Arora Sanjay, Goldberg Andrew D, Menchine Michael
Keck School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California.
West J Emerg Med. 2014 Feb;15(1):35-40. doi: 10.5811/westjem.2013.2.11498.
We evaluated patient impressions and satisfaction of an innovative self-administered, hand-held touch-screen tablet to gather detailed medical information from emergency department (ED) patients in the waiting room prior to physician contact.
Adult, medically stable patients presenting to the ED at Los Angeles County Hospital used the PatientTouch™ system to answer a series of questions about their current history of present illness and past medical/surgical histories in English or Spanish. Patients then completed a survey rating their experience.
Among 173 participants, opinion of PatientTouch™ was strongly positive; 93.6% (95%CI 90.0-97.3%) felt the physical product was easy to hold and handle, and 97.1% (94.6-99.6%) felt the questions were detailed enough for them to fully describe their condition; 97.8% (95.4-100.0%) felt using PatientTouch™ would help them organize their thoughts and communicate better with their physician, 94.8% (91.4-98.1%) thought it would improve the quality of their care, and 97.1% (94.6-99.6%) expressed desire to use the product again in the future.
The study was conducted at a largely Hispanic county ED, and only patients with 1 of 6 pre-determined chief complaints participated. We did not include a control group to assess if perceived improvements in communication translated to measurable differences. In this pilot study, patients were highly satisfied with all aspects of the PatientTouch™ self-administered, hand-held, touch-screen tablet. Importantly, subjects felt it would help them better communicate with their doctor, would improve their overall quality of care and overwhelmingly expressed a desire to use it in the future.
我们评估了患者对一种创新的自助式手持触摸屏平板电脑的印象和满意度，该平板电脑用于在患者与医生接触之前，在急诊室（ED）候诊室收集患者的详细医疗信息。
在洛杉矶县医院急诊科就诊的成年、病情稳定的患者使用PatientTouch™系统，用英语或西班牙语回答一系列关于他们当前现病史和既往医疗/手术史的问题。然后患者完成一项对其体验进行评分的调查。
在173名参与者中，对PatientTouch™的评价非常积极；93.6%（95%CI 90.0 - 97.3%）的人认为该实体产品易于握持和操作，97.1%（94.6 - 99.6%）的人认为问题足够详细，足以让他们充分描述自己的病情；97.8%（95.4 - 100.0%）的人认为使用PatientTouch™有助于他们整理思路并与医生更好地沟通，94.8%（91.4 - 98.1%）的人认为这会提高他们的护理质量，97.1%（94.6 - 99.6%）的人表示希望未来再次使用该产品。
该研究在一个主要为西班牙裔的县急诊科进行，且只有6种预先确定的主要症状之一的患者参与。我们没有设立对照组来评估沟通方面的感知改善是否转化为可衡量的差异。在这项初步研究中，患者对PatientTouch™自助式手持触摸屏平板电脑的各个方面都非常满意。重要的是，受试者认为它将帮助他们更好地与医生沟通，会提高他们的整体护理质量，并且绝大多数人表示希望未来使用它。
