Pathak Sarita, Summerville Gregory, Kaplan Celia P, Nouri Sarah S, Karliner Leah S
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Multiethnic Health Equity Research Center, University of California San Francisco, CA, USA. Summerville is now with the Department of Orthopedics and Sports Medicine, The Permanente Medical Group, South San Francisco, CA, USA.
J Patient Exp. 2020 Oct;7(5):703-707. doi: 10.1177/2374373519879286. Epub 2019 Oct 4.
Participants completed a cross-sectional survey about their use of the after visit summary (AVS) at a previous primary care visit. Of 355 participants, 294 (82.8%) recalled receiving it, 67.4% consulted it, 45.9% consulted it more than once, and 31.6% shared the AVS. In multivariable analysis, higher education and older age were associated with AVS consultation. Among the subset of 133 patients recalling personalized free-text instructions, 96% found them easy to understand and 94.4% found them useful. Our findings suggest that the AVS is a useful communication tool and improvement efforts should emphasize clarity for those most vulnerable to communication errors.
参与者完成了一项关于他们在之前一次初级保健就诊时对就诊后总结（AVS）使用情况的横断面调查。在355名参与者中，294人（82.8%）回忆起收到过AVS，67.4%的人查阅过，45.9%的人不止一次查阅过，31.6%的人分享过AVS。在多变量分析中，高等教育和年长与查阅AVS有关。在133名回忆起个性化自由文本说明的患者子集中，96%的人认为它们易于理解，94.4%的人认为它们有用。我们的研究结果表明，AVS是一种有用的沟通工具，改进工作应强调对那些最容易出现沟通错误的人要清晰明了。
