患者健康素养是否会影响患者报告结果的测量完成方法在骨科患者中?
Timothy J Trotter1, David B Bumpass1, Simon C Mears1
1Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
患者的健康素养影响了PROMIS® CAT调查的完成. 低健康素养与较低的调查完成率和减少在线患者门户网站用于报告结果有关.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
- 卫生识字研究 卫生识字研究
背景情况:
- PROMIS®计算机自适应测试 (CAT) 追踪患者报告的结果措施 (PROM),以改善健康结果.
- 患者的健康素养 (HL) 可能会影响他们完成PROM调查的能力.
- 了解影响PROM完成的因素对于准确的健康数据收集至关重要.
研究的目的:
- 研究健康素养与完成PROMIS® CAT调查之间的关联.
- 为了确定健康素养是否会影响PROM完成的方法 (在线门户与临床).
主要方法:
- 对3926名骨科患者进行了回顾性队列研究.
- 逻辑双项回归分析了基于健康素养,人口统计和社会经济因素的完成率和方法.
- 收集了患者报告结果措施 (PROM) 完成数据.
主要成果:
- 55.2%的患者完成了PROM调查;26%的完成者使用了在线患者门户 (OPP).
- 低HL患者的非完成率高出23%,使用OPP的可能性降低63%.
- 与白人患者相比,黑人患者的非完成率高出25%,并且使用OPP的可能性比白人患者低49%.
结论:
- 健康素养,人口统计和社会经济地位显著影响PROM完成率和方法.
- 需要采取干预措施,以支持多样化和处境不利的患者群体准确完成PROM调查.
- 促进完整和准确的PROM反应对于改善患者的治疗结果至关重要.
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