患者报告的结果指标数字集合中的语言一致性
Jason B Liu1,2,3,4, Brittany M Dacier2,5, Brittany M Dragonetti6
1Patient-Reported Outcomes, Value, and Experience (PROVE) Center, Mass General Brigham, Boston, MA 02115, United States.
JAMIA open
|January 9, 2026
概括
卫生系统可以通过使用翻译的数字工具,改善非英语首选语言 (NEPL) 患者的患者报告结果测量 (PROM) 完成情况. 然而,电子健康记录 (EHR) 的复杂性可能会限制公平获得护理.
科学领域:
- 医疗信息学 医疗信息学
- 患者报告的结果
- 健康 公平 卫生 公平
背景情况:
- 对非英语首选语言 (NEPL) 的患者进行患者报告结果测量 (PROM) 在确保准确的数据收集方面存在挑战.
- 电子健康记录 (EHR) 系统为多语言PROM管理提供了潜力,但需要仔细实施.
- 提高语言对应性对于公平的以患者为中心的护理至关重要.
研究的目的:
- 评估卫生系统对NEPL患者实施多语言PROM的经验.
- 评估翻译过的数字工具对PROM语言对应性的影响.
- 在EHR集成的PROM管理中识别公平获取障碍.
主要方法:
- PROMs被翻译成六种非英语语言.
- 从第二季度-2022年开始,PROMs通过患者门户或诊所平板电脑进行了管理.
- 语言一致性被跟踪,定义为以患者喜欢的语言完成的PROM.
主要成果:
- 从2022年第一季度到2024年第三季度,分析了超过260万个PROM.
- 患有NEPL的患者在47.2%的时间内用他们喜欢的语言完成PROM.
- 在临床中完成的PROM (58.1%) 与患者门户 (33.9%) 的语言一致性更高.
结论:
- 多语言,EHR集成的数字工具可以增强PROM语言对应性.
- 复杂的EHR结构和工作流程可能会阻碍这些工具的采用.
- 解决EHR复杂性对于公平获得以患者为中心的护理至关重要.
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