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社区外展的未来:在 2019 冠状病毒病大流行期间利用患者门户提供选民资源。

The Future of Community Outreach: Using Patient Portals to Provide Voter Resources during the Coronavirus Disease 2019 Pandemic.

机构信息

Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, United States.

Department of General Internal Medicine, Wake Forest Center for Healthcare Innovation (CHI), Winston Salem, North Carolina, United States.

出版信息

Appl Clin Inform. 2023 Mar;14(2):300-309. doi: 10.1055/s-0043-1764380. Epub 2023 Apr 19.

Abstract

BACKGROUND

During the coronavirus disease 2019 (COVID-19) pandemic, there was a concern for the 2020 general election becoming a superspreader event due to in-person voting.

OBJECTIVES

Our project addressed this concern by disseminating nonpartisan websites detailing safe voter options in the state of North Carolina to prevent community spread of the virus as much as possible.

METHODS

In this study, patient portals were used to disseminate a Research Electronic Data Capture survey containing embedded links to voter resources including nonpartisan websites discussing voting options. The survey also asked for demographic data and sentiments regarding the resources provided. Quick response (QR) codes with the survey link were also placed in the clinics during the study period.

RESULTS

The survey was sent to 14,842 patients who had at least one patient encounter in the past 12 months at one of three General Internal Medicine clinics at Atrium Health Wake Forest Baptist. Survey participation through both the patient portals and QR codes was assessed. Patient sentiments toward the voter resources in regard to (1) interest and (2) perceived helpfulness were collected in the survey. In total, 738 (4.99%) patients filled out the survey. Eighty-seven percent of survey respondents reported that the voter resources were helpful. Significantly more black patients than white (29.3 vs. 18.2,  < 0.05) voiced interest in voter resources. There was no statistical significance across gender or reported comorbidities.

CONCLUSION

Multicultural, underserved, and underinsured patients perceived the most benefit. During public health crises, patient portal messages can be used to bridge information gaps and promote better health outcomes in a timely and effective manner.

摘要

背景

在 2019 年冠状病毒病(COVID-19)大流行期间,由于现场投票,人们担心 2020 年大选会成为超级传播事件。

目的

我们的项目通过传播详细说明北卡罗来纳州安全选民选择的无党派网站来解决这一问题,以尽可能防止病毒在社区传播。

方法

在这项研究中,使用患者门户传播包含选民资源嵌入式链接的 Research Electronic Data Capture 调查,包括讨论投票选项的无党派网站。该调查还询问了有关提供资源的人口统计数据和情绪。在研究期间,还在诊所放置了带有调查链接的快速响应 (QR) 码。

结果

该调查发送给了 14842 名患者,这些患者在 Atrium Health Wake Forest Baptist 的三家综合内科诊所中至少有一次过去 12 个月的患者就诊。评估了通过患者门户和 QR 码进行的调查参与度。在调查中收集了患者对选民资源的看法(1)兴趣和(2)感知有用性。共有 738 名(4.99%)患者填写了调查。87%的调查受访者表示选民资源很有帮助。表示对选民资源感兴趣的黑人患者明显多于白人患者(29.3%对 18.2%,<0.05)。在性别或报告的合并症方面没有统计学意义。

结论

多元文化、服务不足和保险不足的患者认为受益最多。在公共卫生危机期间,患者门户消息可以用来及时有效地弥合信息差距并促进更好的健康结果。

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