Using secure messaging to update medications list in ambulatory care setting
Using secure messaging to update medications list in ambulatory care setting
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DOI：
10.1016/j.ijmedinf.2015.06.003
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发表时间：
2015-10-01
影响因子：
4.9
通讯作者：
Patel, Asha
中科院分区：
文献类型：
--
作者：
Raghu, T. S.;Frey, Keith;Patel, Asha
本研究分析了门诊护理环境中患者采用安全消息更新药物列表的情况。目的是确定药物列表更新安全消息的用户和非用户之间的人口统计学差异。效率的安全消息的更新进行了比较，以传真和电话为基础的updation.Methods：本研究采用了一种回顾性的，横断面研究的患者病历和药房呼叫日志在马约诊所，亚利桑那州从2012年12月至2013年5月，大约一年后，组织一个药房呼叫中心的药物更新。在2周的时间内进行亚组分析，以衡量完成更新的时间。主要措施：主要因变量是研究期间药物列表更新的频率。更新所需的技术人员的时间也used.Results：共22，495门诊就诊，18，702独特的患者被纳入主要分析。共有402例独特患者被纳入亚组分析。安全信息应答率（49.5%）显著低于电话应答率（54.8%，p < 0.001）。完成更新的时间是显着更高的传真药物列表（Wilcoxon秩和检验，p < 0.001）相比，那些安全的消息或phone.Conclusions：约50%的患者响应药物更新请求之前，办公室访问时，接触使用电话和安全消息。鉴于患者门户网站的用户和非用户之间的人口统计差异，在可预见的未来，与患者的混合模式通信可能成为门诊设置的规范。(C)由Elsevier爱尔兰有限公司出版。
This study analyzed patient adoption of secure messaging to update medication list in an ambulatory care setting. The objective was to establish demographic differences between users and non-users of secure messaging for medications list update. Efficiency of secure messaging for the updates was compared to fax and telephone based updates.Methods: The study used a retrospective, cross-sectional study of patient medical records and pharmacy call logs at Mayo Clinic, Arizona from December 2012 to May 2013, approximately one year after organizing a pharmacy call center for medication updates. A subgroup analysis during a 2-week period was used to measure time to complete update.Main measures: Main dependent variable is the frequency of medication list updates over the study duration. Technician time required for the update was also utilized.Results: A total of 22,495 outpatient visits were drawn and 18,702 unique patients were included in the primary analysis. A total of 402 unique patients were included in sub-group analysis. Secure message response rate (49.5%) was statistically significantly lower than that for phone calls (54.8%, p < 0.001). Time to complete the update was significantly higher for faxed medication lists (Wilcoxon rank-sum tests, p < 0.001) when compared to those for secure message or phone.Conclusions: Around 50% of the patients respond to medication update requests before office visit when contacted using phone calls and secure messages. Given the demographic differences between users and non-users of patient portal, mixed mode communication with patients is likely to be the norm for the foreseeable future in outpatient settings. (C) 2015 Published by Elsevier Ireland Ltd.