异步电子访问与电话或视频访问对共同的初级保健问题的结果
Mary Reed1, Jie Huang2, Evangeline Sievers3
1Kaiser Permanente Division of Research, Pleasanton, CA, USA. Mary.e.reed@kp.org.
Journal of general internal medicine
|June 26, 2025
概括
异步电子访问的结果与尿路感染和粉红眼的预定远程医疗相似. 虽然抗生素处方不同,但随访护理需求相似,这表明获得初级保健的机会扩大.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 异步电子访问 (e-Visits) 为不复杂的条件提供方便的,按需的初级保健服务.
- 将电子访问与电子健康记录联系起来,可以提高护理效率.
研究的目的:
- 为了比较异步电子访问的临床结果与传统的定时远程医疗访问.
- 评估常见的初级保健条件的抗生素处方和随访护理需求.
主要方法:
- 在COVID-19流行病限制期间进行了观察性队列研究.
- 分析了24584名患有新的尿路感染 (UTI) 或粉红眼睛的患者.
- 结果包括抗生素处方和7天的随访护理 (办公室,ED,住院) 电子访问与电话/视频访问.
主要成果:
- 对于尿路感染,电子访问显示了与电话 (8.8%) 和视频 (9.0%) 访问相比,类似的7天门诊访问率 (13.9%).
- 对于粉红眼,电子访问的7天门诊访问率 (13.9%) 比电话 (11.0%) 和视频 (10.6%) 访问略高.
- 在电子访问和预定远程医疗之间,抗生素处方率有所不同,但在所有访问类型中,急诊室访问和住院住院情况是可比的.
结论:
- 异步电子访问提供了可比的随访护理需求,可与尿路感染和粉红眼的预定远程医疗提供.
- 电子访问可以扩大对具有相似安全结果的常见疾病的初级保健的获取.
- 有针对性的宣传可能是必要的,以提高对e-Visit服务的认识和使用率.
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