改善排放公平的工具:TIDE试点试验的协议
Kirsten Austad1,2, Cecilia Thai3, Alegna Zavatti4
1Department of Family Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
Contemporary clinical trials communications
|January 15, 2025
概括
改善出院公平的工具 (TIDE) 干预措施提供了患者喜欢的语言的出院说明. 这项试点研究旨在提高对非英语语言偏好患者的理解,并减少对非英语语言偏好患者的再入院.
科学领域:
- 卫生公平性健康公平性
- 患者安全 患者安全
- 实施科学 实施科学
背景情况:
- 大多数美国医院不会用患者喜欢的非英语语言提供出院说明.
- 这种差距增加了非英语语言偏好 (NELP) 患者的医疗错误和再入院的风险.
- 需要创新的解决方案来改善NELP患者的出院公平性.
研究的目的:
- 试点使用改善放任公平 (TIDE) 干预的工具.
- 评估对NELP患者语言一致的出院工具的有效性和实施.
- 为改善医院出院安全和公平的未来战略提供信息.
主要方法:
- 一个I型混合实施-有效性试点随机试验.
- 泰德的干预包括翻译的药物日历,图形图和释放指令的音频录音.
- 招募50名来自四大非英语语言群体 (西班牙语,海地克里奥尔语,佛得角克里奥尔语,越南语) 的患者及其护理团队.
主要成果:
- 患者回忆起初始诊断和理解出院指令,通过24点评分来衡量.
- 评估患者经验,干预措施的可接受性,可行性,适当性和临床有效性 (包括再入院).
- 混合方法评估,以确定干预吸收的决定因素.
结论:
- 潮干预是第一个旨在解决NELP患者出院需求的干预措施.
- 研究结果将指导未来的多层次实施策略,以加强医院出院安全和公平.
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