在医院出院前的虚拟患者-PCP-医院医师护理过渡会议
Jing Li1, Matthew D Reuter2, Jennifer M Schmidt3
1Department of Medicine, Division of General Internal Medicine and Population Science, University of Alabama at Birmingham, Birmingham.
JAMA network open
|June 13, 2025
概括
一项试点研究发现,住院患者,医院医生和初级保健医生 (PCP) 之间的视频会议改善了患者的同理心得分和对后续护理的信心. 这种数字工具对改善在转型期间的护理协调有很大的希望.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康干预措施 数字健康干预措施
- 患者与医疗服务提供者之间的沟通
背景情况:
- 分断的医疗保健系统对患者的信任和在住院期间的有效沟通构成了挑战.
- 护理的无过渡需要患者,医院医生和初级保健医生 (PCP) 之间的强有力的沟通.
研究的目的:
- 评估视频介导的数字工具的可行性和感知,用于医院患者,他们的医院医生和PCP之间的沟通.
- 评估该工具对患者与医疗服务提供者的关系以及在出院过程中的护理协调的影响.
主要方法:
- 一项质量改善试点研究,涉及3家医院的106名成年住院患者,他们的医院医生和PCP.
- 在放电前利用结构化,视频介导的交互.
- 通过咨询和关系同理心 (CARE) 测量和使用AIM,IAM和FIM调查的临床医生的感知评估了患者的感知.
主要成果:
- 患者的CARE分数显著改善 (P < .001).
- 与医院医生相比,PCP报告了更高的可接受性 (P = .006) 和适当性 (P = .03).
- 定性反表明信息共享,沟通和协作出院规划的增强,增加了患者的信心.
结论:
- 患者-医院医生-PCP虚拟会议对于改善信息交换,患者信心和临床医生对护理协调的看法是可行的和有价值的.
- 支持将这些数字干预措施纳入常规的核准程序.
- 建议医疗保险和医疗补助服务中心 (CMS) 考虑这些互动用于过渡期护理管理 (TCM) 计费.
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