初级保健患者参与患者报告的结果,以评估骨关节炎症状
Martha Burla1, T Jacob Selph2, Finola M Summerville3
1Department of Medical Social Sciences, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Arthroplasty today
|September 29, 2025
概括
短信调查是跟踪膝关节骨关节炎 (OA) 症状在联邦合格卫生中心 (FQHCs) 的可行的方法. 患者教育和改善沟通是提高对更好的慢性疾病管理的参与度的关键.
科学领域:
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
- 健康差异 在健康上的差异
背景情况:
- 膝关节关节炎 (OA) 是美国普遍存在的慢性疾病,影响生活质量和医疗保健成本.
- 在OA治疗的差异需要有效的管理策略在联邦合格健康中心 (FQHCs) 服务不足的人口.
- 这项研究调查了使用短信收集患者报告结果 (PRO) 的可行性,在FQHC患者膝盖OA.
研究的目的:
- 评估基于短信的系统的可行性和患者接受度,以收集与膝关节OA相关的PRO.
- 评估响应率并识别FQHC患者参与基于文本的PRO调查的障碍.
- 探索患者对使用短信进行慢性疾病管理中的持续症状监测的观点.
主要方法:
- 一项多方法试点研究涉及223名被诊断患有膝关节OA的FQHC患者.
- 参与者收到短信来完成一个关于膝关节疼痛和功能的PRO调查,并提醒不响应者.
- 分析了响应率,未完成的原因以及患者的定性反.
主要成果:
- 总体调查完成率为24.7% (28%的英语使用者,17%的西班牙语使用者).
- 断开的电话号码是调查完成的主要障碍.
- 92%的患者表示支持通过文本进行持续的症状监测,理由是用户友好性,但指出技术和信任问题.
结论:
- 基于文本消息的PRO收集是一种可行和可接受的方法,用于在FQHC设置中跟踪膝盖OA症状.
- 可扩展性和患者接受度很高,但对PRO的患者教育和改进的沟通策略对于参与至关重要.
- 建议采用增强策略,以优化PRO的利用,以在资源有限的环境中管理慢性疾病.
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