Kalejta Cassidi D, Higgins Sonja, Kershberg Hilary, Greenberg Jeff, Alvarado Monica, Cooke Kerry, Bhatt Sucheta, Bulpitt Denise, Armour Jamie, Bejjani Bassem, Ryan Shawnia, Elms Amanda
Metis Genetics, Dallas, Texas.
Department of Genetics, Southern California Permanente Medical Group, Pasadena, California.
J Genet Couns. 2019 Aug;28(4):847-855. doi: 10.1002/jgc4.1127. Epub 2019 Apr 30.
We designed and implemented a novel automated negative non-invasive prenatal test (NIPT) result disclosure process using a proprietary, HIPAA-compliant web-based portal. High-risk pregnant patients who opted for NIPT from 04/2017 to 12/2018 were given the option to receive their negative result through the automated process. Patients were required to watch a brief educational video and answer evaluative questions before downloading their result. After completing the process, patients completed a survey regarding their opinion of the efficiency and convenience of the process and their satisfaction. A total of 10,170 women registered online during the study period, and 8,965 completed the automated process (88%). Out of 8,965 women, 2,121 women responded to the survey (24%). Most (2,030 of 2,101) strongly agreed/agreed that they could easily navigate the patient portal (97%); 1,852 of 1,966 strongly agreed/agreed that disclosure was efficient and convenient (94%); 1,852 of 1,960 strongly agreed/agreed that they felt informed after watching a short educational video (94%); and 1,903 of 1,967 strongly agreed/agreed that they preferred downloading results rather than waiting for their next doctor's appointment (97%). This study demonstrates high patient satisfaction with this automated and scalable solution in a high-volume health system. As the utilization of genetic testing increases, we predict greater need for innovative healthcare delivery models.
我们设计并实施了一种新颖的自动化阴性无创产前检测（NIPT）结果披露流程，该流程使用了一个符合健康保险流通与责任法案（HIPAA）的专有网络门户。在2017年4月至2018年12月期间选择进行NIPT检测的高危孕妇，可以选择通过自动化流程接收其阴性检测结果。患者在下载检测结果之前，需要观看一段简短的教育视频并回答评估问题。完成该流程后，患者要完成一项关于他们对该流程效率和便利性看法及满意度的调查。在研究期间，共有10170名女性在线注册，其中8965名完成了自动化流程（88%）。在这8965名女性中，有2121名女性回复了调查（24%）。大多数人（2101人中的2030人）强烈同意/同意她们能够轻松地在患者门户上操作（97%）；1966人中的1852人强烈同意/同意结果披露高效且便捷（94%）；1960人中的1852人强烈同意/同意在观看简短的教育视频后她们觉得信息充足（94%）；1967人中的1903人强烈同意/同意她们更喜欢下载结果而不是等待下次看医生时得知结果（97%）。这项研究表明，在一个高容量的医疗系统中，患者对这种自动化且可扩展的解决方案满意度很高。随着基因检测的应用增加，我们预计对创新医疗服务模式的需求会更大。
