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数字健康技术的应用与增强患者对医疗的体验感相关联。

Digital health technology utilization is associated with enhanced patient perspectives of care.

机构信息

Department of Neurosurgery, Lenox Hill Hospital/Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA.

Department of Neurosurgery, Lenox Hill Hospital/Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA.

出版信息

Clin Neurol Neurosurg. 2024 Apr;239:108218. doi: 10.1016/j.clineuro.2024.108218. Epub 2024 Mar 2.

DOI:10.1016/j.clineuro.2024.108218
PMID:38447481
Abstract

BACKGROUND

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores measure patient experience and perspectives on care. Novel health information technologies facilitate communication between patients and healthcare teams. Playback Health is a health information technology that incorporates multimedia for providers to communicate health information to patients, their support network, and their healthcare teams. We hypothesized implementing Playback Health may enhance patient perspectives on care.

METHODS

HCAHPS scores were obtained retrospectively from a neurosurgical practice located in a metropolitan area between 2020 and 2022 for seven providers. Of these, four providers utilized Playback Health, and three did not. Individual providers' scores were compared between domains using two tailed t-tests at a significance level of p < 0.05.

RESULTS

Playback Health use was associated with higher HCAHPS scores across varying domains from 2020 through 2022 as well as overall scores. In 2020, the mean overall score of HCAHPS users was higher than non-users (89.65 vs. 87.28, p = 0.0095). In 2021, again higher mean overall scores were observed in users as compared to non-users (89.11 vs. 87.79, p 0.0266). In 2022, Playback Health users maintained higher scores across communication domains and overall scores (p < 0.00001). Comparisons within domains between Playback Health users and non-users revealed no domains in which non-users had a significantly higher score than users.

CONCLUSION

The addition of Playback Health multimedia health information technology was associated with improved patient satisfaction scores. When used as an adjunct to existing patient care, multimedia health information technologies may improve patient perceived care.

摘要

背景

医院消费者评估医疗保健提供者和系统(HCAHPS)分数衡量患者对护理的体验和看法。新颖的健康信息技术促进了患者与医疗团队之间的沟通。Playback Health 是一种健康信息技术,它将多媒体融入其中,以便提供者向患者、他们的支持网络和他们的医疗团队传达健康信息。我们假设实施 Playback Health 可能会增强患者对护理的看法。

方法

从位于大都市区的神经外科实践中回顾性地获得了 2020 年至 2022 年期间七位提供者的 HCAHPS 分数。其中,有四位提供者使用了 Playback Health,而有三位没有。使用双尾 t 检验在显著性水平 p < 0.05 下比较各个提供者在各个领域的得分。

结果

使用 Playback Health 与 2020 年至 2022 年期间不同领域以及总体得分的 HCAHPS 得分较高相关。2020 年,使用 Playback Health 的患者的平均总分高于未使用者(89.65 对 87.28,p = 0.0095)。2021 年,再次观察到使用者的平均总分高于未使用者(89.11 对 87.79,p = 0.0266)。2022 年,Playback Health 用户在沟通领域和总体得分方面保持较高的得分(p < 0.00001)。在 Playback Health 用户和非用户之间的各个领域内的比较中,没有发现非用户的得分明显高于用户的领域。

结论

添加 Playback Health 多媒体健康信息技术与改善患者满意度评分相关。当作为现有患者护理的辅助手段时,多媒体健康信息技术可能会提高患者感知的护理质量。

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