数字护理计划推动改善初级保健结果
Mitesh S Patel1, Thomas A Aloia1, Aaron G Shoemaker1
1Ascension, St. Louis.
NEJM evidence
|May 27, 2025
概括
数字护理计划的推动并没有显著增加在初级保健访问期间解决的预防性护理差距. 然而,它在改善长期护理差距和改善患者预约参与方面表现有希望.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 预防性护理 预防性护理
- 主要护理是指初级护理.
背景情况:
- 在美国,预防性护理服务的利用不足.
- 数字护理计划的推动可能会鼓励患者在初级保健访问期间解决护理缺口.
研究的目的:
- 为了评估数字护理计划的有效性,推动改善在初级保健访问期间解决预防性护理缺口.
主要方法:
- 一个集群随机试验,涉及美国四个州的76个初级保健实践.
- 将常规护理与在患者访问前发送的数字护理计划提示 (短信) 相比较.
- 结果包括在访问期间解决的护理缺口 (初级) 和在90天内完成 (二级),以及预约约定和患者经验.
主要成果:
- 数字护理计划推动并没有显著增加在访问期间解决的护理差距的主要结果 (3.8个百分点的差异,P=0.08).
- 这项干预与护理差距增加了90天 (5.4个百分点).
- 后期分析表明,预约的参与度有所提高,包括完成率的增加和不出现和取消的减少.
结论:
- 数字护理计划的推动干预没有达到其主要目标,即增加在初级保健访问期间解决的护理差距.
- 二次结果表明,长期护理差距和预约约定有潜在的好处,需要进一步调查.
- 需要进一步的研究,以探索数字推动在提高预防性护理的实用性.
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