描述开发和初步评估的患者导航器交付患者门户网站招生计划的描述和初步评估
Alicia K Matthews1, Caleb Gumbs2, Larisa Burke3
1School of Nursing, Columbia University, New York, USA.
Patient education and counseling
|September 13, 2025
概括
患者导航器成功地增加了联邦合格卫生中心 (FQHCs) 服务不足的人群的电子健康门户入学率. 该计划解决了数字素养和信任障碍,改善了不同患者群体获得数字健康工具的机会.
科学领域:
- 医疗信息学 医疗信息学
- 健康差异 在健康上的差异
- 患者参与 患者参与
背景情况:
- 在服务不足的人群中,电子患者门户的采用率很低.
- 联邦合格卫生中心 (FQHCs) 面临着独特的挑战,包括数字素养,语言障碍和低技术信任.
- 患者导航者有可能弥合这些差距.
研究的目的:
- 开发和评估一个病人导航程序,以增加电子病人门户注册.
- 在FQHC设置中解决门户采用障碍.
- 评估患者导航器对门户激活的可行性和初始影响.
主要方法:
- 一个七步的知识到行动框架指导了计划的开发和实施.
- 患者导航员被整合到诊所的工作流程中,以协助招生并提供技术支持.
- 使用前后比较和导航者活动数据来跟踪注册和激活率.
主要成果:
- 在12个月的时间里,64%的符合条件的患者接受了导航员的帮助,74%的患者成功地激活了他们的患者门户.
- 在非裔美国人和拉丁裔患者群体中观察到显著的入学收益.
- 几乎所有新注册的用户至少在激活后一次访问了他们的门户.
结论:
- 嵌入患者导航器是一个可行的策略,以促进患者门户注册FQHCs.
- 导航员的文化调整,实时支持有助于克服数字识字障碍.
- 导航器主导的策略可以帮助卫生系统减少差异,提高患者参与度.
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