Ramar Priya, Roellinger Daniel L, Merrick Roma F, Ebbert Jon O, Philpot Lindsey M
Robert D. and Patricia E. Kern Mayo Clinic Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Office of Mayo Clinic Experience, Mayo Clinic, Jacksonville, FL, USA.
Health Serv Res Manag Epidemiol. 2020 Aug 26;7:2333392820950909. doi: 10.1177/2333392820950909. eCollection 2020 Jan-Dec.
We surveyed patients who visited multiple outpatient specialty practices to understand what summary content was most helpful with the goal of optimizing meaningful outpatient clinical visit summary content.
We constructed a survey instrument to measure delivery, use, and contents of clinical visit summaries. We surveyed patients who visited with at least 2 different outpatient medical specialties to understand preferences.
Most patients in our sample valued the summary information they received, and retained it as healthcare documentation (84%) and/or quick reference in supporting self-care (70%). Patients most commonly reported that information on results of completed tests (91%) and treatment plan instructions (89%) were very helpful. Additionally, patients expressed the importance of online access to clinical visit summary information.
Most patients used the clinical visit summary as healthcare documentation, and valued online availability of their summary information. Patients most often reported that information on results of recently completed tests and specific instructions on treatment plan were very helpful. Patients who sought further information after their visit most often looked to a provider and/or online.
Patients valued clinical visit summary accessibility and as a reference tool to summarize care and provide next steps. Optimal clinical visit summaries might collate and integrate assessments and recommendations from multiple specialties into coherent care plans for patients.
我们对就诊于多个门诊专科的患者进行了调查,以了解哪些总结内容最有帮助,目标是优化有意义的门诊临床就诊总结内容。
我们构建了一个调查工具来衡量临床就诊总结的提供、使用和内容。我们对就诊于至少2个不同门诊医学专科的患者进行了调查,以了解他们的偏好。
我们样本中的大多数患者重视他们收到的总结信息,并将其作为医疗记录保留(84%)和/或在支持自我护理时作为快速参考(70%)。患者最常报告已完成检查结果的信息(91%)和治疗计划说明(89%)非常有帮助。此外,患者表达了在线获取临床就诊总结信息的重要性。
大多数患者将临床就诊总结用作医疗记录,并重视其总结信息的在线可用性。患者最常报告最近完成检查结果的信息和治疗计划的具体说明非常有帮助。就诊后寻求更多信息的患者最常向提供者和/或在线寻求帮助。
患者重视临床就诊总结的可获取性,并将其作为总结护理和提供下一步措施的参考工具。最佳的临床就诊总结可能会将多个专科的评估和建议整理并整合到针对患者的连贯护理计划中。