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高度协调的耳植入器护理与远程编程:完整的耳植入器护理 (CCIC) 模型的临床,财务和实施结果
Ashley M Nassiri1, Aniket A Saoji2, Melissa D DeJong2
1Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO.
概括
完整的耳植入物护理 (CCIC) 模型简化了耳植入物 (CI) 患者的护理和降低了患者的成本. 这项研究发现,CCIC模型具有可比的临床结果和高患者满意度.
科学领域:
- 听力学 听力学是指听力学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 完整的耳植入物护理 (CCIC) 模型旨在优化对耳植入物 (CI) 患者的护理.
- 它旨在通过整合远程医疗和远程编程来减少面对面的访问.
- 本研究评估了CCIC模型的临床,生活质量,实施,患者体验和财务结果.
研究的目的:
- 报告CCIC模型的临床试验结果.
- 将CCIC模型与CI患者的传统护理提供进行比较.
- 评估协调CI护理模式的可行性和影响.
主要方法:
- 在第三级推CI中心进行的前性,非随机化,双臂临床试验.
- 成年CI候选人被录取到传统护理或CCIC模式.
- 测量结果包括语音感知,生活质量,实施因素,患者体验和财务影响.
主要成果:
- 传统和CCIC模型都显示了可比的12个月后术后语音感知得分 (例如,AzBio在安静状态下:75%与87%).
- 两组人群的生活质量 (CIQOL-10) 和患者满意度得分相似.
- 该CCIC模型导致患者的自费成本降低,员工感知到实施效益,而远程编程技术尚未实施.
结论:
- 该CCIC模型显示了精简听力医疗保健和降低CI受益人的成本的潜力.
- 虽然在这项可行性研究中,临床结果是可比的,但需要进一步进行动力试验.
- CCIC模型的成功部分取决于可靠的远程编程技术的可用性.
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