医疗保健中预约类型与患者报告经验措施的关联:基于人口的调查研究
Tarja Heponiemi1, Emma Kainiemi2, Lotta Virtanen2
1Finnish Institute for Health and Welfare, P.O. Box 30, Helsinki, 00271, Finland. tarja.heponiemi@thl.fi.
远程咨询,特别是电话咨询,往往提供较少的时间和较少的机会,患者的问题和参与相比面对面的访问. 医疗保健提供者应该提高远程咨询的质量,以更好地满足患者的需求.
科学领域:
- 医疗保健质量评估 医疗保健质量评估
- 数字卫生服务评估数字卫生服务评估
背景情况:
- 医疗保健接入的挑战推动了远程咨询的采用.
- 患者报告经验指标 (PREMs) 衡量护理质量.
- PREMs涵盖了沟通,参与和时间充足.
研究的目的:
- 评估预约类型 (面对面,电话,数字) 如何影响患者体验.
- 调查服务业和医疗保健专业人员对患者体验的影响.
- 确定影响与任命质量相关的PREMs的因素.
主要方法:
- 利用了来自健康芬兰调查的数据 (N=22,665).
- 采用复杂样本的物流回归分析.
- 检查了任命类型,部门,专业和PREM之间的关联,调整为人口统计和健康状况.
主要成果:
- 与面对面访问相比,电话和数字预约的机会较高,时间不够,问题机会有限,需求未得到满足.
- 在所有测量的方面,电话咨询与较差的患者体验特别相关.
- 患者报告说,在卫生中心和医生那里的体验更糟.
结论:
- 电话咨询,特别是以电话为基础的电话咨询,在时间分配,参与和需要满足方面可能与面对面的访问不匹配.
- 调查结果强调需要改善远程咨询的规划和交付.
- 医疗保健提供者和中心应专注于提高数字护理环境中的时间管理,患者参与和响应能力.
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