在大型综合医疗系统中,将患者门户消息作为电子访问的计费实施
Shannon M Dunlay1, Lindsey R Sangaralingham2, Michelle A Lampman2
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery and Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota (S.M.D.).
Annals of internal medicine
|January 2, 2025
概括
患者门户消息的电子访问计费导致消息量减少8.8%. 提供商认为收费是可以接受的,但注意到工作量增加,这表明对通信的影响很小.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康传播数字健康传播
- 医疗保健管理的管理
背景情况:
- 患者门户网站的消息传递显著增加,促使医疗机构探索实质性电子访问的计费.
- 这项研究解决了管理和潜在地货币化患者发起的电子通信的日益增长的需求.
研究的目的:
- 评估实施电子访问计费对患者发起的门户消息的影响.
- 评估与这种新的计费模型相关的提供者认知和系统级变化.
主要方法:
- 一种混合方法的方法,将回顾性前后分析与前性供应商调查相结合.
- 患者发起的医疗咨询信息量在电子访问计费实施之前和之后的比较.
- 在线调查评估提供者的经验和对电子访问计费流程的看法.
主要成果:
- 实施后观察到患者发起的医疗咨询信息减少了8.8% (P = 0.002).
- 只有0.3%的符合条件的消息被收费,这表明收费系统的普及程度有限.
- 在看到收费免责声明的患者和没有看到的患者之间,在紧急服务利用率上没有发现显著的差异.
- 提供商报告说,普遍接受,但担心与电子访问计费相关的工作量增加.
结论:
- 实施电子访问计费与患者门户信息量略有减少有关.
- 该系统在很大程度上是供应商可以接受的,尽管可能需要调整工作流程.
- 需要进一步的研究,以了解对患者参与和替代沟通道的更广泛影响.
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