默认批量订购和短信来扩大脂质查的覆盖范围:一项随机临床试验
Catherine Pollak1,2,3, Andrew Parambath1,4, Samantha Coratti1,5
1Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia.
JAMA cardiology
|January 29, 2025
概括
直接推广和批量订购脂质查的比率在3个月时增加,但在6个月时没有. 在这项研究中,短信提醒并没有进一步改善脂质检测的吸收率.
科学领域:
- 预防心血管疾病 预防心血管疾病
- 公共卫生干预 公共卫生干预
- 医疗保健服务研究 医疗服务研究
背景情况:
- 指南建议全面的脂质面板用于动脉样硬化心血管疾病风险评估.
- 推的脂质查的低吸收率在初级保健机构构成了挑战.
研究的目的:
- 评估直接推广策略的有效性,包括批量订单和短信,提高脂质查率.
- 评估这些干预措施对患者遵守脂质检测指南的影响.
主要方法:
- 在两个初级保健实践中进行了一项实用随机临床试验.
- 过期进行脂质查的患者被随机分配到通常的护理,直接与批量订单联系,或与批量订单和短信提醒联系.
- 在3个月内完成脂质面板是主要结果指标.
主要成果:
- 3个月后的脂质面板完成在直接外联和批量订单组 (15.7%) 与通常护理 (5.9%) 相比显著更高.
- 添加短信提醒并没有在3个月后显著增加脂质检测 (18.1%对15.7%).
- 在6个月的随访期间,在各组之间没有观察到脂质查率的显著差异.
结论:
- 与大批订单直接接触可以提高短期脂质查率,而不是通常的护理.
- 在这项干预中,短信提醒对脂质检测的吸收没有提供额外的好处.
- 不遵守的高率持续存在,这表明需要进一步制定战略来改善持续的脂质查.
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