Collaborative for Healthcare Delivery Science, Medical College of Wisconsin, Milwaukee, Wisconsin,
Office of Population Health, Froedtert Health, Milwaukee, Wisconsin.
WMJ. 2023 Dec;122(5):346-348.
The Medicare Annual Wellness Visit is a preventive visit that is largely underutilized, a problem further compounded by the COVID-19 pandemic.
We implemented a digital outreach intervention to improve Annual Wellness Visit scheduling in our health system. Using a bulk outreach functionality in the electronic medical record, we sent a message to patients due for an Annual Wellness Visit and analyzed the efficacy of this message on scheduling rates while also assessing its impact by race.
Patients who read the message were 40% more likely to schedule an Annual Wellness Visit (OR 1.42; 95% CI, 1.34 - 1.50) compared to those who did not read the message.
After this intervention, Annual Wellness Visit scheduling rates increased by 50% for White patients and 325% for Black patients versus prepandemic rates in 2019.
医疗保险年度体检是一项预防措施，但利用率很低，而 COVID-19 大流行使这一问题更加严重。
我们实施了一项数字外展干预措施，以改善我们医疗系统中的年度体检预约情况。我们使用电子病历中的批量外展功能向即将进行年度体检的患者发送了一条消息，并分析了该消息对预约率的效果，同时还评估了其对不同种族的影响。
与未阅读消息的患者相比，阅读消息的患者预约年度体检的可能性增加了 40%（OR 1.42；95%CI，1.34-1.50）。
干预措施实施后，与 2019 年大流行前相比，白人患者的年度体检预约率增加了 50%，黑人患者增加了 325%。
