基于价值的预防性护理中的聊天机器人推广:回顾性分析.
Jincy Chacko1,2, Yuane Jia3, Kimon Stathakos1
1Northwell Health, New Hyde Park, NY, United States.
JMIR medical informatics
|February 12, 2026
概括
电话外展仍然是消除预防护理差距的最有效方法,尽管聊天机器人对糖尿病患者等特定群体显示出希望. 量身定制的策略是基于价值观的护理的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 预防性护理 预防性护理
背景情况:
- 基于价值的护理需要积极主动的策略来弥补预防性护理的差距.
- 患者参与受到后勤,行为和社会经济障碍的阻碍.
- 数字推广,像聊天机器人一样,提供了潜力,但需要进行比较有效性研究.
研究的目的:
- 评估聊天机器人推广效率与预防性查和健康访问的传统方法 (电话,电子邮件,邮件,多道) 相比.
- 在不同的外展模式中比较合规率.
主要方法:
- 在纽约对41,959名参与者 (2021-2023) 的50,145个护理差距进行了回顾性研究.
- 宣传方法包括聊天机器人短信,电话,电子邮件和邮件.
- 后勤回归和千平方分析检查了外展,人口统计,PCP关系和社会脆弱性指数 (SVI) 之间的关联.
主要成果:
- 通过电话宣传,整体而言,合规性更高.
- 聊天机器人在2023年仅在糖尿病护理方面表现优于电话 (OR 1.81).
- 初级保健医生的连续性强烈预测了差距的缩小;较高的SVI四分位数通常与较低的遵守相关,但初级保健例外.
结论:
- 外展模式对预防性护理的遵守有重大影响.
- 电话外展通常最有效,但聊天机器人有针对性的应用程序.
- 综合,以公平为基础的战略,结合技术,患者偏好和初级保健,对于以价值为基础的护理至关重要.
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