概括
患者的健康计算能力影响了对患者报告的结果措施 (PROM) 的理解. 目前PROM的临床使用不考虑健康计算,这可能会限制其在改善骨科手术结果方面的有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
- 医疗信息学 医疗信息学
背景情况:
- 患者报告的结果测量 (PROM) 在临床环境中越来越多地使用.
- 患者的健康计算能力,即理解健康信息的能力,可能会影响PROM解释.
- 之前的研究强调了 Point-of-Care PROM 的好处,但没有强调数学的作用.
研究的目的:
- 调查患者健康计算能力与解释患者报告结果指标 (PROM) 能力之间的关联.
- 评估PROM数据的不同视觉显示如何影响患者的理解.
- 在临床实践中,特别是骨科中,为PROM的最佳实施提供信息.
主要方法:
- 从门诊骨科诊所招募了49名患者.
- 进行了一项调查,包括人口统计数据,简单的一般健康计数测试,以及在四种PROM显示格式 (条形图,表格,线形图,图形图) 上的准确性问题.
主要成果:
- 较高的健康计算能力与PROM显示的正确解释相关 (P=.016).
- 喜欢表格的患者在解释显示器时的准确性较低 (OR=0.013,P=.024).
- 最喜欢的是条形图和表格;患者更喜欢综合显示和口头讨论来理解PROM分数.
结论:
- 患者的健康计算能力对于准确解释视觉PROM数据至关重要.
- 目前的 point-of-care PROM 实施忽视了患者的健康算法.
- 在PROM使用中解决健康计算可能会提高其在改善骨科手术结果方面的有效性.
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