在门户消息中对耳鼻喉科提供者偏见的评估
Amira A Aladetan1, Dante J Merlino2, Tissiana G Vallecillo2
1Department of Biology, Carleton College, Northfield, MN, United States.
Oral oncology
|March 5, 2026
概括
用响应时间和长度来评估患者门户消息中的提供者偏差. 在对消息类型和患者状态进行调整后,偏差与患者人口统计数据的联系有限.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 患者沟通 患者沟通
背景情况:
- 患者通讯门户对于临床实践和患者的治疗结果至关重要.
- 这些门户网站可能会导致供应商的倦怠,可能会加剧隐性偏见.
- 了解电子通信中的提供者偏见对于公平的医疗保健至关重要.
研究的目的:
- 为了评估患者门户消息的响应中提供者偏见.
- 这项研究的重点是学术耳鼻喉科实践.
- 根据患者的人口统计和社会经济因素,调查沟通方面的潜在差异.
主要方法:
- 从2018年5月到2023年4月,分析了167,866条患者信息和提供者回复.
- 提供者响应的长度和时间被用作隐性偏差的替代品.
- 通过调整模型,在患者人口统计学,经济状况和信息因素之间进行了比较.
主要成果:
- 未经调整的分析显示,根据性别,种族或收入,响应时间和持续时间的差异很小.
- 医疗保险患者的反应时间略短,白人患者的反应时间更快 (未经调整).
- 调整后的模型显示了基于消息类别和患者状态而不是人口统计数据的显著差异.
结论:
- 通过应答替代品评估的提供者偏差,在控制其他因素时,与患者人口统计学存在有限的关联.
- 消息类型和患者状态显著影响了响应时间和长度.
- 这些发现表明,虽然系统因素影响门户通信,但直接的人口偏差在这个耳鼻喉学实践中并不是很明显的.
相关概念视频
01:21Barriers to Effective Communication II
5.2K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.2K
01:27Ethical Issues
2.4K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.4K
01:22Standards of Care I
1.2K
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
1.2K
01:19Standards of Care II
1.2K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.2K
01:13Patient-centered Care
3.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.2K
01:22Bias
7.8K
Bias refers to any tendency that prevents a question from being considered unprejudiced. In research, bias occurs when one outcome or answer is selected or encouraged over others in sampling or testing. Bias can occur during any research phase, including study design, data collection, analysis, and publication.
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
7.8K