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Lauren J Seo¹, Alissa M Arango^1,2, Dana G Rowe^1,2

¹Department of Orthopedics, Duke University Medical Center, Durham, North Carolina.

JB & JS open access

|December 1, 2025

概括

整形外科的患者门户的使用因子专业而异,并且与健康的社会决定因素有关. 不使用与较差的临床结果有关,需要针对风险组进行有针对性的干预.

科学领域:

整形外科手术整形外科手术
医疗保健服务研究医疗服务研究
数字健康公平数字健康

背景情况:

患者门户网站 (PP) 的使用提高了患者参与度和护理质量,但由于数字素养和访问,面临差异.
有限的综合分析存在PP在整形外科子专业的利用.
健康的社会决定因素 (SDOH) 是影响PP采用和结果的关键因素.

研究的目的:

为了确定与骨科手术中PP利用相关的SDOH.
评估PP使用对跨子专业的临床结果的影响.
了解骨科护理中PP采用的差异.

主要方法:

33,143次骨科接触 (2021-2022) 的回顾性队列研究.
评估SDOH包括年龄,种族,保险和城市化.
分析了SDOH,PP使用,以及重新入院和ED访问等结果之间的关联.

主要成果:

根据子专业,PP的使用率有很大差异 (71.7%的创伤对93.9%的体育医学).
在老年,非白人,无保险和农村人口中观察到较低的PP使用率.
不使用PP的人面临更高的30天ED返回,再录取和非家庭出院的几率.

结论:

在骨科中PP的使用受到SDOH和子专业的影响.
不采用PP与不良临床结果相关.
有针对性的干预措施对于加强PP采用和减少护理差异至关重要.

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