在患有抑郁症的患者中使用安全消息:使用真实世界的数据进行分析
Seung-Min A Ko1, Eric J Warm2, Daniel P Schauer2
1Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
概括
患有抑郁症的患者比没有抑郁症的患者更多地使用安全消息 (SM) 远程医疗服务. 这个数字工具增强了沟通和资源配置,通过增加参与来支持心理健康需求.
科学领域:
- 数字健康数字健康
- 心理健康服务 心理健康服务
- 医疗信息学 医疗信息学
背景情况:
- 抑郁症是一种普遍存在的心理健康障碍,由于有限的获取和资源,治疗缺口很大.
- 安全消息传递 (SM) 为患者提供了一个数字解决方案,以沟通非紧急的医疗查询,弥合护理上的差距.
- 本研究研究了SM启动和交流作为自我护理健康管理中的关键参与模式.
研究的目的:
- 为了确定抑郁症患者与没有抑郁症的患者相比,是否更多地参与安全消息传递 (SM).
- 分析影响SM启动和正在进行的SM交流的因素.
- 评估SM远程医疗在支持有心理健康需求的患者中的作用.
主要方法:
- 来自主要学术医疗中心的患者门户数据分析 (2018年1月 - 2022年12月).
- 利用线性混合效应建模来分析安全消息 (SM) 启动和交换.
- 在五年时间内,研究了2629个邮政编码的患者参与度.
主要成果:
- 预测因素占SM启动的变异的25.1%,SM交换的变异的24.9%.
- 预测者显示,与SM交易所相比,与SM启动有更强的关联.
- 研究结果表明,影响SM使用的预测因素多方面的,有些人增强,有些人阻碍使用.
结论:
- 安全消息 (SM) 远程医疗服务显著支持有心理健康需求的患者,而不是没有.
- 通过SM,远程医疗改善了患者的访问,沟通和资源分配.
- 通过持续的交流,SM鼓励开始使用和持续参与,这有利于心理健康护理.
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