患者对访问类型,护理速度和与初级保健医生连续性的评估:一个离散选择调查
Katherine J Gold1,2, Dongru Chen3, John Holkeboer3
1Department of Family Medicine, University of Michigan, Ann Arbor, Michigan ktgold@umich.edu.
Annals of family medicine
|January 26, 2026
概括
美国患者更喜欢快速门户消息,以解决健康问题,而不是等待预约. 这一发现强调了需要将高效的数字通信整合到初级保健基础设施中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
- 数字健康数字健康
背景情况:
- 随着COVID-19大流行,患者加速采用门户消息来处理健康问题.
- 尽管数字通信增加,但对面对面预约的需求仍然很高.
- 患者对平衡快速门户护理与及时面对面或视频访问的偏好还不清楚.
研究的目的:
- 调查美国患者对不同医疗保健提供方式和临床医生类型的偏好.
- 了解患者如何在快速门户消息和基于等待时间的各种预约类型之间进行权衡.
主要方法:
- 一个离散选择实验是在2023年与成年患者进行的.
- 患者评估了6个理论上的健康问题,在4种护理模式中进行选择:门户消息,视频访问 (不同的医生),视频访问 (初级保健医生) 和亲自访问 (初级保健医生).
- 调查答案根据人口统计学 (性别,种族,年龄) 进行加权,以分析偏好.
主要成果:
- 从4780个发送的调查中,分析了2,268个可用调查.
- 对于所有评估的健康问题,患者始终选择从他们的初级保健医生那里得到3天的门户消息响应.
- 这种对快速门户通信的偏好超过了对视频或面对面访问的更长时间等待,无论医生是谁.
结论:
- 主要护理患者表现出强烈的偏好通过门户消息来迅速响应.
- 这凸显了调整初级保健基础设施以支持患者对数字通信的需求的迫切需要.
- 根据这些偏好,确保安全有效的初级保健服务的财务可持续性是一个关键的挑战.
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