Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
J Arthroplasty. 2018 Jan;33(1):19-24. doi: 10.1016/j.arth.2017.08.046. Epub 2017 Sep 19.
Automated mobile phone messaging has not been reported in total joint arthroplasty (TJA). Our purpose was to compare Press Ganey (PG) and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores between TJA patients who did and did not receive perioperative automated mobile phone messages.
Patients were prospectively enrolled and received messages for 1 week prior until 2 weeks after TJA. Message content included reminders, activity, and pain control. Patients answered select PG/HCAHPS and questions regarding their experience with the automated communication platform. Average PG/HCAHPS scores were compared to historical TJA patients in the 3-year window prior (control group) with significance P < .05.
Thirty-seven consecutive patients were approached and 92% (n = 34) were enrolled. The experimental group was 47% male, with 80% patients between 51 and 75 years. The experimental (n = 30) and control groups (n = 26) were similar. Patients receiving messages were more likely to have a good understanding of health responsibilities (P = .024) and feel that the care team demonstrated shared decision-making (P = .024). Of patients enrolled, 87% felt messages helped them be more prepared for surgery, 100% felt messages kept them better informed, and 97% would participate again.
TJA patients who received perioperative communication via automated mobile phone messaging had improved patient satisfaction scores postoperatively. Patients perceived this form of communication was useful and kept them better informed. Automated mobile phone messaging can be an easily integrated, helpful adjunct to surgeons, healthcare systems, and case managers to more effectively communicate with patients undergoing TJA in this era of value-based care.
全膝关节置换术（TJA）中尚未报告自动化移动电话消息传递。我们的目的是比较接受围手术期自动化移动电话消息的 TJA 患者和未接受围手术期自动化移动电话消息的患者的 PGaney（PG）和医院消费者评估医疗保健提供者和系统（HCAHPS）评分。
前瞻性招募患者，并在 TJA 前 1 周到 2 周后接收消息。消息内容包括提醒、活动和疼痛控制。患者回答了一些 PG/HCAHPS 问题以及他们对自动化通信平台的体验。将平均 PG/HCAHPS 评分与 3 年窗口内（对照组）之前的历史 TJA 患者进行比较（P<.05 有统计学意义）。
连续接触了 37 名患者，92%（n=34）患者入组。实验组男性占 47%，80%的患者年龄在 51-75 岁之间。实验组（n=30）和对照组（n=26）相似。接受消息的患者更有可能对健康责任有很好的理解（P=.024），并认为护理团队表现出共同决策（P=.024）。入组患者中，87%的人认为消息帮助他们更好地为手术做准备，100%的人认为消息使他们更好地了解情况，97%的人愿意再次参与。
接受围手术期自动化移动电话通讯的 TJA 患者术后满意度评分提高。患者认为这种形式的沟通很有用，并使他们更好地了解情况。在以价值为基础的护理时代，自动化移动电话消息传递可以作为一种易于集成的、有帮助的辅助手段，帮助外科医生、医疗保健系统和病例管理人员更有效地与接受 TJA 的患者进行沟通。
