Current and potential use of new technologies for reminder notifications.
Current and potential use of new technologies for reminder notifications.
复制标题
当前和潜在的提醒通知新技术的使用。
DOI：
10.1177/0009922811420715
复制
发表时间：
2012
影响因子：
1.6
通讯作者：
Clark,Sarah
中科院分区：
文献类型：
--
作者：
Dombkowski,KevinJ;Harrington,Laura;Hanauer,David;Kennedy,Allison;Clark,Sarah
结果访谈进行了19个初级保健网站，包括11个儿科，7个家庭医学，和1个多专业的联邦合格的健康中心。所有19个地点都有电子账单和预约安排系统;其中18个系统有能力区分固定电话号码和手机号码，但这些系统都无法区分可发短信的手机。几乎所有研究中心（18）都使用各种提醒机制提醒患者即将进行的预约，包括实时电话（11）、自动拨号电话（5）、邮件提醒（1）或实时电话后再发送邮件提醒（1）。相比之下，只有8个研究中心通过实时电话（6）或邮件（2）进行了免疫特定提醒。在我们的样本中，目前没有一个实践使用短信或电子邮件提醒预约或免疫接种;同样，没有一个使用Facebook，Twitter或其他社交网络媒体。实践人员描述了使用短信和电子邮件通知的几个关注领域，包括初始和持续成本的不确定性、父母偏好、患者隐私、患者选择加入的法律的要求以及未回复电子邮件的潜在责任。尽管目前没有一家机构使用电子邮件提醒，但6家机构已开始收集父母的电子邮件地址，以备将来可能的联系;机构报告称，能够在其机构管理系统（4）以及通过独立电子表格等临时方法（2）跟踪和查询此信息。5个诊所使用的4个自动拨号系统都具有现有的语音、文本和电子邮件功能，尽管诊所人员通常不知道这些功能。这些系统提供了类似的语音信息功能，在建议的出站信息持续时间和在忙碌或其他不成功联系的情况下的联系尝试次数方面存在一些差异（表1）。相比之下，文本和电子邮件消息传递的特定功能在供应商之间差异很大。
ResultsInterviews were conducted with 19 primary care sites, including 11 pediatric, 7 family medicine, and 1 multispecialty Federally Qualified Health Center. All 19 sites had electronic billing and appointment scheduling systems; 18 of these systems had the capacity to distinguish between landline numbers and cell phones although none of these systems could distinguish cell phones that were text-enabled. Nearly all the sites (18) reminded patients of upcoming appointments, using a variety of reminder mechanisms including live phone calls (11), autodialer phone calls (5), mail reminder (1), or a live phone call followed by a mail reminder (1). In contrast, only 8 sites conducted immunization-specific reminders, using either live phone calls (6) or mail (2). None of the practices in our sample currently used text message or email reminders for appointments or immunizations; similarly, none were using Facebook, Twitter, or other social networking media. Practice personnel described several areas of concern about the use of text messaging and email notification, including uncertainty about initial and ongoing costs, parent preferences, patient privacy, legal requirements for patient opt-in, and potential liability for unanswered emails. Although none of the practices currently used email reminders, 6 sites had begun collecting parent email addresses in anticipation of possible future contacts; practices reported the ability to track and query this information in their practice management systems (4) as well as through ad hoc methods such as stand-alone spreadsheets (2). The 4 autodialer systems used by the 5 practices all had existing voice, text, and email message capability, although practice personnel were generally unaware of these capabilities. These systems offered similar voice message capabilities, with some differences in terms of the recommended duration of the outbound message and the number of contact attempts in case of a busy line or an otherwise unsuccessful contact (Table 1). In contrast, the specific capabilities for text and email messaging varied substantially across vendors.