与患者门户参与耳鼻喉科相关的因素
Jesse K Siegel1, Chloe Verducci2, Agnes Hurtuk1
1Department of Otolaryngology-Head and Neck Surgery Loyola University Medical Center Maywood Illinois USA.
OTO open
|November 27, 2024
概括
在耳鼻喉科安排患者门户的使用在COVID-19后显著增加. 然而,差异仍然存在,老年,男性,非英语语言和网络之外的患者在线安排率较低.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 在线患者门户网站对于患者参与至关重要,在COVID-19后和21世纪治愈法案后的采用增加.
- 之前的研究表明,在各种医疗领域,患者门户网站在人口统计学中存在差异.
- 有限的研究存在于耳鼻喉科患者门户网站的使用,特别是关于COVID-19大流行的影响.
研究的目的:
- 调查患者门户网站在耳鼻喉科预约安排中的使用情况.
- 分析COVID-19大流行之前和之后在线安排的趋势.
- 为了识别耳鼻喉科患者门户使用的人口差异.
主要方法:
- 在2019年12月至2022年12月的单一三级护理门诊耳鼻喉诊所进行的回顾性研究.
- 使用单变量和多变量分析来评估患者在预约安排中的门户网站使用情况.
- 分析的人口因素包括性别,种族,年龄,主要语言,保险类型和初级保健医生身份.
主要成果:
- 在COVID-19大流行爆发后,在线安排显著增加 (10.7%对1.9%,P <.01).
- 多变量分析显示,男性,年龄<18或>65岁的患者,不说英语的患者,以及有外部PCP的患者 (P<0.01每人) 的在线安排可能性较低.
- 与商业保险患者相比,Medicare患者使用门户的几率更高 (P = .034).
结论:
- 在耳鼻喉科患者门户的使用在过去三年里大幅增长.
- 在不同的人口群体中,使用率存在显著差异.
- 有机会提高患者门户网站的可访问性和内容,以满足不同患者群体的需求.
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