作为全面伴侣计划的一部分,e-PRO旨在减少秘鲁机构的急诊和住院住院
Patricia Rioja1, Rossana Ruiz2, Jhajaira Araujo3
1Department of Oncology, Clinica Oncosalud-Auna, Lima, Peru. patricia.rioja@auna.org.
在全面支持计划中实施电子患者报告结果 (e-PRO) 系统,大大减少了胃肠道癌患者的急诊室访问和非计划住院治疗.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 胃肠道 (GI) 癌症的治疗需要全面的支持,以有效地管理患者的需求.
- 整合像e-PRO系统这样的技术可以增强患者护理和简化资源利用.
研究的目的:
- 详细说明在肠道癌症患者的整体支持计划中实施电子PRO系统的细节.
- 评估该计划对卫生资源利用的影响,特别是急诊室访问 (ERV) 和非计划住院患者入院 (NIA).
主要方法:
- 在参与综合伴侣计划 (CCP) 的胃肠道癌症患者中进行了一项回顾性队列研究.
- 该CPT包括一个e-PRO平台,提交调查和教育资源.
- 使用发病率 (IR),IR比率 (IRR) 和时间到事件分析 (Kaplan-Meier) 来比较注册和非注册患者之间的结果.
主要成果:
- 在CPC中的患者显示ERV下降21% (IRR0.79,p=0.05) 和NIA下降32% (IRR0.68,p=0.04).
- 在CCP集团中,ERV率从2.42降至1.90人/年,NIA率从1.09降至0.74人/年.
- 两组之间在第一次ERV或NIA的时间内没有观察到任何显著差异.
结论:
- 整合到一个全面的支持计划中的e-PRO系统的实施是可行的.
- 这种综合方法表明,有很大的潜力减少医疗保健资源在肠道癌症患者护理的利用率.
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