Piette J D
Center for Healthcare Evaluation/HSR&D Center of Excellence, VA Palo Alto Healthcare System, CA, USA.
Am J Manag Care. 2000 Jul;6(7):817-27.
To assess the feasibility, reliability, validity, and potential clinical impact of interactive voice response (IVR) systems in the diagnosis and management of chronic disease.
Literature review.
Interactive voice response assessment systems have been implemented in the treatment of patients with chronic health problems such as heart failure, diabetes, hypertension, and mental health disorders. The information patients report during IVR assessments is at least as reliable as information obtained via structured clinical interviews or medical record reviews. Patients often are more inclined to report health problems to an IVR system than directly to a clinician. The few outcome evaluations of IVR-supported chronic illness management services indicate that they can have moderate impacts on some health and health behavior outcomes.
Future research should evaluate the extent to which IVR assessment data can improve the prediction of clinical problems over and above what is possible using data usually available to primary care providers. Studies also should evaluate the outcomes of IVR-supported chronic disease management and the use of IVR assessments to measure variation in patient-centered treatment outcomes.
评估交互式语音应答（IVR）系统在慢性病诊断和管理中的可行性、可靠性、有效性及潜在临床影响。
文献综述。
交互式语音应答评估系统已应用于慢性健康问题患者的治疗，如心力衰竭、糖尿病、高血压和精神疾病。患者在IVR评估中报告的信息至少与通过结构化临床访谈或病历审查获得的信息一样可靠。患者通常更倾向于向IVR系统报告健康问题，而非直接向临床医生报告。对IVR支持的慢性病管理服务的少数结果评估表明，它们对某些健康和健康行为结果可能有适度影响。
未来研究应评估IVR评估数据在多大程度上能比初级保健提供者通常可用的数据更好地改善临床问题预测。研究还应评估IVR支持的慢性病管理结果以及使用IVR评估来衡量以患者为中心的治疗结果的差异。
