电子患者报告的结果措施用于分组和安排门诊预约:系统性审查和元分析
Chen He1, Yuelin Xia2, Ying Shan Cheung1
1Department of Medicine, National University Hospital, Singapore 119074, Singapore.
概括
电子患者报告结果测量 (ePROM) 有效地减少了慢性疾病的门诊预约. 这一系统性审查表明,ePROM可以提高调度灵活性,而不会对疾病控制产生负面影响.
科学领域:
- 医疗信息学 医疗信息学
- 临床试验方法论 临床试验方法论
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性疾病的有效管理需要优化患者的调度和监测.
- 传统的预约安排可能会导致医疗保健利用率低于最佳水平.
- 电子患者报告结果测量 (ePROM) 为患者参与和护理协调提供了一种新的方法.
研究的目的:
- 评估ePROMs在慢性病患者成年患者的分组和预约安排方面的有效性.
- 为了比较医疗保健利用,疾病控制和ePROMs促进的调度与传统实践之间的实施结果.
主要方法:
- 对随机对照试验 (RCT) 进行了系统的文献搜索,将灵活调度的ePROM与传统调度进行比较.
- 主要结局是医疗保健利用率,通过门诊医疗预约来衡量.
- 使用随机效应建模的元分析是在聚合数据上进行的.
主要成果:
- 包括17个涉及6469名患者的RCT,主要关注癌症和类风湿性关节炎.
- 10项研究中的6项显示,ePROM显著降低了平均物理预约数 (平均差异-1.12).
- 疾病控制结果显示出混合的结果,一些研究表明改善,而另一些则没有显著差异.
结论:
- ePROM是可行的,可接受的门诊诊疗程安排.
- 纳入ePROM可以减少身体预约,而不会影响疾病的结果.
- 电子记忆录可以指导门诊预约安排的决策.
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