@文章{信息:doi/10.2196/14094,作者="Balakrishnan, Ashwin S和Nguyen, Hao G和Shinohara, Katsuto和Au Yeung, Reuben和Carroll, Peter R和Odisho, Anobel Y",标题="前列腺活检患者的移动健康干预减少预约取消:队列研究",期刊="J医学互联网研究",年="2019",月="Jun",日="2",卷="21",数="6",页数="e14094",关键词="短信;约会和日程安排;移动健康;质量改进;泌尿外科;背景:不充分的患者教育和对以办公室为基础的程序的准备往往会导致延迟护理,患者满意度差,并增加医疗保健系统的成本。我们开发并部署了一个移动健康(mHealth)提醒和教育项目,用于计划进行经直肠前列腺活检的患者。目的:我们旨在评估移动健康提醒和教育计划对预约取消率、沟通频率和患者满意度的影响。方法:我们开发了一个基于短信(SMS,短消息服务)的程序,包含7个提醒,其中包含基于web的内容链接和在18天内(前列腺活检前14天至术后3天)发送的调查。邮件包含教育内容、提醒和准备情况问卷。 Demographic information, appointment cancellations or change data, and patient/provider communication events were collected for 6 months before and after launching the intervention. Patient satisfaction was evaluated in the postintervention cohort. Results: The preintervention (n=473) and postintervention (n=359) cohorts were composed of men of similar median age and racial/ethnic distribution living a similar distance from clinic. The postintervention cohort had significantly fewer canceled or rescheduled appointments (33.8{\%} vs 21.2{\%}, P<.001) and fewer same-day cancellations (3.8{\%} vs 0.5{\%}, P<.001). There was a significant increase in preprocedural telephone calls (0.6 vs 0.8 calls per patient, P=.02) in the postintervention cohort, but not a detectable change in postprocedural calls. The mean satisfaction with the program was 4.5 out of 5 (SD 0.9). Conclusions: An mHealth periprocedural outreach program significantly lowered appointment cancellation and rescheduling and was associated with high patient satisfaction scores with a slight increase in preprocedural telephone calls. This led to fewer underused procedure appointments and high patient satisfaction. ", issn="1438-8871", doi="10.2196/14094", url="//www.mybigtv.com/2019/6/e14094/", url="https://doi.org/10.2196/14094", url="http://www.ncbi.nlm.nih.gov/pubmed/31199294" }
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