根据种族,种族,保险类型和首选语言进行患者-医生通信
Lisa S Rotenstein1,2, Brianna Hardy3, Mitchell Tang4
1Brigham and Women's Hospital, Boston, Massachusetts.
JAMA network open
|October 7, 2025
概括
患者门户消息响应时间因种族,种族,保险和语言而异. 异步通信中的这些差异凸显了初级保健准入和响应能力方面的不平等.
科学领域:
- 医疗信息学 医疗信息学
- 健康 公平 卫生 公平
- 初级保健研究研究初级保健研究
背景情况:
- 异步的患者门户消息传递对于患者与医生的沟通至关重要.
- 患者与医生的沟通反应模式存在的差异尚未得到充分理解.
研究的目的:
- 在初级保健中调查异步消息响应模式的变化.
- 根据患者的种族和种族,保险类型和主要语言来分析这些变化.
主要方法:
- 采用341,836名初级保健成年患者的信息数据进行的横截面研究.
- 分析包括在1或3个工作日内收到响应,以及到第一个响应的时间.
- 多变量回归模型根据患者人口统计学,诊所和时间固定效应进行调整.
主要成果:
- 根据患者特征观察到护理团队响应率和时间的显著差异.
- 与白人患者相比,黑人和西班牙裔患者在1个工作日内反应率较低.
- 与商业保险和偏爱英语的患者相比,双重资格保险和偏爱西班牙语的患者的反应率也较低.
结论:
- 在初级保健团队对异步患者门户消息的响应方面存在显著差异.
- 这些不平等与患者的种族/种族,保险状况和喜欢的语言有关.
- 服务不足的人群的实践中反应时间较慢,部分解释了这些观察到的差异.
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