使用基于网络的患者参与平台在艾滋病毒初级保健中的保留:多州病例控制研究
Adam Carl Sukhija-Cohen1, Henna Patani2, Michael Foxworth Blasingame3
1Sutter Health, Palo Alto Medical Foundation Research Institute, Palo Alto, CA, United States.
Journal of medical Internet research
|October 2, 2024
概括
像短信提醒和患者门户网站这样的数字工具显著改善了艾滋病毒感染者的预约完成. 这提高了在护理中的保留,并有助于控制艾滋病毒流行病.
科学领域:
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
- 艾滋病毒 医学 艾滋病毒 医学
背景情况:
- 保持在艾滋病毒护理中对于病毒抑制和预防传播至关重要.
- 预约安排和确认的传统方法依赖于电话.
- 一个数字平台 (Healthvana) 试点发送SMS提醒,并提供一个患者门户预约和实验室结果访问.
研究的目的:
- 评估短信预约提醒和基于网络的患者门户网站在改善艾滋病毒护理中的保留方面的有效性.
- 将数字干预策略与患者参与的传统方法进行比较.
主要方法:
- 在61个中心对40028名艾滋病毒患者进行了回顾性分析.
- 该研究将使用Healthvana数字平台的患者与使用传统方法的患者进行了比较.
- 二元物流回归模型评估了短信提醒和门户登录对预约完成的影响.
主要成果:
- 收到SMS提醒的患者完成预定预约的可能性是1.6-1.8倍.
- 登录患者门户的患者完成预定预约的可能性是2.8-7.4倍.
- 短信提醒和患者门户的使用都显示出在预约完成方面具有统计学意义的改善 (P<.001).
结论:
- 参与Healthvana的数字平台显著增加了艾滋病毒初级保健预约的完成率.
- 数字技术干预是改善患者执法和打击艾滋病毒流行病的重要工具.
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