在海地非传染性疾病患者中,短信提醒访问遵守:一项试点研究
Calixte Dawson1, Sarah M Morris2, Evyrna Toussaint1
1Zanmi Lasante, Croix-des-Bouquets, Ouest, Haiti.
PLOS global public health
|April 17, 2025
概括
短消息服务 (SMS) 文本提醒对于改善海地非传染性疾病 (NCD) 患者的诊所出院是可行的和可以接受的. 这些提醒很受欢迎,并鼓励出席,尽管电话接入和信号问题存在障碍.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 临床预约合规是管理慢性非传染性疾病 (NCD) 的重大全球挑战.
- 短消息服务 (SMS) 文本提醒在改善医疗保健出勤方面表现有希望,但尚未在海地进行评估.
- 米雷巴莱大学医院为非传染性疾病患者提供服务,包括高血压患者,2型糖尿病患者,心力衰竭患者和1型糖尿病患者.
研究的目的:
- 评估SMS文本提醒策略的可行性和可接受性,以改善海地中部NCD患者的诊所出院率.
- 识别收到SMS提醒的障碍及其对临床出诊的影响.
主要方法:
- 在Mirebalais大学医院进行了一项试点研究,其中NCD患者预定于2021年12月13日至22日之间的预约.
- 在预定的预约前3天和1天,向患者发送SMS提醒.
- 参加预约的患者完成了一项关于SMS提醒的有用性,可接受性和可行性的调查,并评估了障碍.
主要成果:
- 在96个预定预约中,91.2%的患者收到了短信提醒. 72名患者 (75%) 参加了他们的访问.
- 在那些收到SMS提醒并参加会议的人中,100%的人喜欢这些消息,97.2%的人希望未来收到消息,22.2%的人表示如果没有提醒,他们会错过预约.
- 收到短信的障碍包括不一致的蜂信号 (25%) 和缺乏电话接入 (22%),其中38.9%的非接收者改变了他们的电话号码,33.3%缺乏电话接入.
结论:
- 短信提醒是改善海地农村非传染性疾病诊所出院率的可行和可接受的干预措施.
- 短信策略受到患者的积极欢迎,并影响了一些人的出席决策.
- 解决诸如更新患者电话号码和确保电话接入等障碍对于更广泛地实施短信提醒系统至关重要.
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