使用质量改进和实施科学来识别促进电子患者报告结果提交的策略
概括
直接接触患者显著改善了癌症症状管理中的电子患者报告结果 (ePRO) 提交率. 这凸显了有针对性的沟通对提高ePRO在临床环境中的使用的有效性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 一项实用的II型混合有效性实施研究评估了基于电子患者报告结果 (ePRO) 的症状管理计划 (eSyM).
- 六个癌症中心收集了绩效指标和实施策略,以了解日常护理中的ePRO部署.
- 该研究旨在确定与每周ePRO提交率的变化相关的策略.
研究的目的:
- 确定与每周电子患者报告结果 (ePRO) 提交率的重大变化相关的实施策略.
- 为在常规癌症护理环境中更广泛地部署ePRO提供信息.
主要方法:
- 利用统计过程控制 (SPC) 方法来检测在六个癌症中心的ePRO提交率中特殊原因变化的时期.
- 在714周 (2019年8月至2022年4月) 收集了ePRO利用率和实施策略.
- 确定实施策略,暂时与在ePRO提交中检测到的变化相关.
主要成果:
- 平均每周ePRO响应率为22.3%,在不同地点有相当大的差异.
- 在SPC图表中,所有参与中心都发现了多个特殊原因变化的情况.
- 专注于教育和鼓励的直接患者外展策略显示,与ePRO提交率的积极变化有着最强的关联.
结论:
- 直接接触患者对ePRO的响应有积极的影响,为改善癌症症状管理提供了一个关键策略.
- 像SPC图表这样的质量改进技术可以帮助实施复杂的干预措施.
- 调查结果表明,针对特定患者群体和医疗保健系统量身定制ePRO实施至关重要.
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