在脊椎骨科手术中使用门户信息:模式,预测因素和财务影响
Sydney Rucker1, Michal C Williams1, Robert J Ferdon2
1Department of orthopedics and Physical Medicine, Medical University of South Carolina, 96 Jonathan Lucas St, CSB 708, Charleston, SC 29425, United States.
North American Spine Society journal
|February 9, 2026
概括
脊椎骨科手术中的电子患者门户 (EPP) 显示使用倾斜,少数患者发送大多数消息. 这种数字化沟通工具造成了行政负担,并揭示了患者参与的种族差异.
科学领域:
- 整形外科手术 整形外科手术
- 医疗信息学 医疗信息学
- 数字健康传播数字健康传播
背景情况:
- 电子患者门户 (EPP) 是患者与医疗服务提供者沟通的关键.
- 它们在脊椎骨科手术中的具体用途和影响尚不清楚.
- 本研究调查了EPP使用模式和相关负担.
研究的目的:
- 为了量化脊椎骨科手术中的信息量和内容,EPPs.
- 确定预测高EPP利用率的人口因素.
- 为了估计民进党消息传递的行政和财务影响.
主要方法:
- 在6个月内对833名新患者进行了回顾性审查.
- 门户消息按时间框架和主题进行分类.
- 对大量 (≥4条消息) 用户的人口预测指标的分析.
- 根据CMS标准和收入估计,识别可计费遭遇.
主要成果:
- 总共发送了548条消息;5.2%的患者是大量用户.
- 常见的主题包括调度,成像和术后问题.
- 白人/白人患者在大量使用者中占有过多的比例,而黑人/非洲裔美国患者占有不足的比例.
- 只有4.6%的消息符合CMS计费标准,估计中位数损失的收入为7,501.1美元.
结论:
- 脊椎骨科手术中EPP的使用高度倾斜,一个小的患者群体主导了信息量.
- 门户消息传递带来了巨大的行政挑战,而可计费的接触也有限.
- 观察到的种族差异需要进一步调查公平的数字患者参与.
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