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虚拟分诊如何改善患者体验和满意度:叙事性综述与展望

How Virtual Triage Can Improve Patient Experience and Satisfaction: A Narrative Review and Look Forward.

作者信息

Gellert George A, Rasławska-Socha Joanna, Marcjasz Natalia, Price Tim, Kuszczyński Kacper, Młodawska Agata, Jędruch Aleksandra, Orzechowski Piotr M

机构信息

Infermedica, San Antonio, Texas, USA.

Infermedica, Wroclaw, Poland.

出版信息

Telemed Rep. 2023 Oct 4;4(1):292-306. doi: 10.1089/tmr.2023.0037. eCollection 2023.

Abstract

OBJECTIVE

To complete a review of the literature on patient experience and satisfaction as relates to the potential for virtual triage (VT) or symptom checkers to enhance and enable improvements in these important health care delivery objectives.

METHODS

Review and synthesis of the literature on patient experience and satisfaction as informed by emerging evidence, indicating potential for VT to favorably impact these clinical care objectives and outcomes.

RESULTS/CONCLUSIONS: VT enhances potential clinical effectiveness through early detection and referral, can reduce avoidable care delivery due to late clinical presentation, and can divert primary care needs to more clinically appropriate outpatient settings rather than high-acuity emergency departments. Delivery of earlier and faster, more acuity level-appropriate care, as well as patient avoidance of excess care acuity (and associated cost), offer promise as contributors to improved patient experience and satisfaction. The application of digital triage as a front door to health care delivery organizations offers care engagement that can help reduce patient need to visit a medical facility for low-acuity conditions more suitable for self-care, thus avoiding unpleasant queues and reducing microbiological and other patient risks associated with visits to medical facilities. VT also offers an opportunity for providers to make patient health care experiences more personalized.

摘要

目的

对有关患者体验和满意度的文献进行综述,这些文献涉及虚拟分诊(VT)或症状检查器在改善这些重要医疗服务目标方面的潜力。

方法

回顾和综合有关患者体验和满意度的文献,新出现的证据表明VT有可能对这些临床护理目标和结果产生积极影响。

结果/结论:VT通过早期检测和转诊提高了潜在的临床疗效,可减少因临床就诊延迟而导致的不必要的医疗服务,并可将初级护理需求转移到更适合门诊的临床环境,而不是高急症的急诊科。提供更早、更快、更符合病情严重程度的护理,以及患者避免过度的医疗急症(及相关费用),有望改善患者体验和满意度。将数字分诊作为医疗服务机构的前门应用,可提供护理参与,有助于减少患者因低急症情况(更适合自我护理)而前往医疗机构就诊的需求,从而避免不愉快的排队,并降低与前往医疗机构就诊相关的微生物及其他患者风险。VT还为医疗服务提供者提供了一个机会,使患者的医疗体验更加个性化。

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