通过短信将急诊室患者与公共福利导航员联系起来:一项随机临床试验
Austin S Kilaru1,2,3, Aliza Haider1,4, Joseph Harrison5,6,7
1Center for Healthcare Transformation and Innovation, Penn Medicine, Philadelphia, Pennsylvania.
JAMA health forum
|February 6, 2026
概括
与纸质推相比,短信显著增加了符合条件的急诊室患者的公共福利入学率. 这项研究强调短信是卫生系统解决社会需求的有效工具.
科学领域:
- 公共卫生干预措施 公共卫生干预措施
- 医疗服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 公共福利注册与更好的健康结果有关,但许多符合条件的个人没有注册.
- 公共利益计划对于解决与健康相关的社会需求至关重要.
- 医疗系统越来越多地与社区组织合作,帮助患者注册福利.
研究的目的:
- 为了比较短信与纸质推在促使急诊室患者在出院后联系福利导航员方面的有效性.
- 评估一种新的数字健康方法,将患者与基本的社会支持服务联系起来.
主要方法:
- 一项随机临床试验,涉及160名有资格获得公共福利的成人患者,在两个学术医院的急诊室.
- 参与者被随机分配1:1接受自动短信或纸张传单,促使与福利导航员联系.
- 主要结果是与福利导航员在14天内接触的比率.
主要成果:
- 25%的收到短信的患者联系了福利导航员,而纸质推组的患者为0%.
- 接受短信的患者中有14%提交了福利申请,对照组为0%.
- 该研究表明,这两个组之间的参与度有统计学上显著的差异.
结论:
- 自动化短信比纸质推更有效,鼓励符合条件的急诊室患者寻求公共福利的帮助.
- 短信为卫生系统和社区合作伙伴提供了一个可扩展和有效的工具,以解决与健康相关的社会需求.
- 这种干预措施有望改善弱势患者群体获得基本社会服务的机会.
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