访问患者门户与糖尿病患者眼科检查完成率更高有关
Selin Gumustop1,2, Andrew Popelka3,4, David J Ramsey1,2
1Division of Ophthalmology, Department of Surgery, UMass Chan - Lahey School of Medicine, Burlington, MA, USA.
Ophthalmic epidemiology
|October 10, 2024
概括
每年进行糖尿病眼科检查对于预防视力损失至关重要,但完成率很低. 通过在线患者门户网站吸引患者,并确保定期进行初级保健访问,可以显著提高对这些重要查的遵守率.
科学领域:
- 眼科医生 眼科 眼科
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 每年进行糖尿病眼科检查对于早期发现和治疗糖尿病视网膜病变至关重要.
- 对于糖尿病患者 (DM) 坚持推的年度眼科检查仍然不理想,这可能会导致可预防的视力丧失.
- 确定影响这些检查完成率的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 评估与DM初级保健患者中每年糖尿病眼科检查完成率较高相关的因素.
- 确定在综合交付网络中遵守推的糖尿病眼科护理标准的关键预测因素.
主要方法:
- 一项回顾性,横截面研究分析了19901名18至75岁的DM初级保健患者的电子健康记录.
- 数据包括人口,社会医学和生物识别特征,以及医疗保健有效性数据和信息集 (HEDIS) 措施.
- 使用多变量逻辑回归来评估与在研究年内完成视网膜眼科检查相关的因素.
主要成果:
- 在2021年,只有35.15%的DM患者完成了眼科检查.
- 一次初级保健办公室访问 (aOR,3.525) 或前一年的眼科检查 (aOR,2.948) 是完成最强的预测因素.
- 激活的在线患者门户 (aOR,1.737) 也与更高的检查完成率有显著的相关性.
结论:
- 目前每年糖尿病人眼科检查的遵守率低得令人难以接受,这凸显了糖尿病护理方面的差距.
- 通过在线患者门户网站进行患者参与,这是一个有前途的策略,可以提高糖尿病患者对眼科检查的遵守率.
- 未来的干预措施应侧重于促进初级保健的使用,并利用数字健康工具来加强糖尿病眼科护理监测.
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