Jaso-Yim Brittany, Eyllon Mara, Sah Pratha, Pennine Mariesa, Welch George, Schuler Keke, Orth Laura, O'Dea Heather, Rogers Elizabeth, Murillo Lily H, Barnes J Ben, Hoyler Georgia, Peloquin Gabrielle, Jarama Kevin, Nordberg Samuel S, Youn Soo Jeong
Department of Behavioral Health, Reliant Medical Group, OptumCare, 5 Neponset St, Worcester, MA, USA.
Department of Psychiatry, University of Massachusetts Chan Medical School, 55 Lake Ave N, Worcester, MA, USA.
Internet Interv. 2024 Sep 17;38:100777. doi: 10.1016/j.invent.2024.100777. eCollection 2024 Dec.
Less than half of adults with mental health disorders in the United States receive appropriate or timely care. Digital Mental Health Interventions (DMHIs) have the potential to bridge this gap. However, real-world adoption of DMHIs is impeded by patient and provider-level technological barriers. Care navigators have the potential to address these challenges by providing technical support and enhancing patients' experience with DMHIs.
This study explores the effect of a digital care navigator (DCN) on patient registration latency and rates of DMHIs implemented as part of a digital-first behavioral health care model integrated within routine care at a large multispecialty group medical practice.
Data were collected from electronic medical records and DMHI registration data were obtained from the DMHI vendors. Descriptive statistics were used to describe the DCN's efforts to help patients register with their DMHIs. Moods median tests evaluated differences in registration latency and weekly registration rate pre- and post- DCN implementation. Change in registration likelihood as a function of DCN outreach latency was investigated using a Kaplan-Meier plot.
During the first eight months, the DCN made 1306 phone calls to 680 unique patients, successfully connecting with 66 %. DCN implementation also increased the median registration rate from 61.9 % to 76.9 %. Results showed that the expediency by which the DCN outreached patients directly impacted registration rate such that of those who were outreached by the DCN on the day of their referral to a DMHI, 96.86 % registered. This number was reduced to 76.15 % if the DCN reached them 1-day following referral, and 41.39 % 5-days after their referral.
Use of a DCN shows promise for enhancing patient registration rates with DMHIs in routine healthcare settings.
在美国，患有精神健康障碍的成年人中，不到一半能获得适当或及时的治疗。数字心理健康干预措施（DMHIs）有潜力填补这一差距。然而，患者和提供者层面的技术障碍阻碍了DMHIs在现实世界中的应用。护理导航员有潜力通过提供技术支持和改善患者对DMHIs的体验来应对这些挑战。
本研究探讨数字护理导航员（DCN）对患者注册延迟以及作为大型多专科团体医疗实践中常规护理一部分实施的DMHIs实施率的影响。
从电子病历中收集数据，并从DMHI供应商处获取DMHI注册数据。描述性统计用于描述DCN帮助患者注册DMHIs的工作。 Moods中位数检验评估了DCN实施前后注册延迟和每周注册率的差异。使用Kaplan-Meier图研究注册可能性随DCN outreach延迟的变化。
在最初的八个月里，DCN给680名不同的患者打了1306个电话，成功接通率为66%。DCN的实施还将注册率中位数从61.9%提高到了76.9%。结果表明，DCN直接联系患者的速度直接影响了注册率，在患者被转介到DMHI当天就被DCN联系的患者中，96.86%进行了注册。如果DCN在转介后1天联系到他们，这个数字降至76.15%，在转介后5天联系到他们则为41.39%。
在常规医疗环境中，使用DCN有望提高患者对DMHIs的注册率。
