Development, Implementation, and Results from a COVID-19 Messaging Campaign to Promote Health Care Seeking Behaviors Among Community Clinic Patients.
Development, Implementation, and Results from a COVID-19 Messaging Campaign to Promote Health Care Seeking Behaviors Among Community Clinic Patients.
复制标题
DOI：
10.1007/s10900-020-00939-0
复制
发表时间：
2021-08
影响因子：
5.9
通讯作者：
Neuwirth Z
中科院分区：
文献类型：
--
作者：
Mayfield CA;Sparling A;Hardeman G;de Hernandez BU;Pasupuleti N;Carr J;Coltman K;Neuwirth Z
护理延误可能会进一步加剧2019年新型冠状病毒病(新冠肺炎)相关并发症中的种族和民族健康差异。本研究的目的是描述和评估在北卡罗来纳州社区和乡村诊所患者中促进求医行为的患者参与信息活动(PEM Campaign)。短信和语音信息在3周内送达。信息鼓励患者拨打区域操作呼叫中心(ROC)热线，获取与医疗预约和测试相关的信息。对总人口(n = 48,063)和没有最近医疗接触的样本(n = 29,214)进行了横断面评估。在样本中，Logistic回归被用来建模呼叫ROC-Line的决定因素以及呼叫ROC-Line与寻求医疗行为(安排任何医疗预约或接受新冠肺炎测试)之间的关联。短信投递率为69.9%，语音投递率为89%。总体而言，95.4%的总人口收到了至少一条消息。黑人患者分娩成功率较低，中度健康风险并存患者分娩成功率较高。在样本中，7.4%的人打电话给ROC-Line，在少数族裔患者中打电话的几率更高(与白人相比)，在医疗补助和未参保患者中(与私人保险相比)的几率更高。呼叫ROC-LINE与安排任何医疗预约(OR：4.14；95%CI 2.93-5.80)和接受新冠肺炎测试(OR：2.39；95%CI 1.64-3.39)的几率更高相关。信息传播活动可能会帮助断开连接的患者获得医疗资源并减少差距，但可能仍然受到现有障碍的限制。本文的在线版本(10.1007/s10900-020-00939-0)包含补充材料，可供授权用户使用。
Care-delays can further exacerbate racial and ethnic health disparities in novel coronavirus disease 2019 (COVID-19) related complications. The purpose of our study was to describe and evaluate a Patient Engagement Messaging campaign (PEM campaign) promoting health care seeking behaviors among community and rural clinic patients in North Carolina. Text and voice messages were delivered over 3-weeks. Messages encouraged patients to call a regional operation call center (ROC) line for information related to health care appointments and testing. A cross-sectional evaluation was conducted on the total population (n = 48,063) and a sample without recent health care contact (n = 29,214). Among the sample, logistic regression was used to model determinants of calls to the ROC-line and associations between calling the ROC-line and health care seeking behaviors (scheduling any health care appointment or receiving a COVID-19 test). 69.9% of text messages and 89% of voice messages were delivered. Overall, 95.4% of the total population received at least 1 message. Successful delivery was lower among Black patients and higher among patients with moderate health-risk comorbidities. Among the sample, 7.4% called the ROC-line, with higher odds of calling among minority patients (vs. White) and among Medicaid and uninsured (vs. private insurance). Calling the ROC-line was associated with higher odds of scheduling any health care appointment (OR: 4.14; 95% CI 2.93–5.80) and receiving a COVID-19 test (OR: 2.39; 95% CI 1.64–3.39). Messaging campaigns may help disconnected patients access health care resources and reduce disparities, but are likely still limited by existing barriers. The online version of this article (10.1007/s10900-020-00939-0) contains supplementary material, which is available to authorized users.
登录
查看更多内容
结构性种族主义，社会危险因素和共同-19-对黑人美国人的危险融合。
DOI：
10.1056/nejmp2023616
发表时间：
2020-09-17
期刊：
The New England journal of medicine
影响因子：
--
作者：
Egede LE;Walker RJ
通讯作者：
Walker RJ
影响因子：
2
作者：
Phinney, Robin
通讯作者：
Phinney, Robin
影响因子：
3
作者：
Armstrong K;Putt M;Halbert CH;Grande D;Schwartz JS;Liao K;Marcus N;Demeter MB;Shea JA
通讯作者：
Shea JA
影响因子：
4.9
作者：
Gonzales, Amy L.
通讯作者：
Gonzales, Amy L.
影响因子：
5.7
作者：
Alexander, GC;Casalino, LP;Meltzer, DO
通讯作者：
Meltzer, DO