数字化参与和基于患者门户的预防性护理干预措施的有效性
1Research & Development, WellSpan Health, York, PA, USA.
Digital health
|June 30, 2025
概括
患者门户网站的参与显著提高了对预防性查和疫苗的坚持. 虽然办公室访问也很有帮助,但仅仅是数字提醒对于某些干预措施是有效的,可以改善整体健康结果.
科学领域:
- 医疗信息学 医疗信息学
- 预防医学 预防医学
- 患者参与 患者参与
背景情况:
- 成年人经常因为提供者资源有限而错过关键的查和疫苗接种.
- 电子消息,特别是患者门户,在改善遵守方面显示出有希望.
- 除了人口统计之外,对影响这些数字干预措施有效性的因素的研究很少.
研究的目的:
- 确定患者门户参与和初级保健访问是否影响基于门户的查和疫苗提醒的成功.
- 确定坚持数字预防性健康干预措施的关键驱动因素.
主要方法:
- 从大型综合卫生系统中对电子病历进行回顾性分析.
- 在约40万MyChart用户中,对查性乳房影像,流感疫苗接种和便免疫化学测试 (FIT) 完成的评估.
- 后勤回归分析用于计算干预完成的几率比率.
主要成果:
- 在对年龄,种族和性别进行调整后,MyChart参与度与完成乳房影像,流感疫苗和FIT查有积极的相关性.
- 初级保健访问与流感疫苗和FIT查的完成率增加有关,但不是乳房影像,门后干预.
- 在分析中调整了人口因素 (年龄,种族,性别).
结论:
- 整体患者门户参与对于数字预防性健康干预措施的成功至关重要.
- 这些数字干预措施在与办公室内访问相结合时最有效.
- 在某些情况下,数字干预可以独立地取得成功,突出其对查遵守和健康结果的潜在影响.
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