在门诊整合性健康和医学中实施基于纸质的患者报告结果收集
Roshini Srinivasan1,2, Samuel N Rodgers-Melnick1,3, Rachael L Rivard1,4
1Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH, United States of America.
在整合性健康和医学 (IHM) 诊所收集患者报告的结果 (PRO) 是可行的,但遭遇后数据收集存在挑战. 提供商和运营因素显著影响PRO完成率.
科学领域:
- 整合性健康与医学
- 患者报告的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 门诊整合性健康和医学 (IHM) 诊所提供各种服务,包括手术,针和骨科医疗操纵.
- 收集患者报告的结果 (PRO) 对于评估治疗有效性和患者体验至关重要.
研究的目的:
- 评估在门诊IHM环境中收集遭遇前后PRO的可行性.
- 确定影响PRO措施成功完成的因素.
主要方法:
- 在18个月内,四家诊所对27,464例门诊IHM遭遇进行了回顾性审查.
- 患者填写了有关疼痛,焦虑和压力的纸质问卷,这些问卷在遭遇前和之后.
- 一般化的线性混合效应回归模型分析了与PRO完成相关的因素.
主要成果:
- 在5587名患者中,79.6%完成了接触前的PRO,53.6%完成了配对的 (接触前和后) PRO.
- 提供者,操作和临床因素对PRO完成产生了更大的影响,而不是患者层面的因素.
- 女性患者,那些有额外的IHM遭遇,以及那些有疼痛或焦虑投诉的人更有可能完成前遭遇的PROs.
结论:
- 在门诊IHM设置中,基于纸质的PRO收集系统是可行的,尽管遭遇后的收集具有挑战性.
- 利用电子健康记录和患者门户网站可以优化PRO收集.
- 未来的努力应专注于改善患者和提供者参与,以加强PRO数据捕获.
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