患者使用电子咨询作为其他全科医生服务的替代品:跨部门调查研究
Eli Kristiansen1,2, Helen Atherton3, Bjarne Austad4
1Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Journal of medical Internet research
|January 8, 2025
概括
电子咨询是患者最喜欢的访问途径,通常用于代替预约或电话. 患者期望快速响应,需要指导,以安全,适当使用数字卫生服务.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 一般实践 一般实践
背景情况:
- 电子咨询,或非同步的基于文本的消息,正在改变患者和GP的互动.
- 虽然改善了接入,但仍存在对GP工作量增加的担忧.
研究的目的:
- 了解患者的目的和对启动电子咨询的期望.
- 为了确定患者在没有电子咨询的情况下会采取的替代行动.
- 分析患者/电子咨询特征与替代行动之间的关联.
主要方法:
- 在挪威国家数字健康门户网站Helsenorge进行了基于网络的横截面调查.
- 在2023年1月至2月期间发送电子咨询的13011名用户被邀请.
- 多项逻辑回归分析了特征和替代行动之间的关联.
主要成果:
- 申请生病证明是最常见的原因 (38%).
- 大多数用户 (68.7%) 预计将在24小时内得到回复;17.7%预计将接受体检.
- 如果没有时间,45.5%的人会预约全科医生,44.9%的人会打电话给前台. 年轻的患者和旅行时间较长的患者更有可能不寻求护理.
结论:
- 电子咨询是主要的访问途径,用户期望得到快速响应.
- 它们是传统的全科医生预约和前台呼叫的替代品.
- 医生访问能力有限的患者更有可能使用电子咨询,而不是在办公时间以外的服务,或者放弃护理. 建议制定使用指南.
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