jorge A Rodriguez1,2, Michelle Zelen3, Jessica Szulak3
1Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA 02120, United States.
一个数字导航程序成功地将61%的患者注册到患者门户,解决了数字差距并促进了健康公平. 这一举措强调了数字素养支持的重要性.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平 数字健康
- 患者参与 患者参与
背景情况:
- 随着COVID-19的流行,数字健康工具的采用加速了,这暴露了显著的数字差异.
- 解决这些数字素养差距对于公平获得医疗保健至关重要.
研究的目的:
- 评估全系统数字导航程序在改善患者门户注册方面的有效性.
- 确定实施数字导航计划的关键策略.
主要方法:
- 实施数字访问协调员 (DAC) 计划,雇用12名多语言导航员.
- 该计划部署在一家初级保健网络中,为125万名患者和1211名临床医生提供服务.
主要成果:
- 接触了16045名患者,其中13413人成功联系.
- 实现了61%的患者门户注册率 (8193名患者).
- 在7家诊所观察到显著的入学率增加 (平均21.3%),特别有利于西班牙裔和英语/西班牙语人口.
结论:
- 数字导航程序对于支持患者门户注册至关重要.
- 优先考虑此类计划是推动数字健康公平的关键策略.
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