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人工智能患者报告体验测量(AI-PREM工具)在临床实践中的附加值:在前庭神经鞘瘤护理路径中的应用。

The added value of the artificial intelligence patient-reported experience measure (AI-PREM tool) in clinical practise: Deployment in a vestibular schwannoma care pathway.

作者信息

Neve O M, van Buchem M M, Kunneman M, van Benthem P P G, Boosman H, Hensen E F

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Centre, the Netherlands.

Information Technology & Digital Innovation Department, Leiden University Medical Centre, the Netherlands.

出版信息

PEC Innov. 2023 Aug 30;3:100204. doi: 10.1016/j.pecinn.2023.100204. eCollection 2023 Dec 15.

Abstract

OBJECTIVES

Patient-reported experience measures (PREMs) can be used for the improvement of quality of care. In this study, the outcome of an open-ended question PREM combined with computer-assisted analysis is compared to the outcome of a closed-ended PREM questionnaire.

METHODS

This survey study assessed the outcome of the open-ended questionnaire PREM and a close-ended question PREM of patients with unilateral vestibular schwannoma in a tertiary vestibular schwannoma expert centre.

RESULTS

The open-ended questions PREM, consisting of five questions, was completed by 507 participants and resulted in 1508 positive and 171 negative comments, categorised into 27 clusters. The close-ended questions PREM results were mainly positive (overall experience graded as 8/10), but did not identify specific action points. Patients who gave high overall scores (>8) on the close-ended question provided points for improvement in the open-ended question PREM, which would have been missed using the close-ended questions only.

CONCLUSIONS

Compared to the close-ended question PREM, the open-ended question PREM provides more detailed and specific information about the patient experience in the vestibular schwannoma care pathway.

INNOVATION

Automated analysis of feedback with the open-ended question PREM revealed relevant insights and identified topics for targeted quality improvement, whereas the close-ended PREM did not.

摘要

目的

患者报告体验测量(PREMs)可用于改善医疗质量。在本研究中,将开放式问题PREM结合计算机辅助分析的结果与封闭式PREM问卷的结果进行比较。

方法

本调查研究在一家三级前庭神经鞘瘤专家中心评估了单侧前庭神经鞘瘤患者的开放式问卷PREM和封闭式问题PREM的结果。

结果

由五个问题组成的开放式问题PREM由507名参与者完成,共产生1508条积极评论和171条消极评论,分为27个类别。封闭式问题PREM的结果主要为积极(总体体验评分为8/10),但未确定具体的行动要点。在封闭式问题上给出高分(>8)的患者在开放式问题PREM中提供了改进要点,而仅使用封闭式问题则会遗漏这些要点。

结论

与封闭式问题PREM相比,开放式问题PREM提供了关于前庭神经鞘瘤护理路径中患者体验的更详细和具体的信息。

创新点

对开放式问题PREM的反馈进行自动分析揭示了相关见解,并确定了有针对性的质量改进主题,而封闭式PREM则没有。

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