Visit Planning Using a Waiting Room Health IT Tool: The Aligning Patients and Providers Randomized Controlled Trial
Visit Planning Using a Waiting Room Health IT Tool: The Aligning Patients and Providers Randomized Controlled Trial
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DOI：
10.1370/afm.2352
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发表时间：
2019-03-01
影响因子：
4.4
通讯作者：
Heisler, Michele
中科院分区：
文献类型：
--
作者：
Grant, Richard W.;Lyles, Courtney;Heisler, Michele
目的初级保健就诊的时间是有限的。我们测试了这样的假设，即帮助患者识别和表达他们的首要就诊优先级的候诊室卫生信息技术(IT)工具将导致更好的就诊互动和提高护理质量。方法我们设计了一个等候室工具--访视规划器，以指导成年患者确定他们的首要就诊优先级并有效地将这些优先级表达给他们的临床医生。我们在一项整群随机对照试验中测试了这一工具，并以日常护理为对照。符合条件的患者至少有1个临床护理缺口(例如，癌症筛查逾期、慢性病风险因素控制不佳或药物不遵守)。结果这项研究(2016年3月31日至2017年12月31日进行)包括750名讲英语或西班牙语的患者。与常规护理患者相比，干预组患者更多地表示“肯定”为医生准备了问题(59.5%比45.1%，P
PURPOSE Time during primary care visits is limited. We tested the hypothesis that a waiting room health information technology (IT) tool to help patients identify and voice their top visit priorities would lead to better visit interactions and improved quality of care.METHODS We designed a waiting room tool, the Visit Planner, to guide adult patients through the process of identifying their top priorities for their visit and effectively expressing these priorities to their clinician. We tested this tool in a cluster-randomized controlled trial with usual care as the control. Eligible patients had at least 1 clinical care gap (eg, overdue for cancer screening, suboptimal chronic disease risk factor control, or medication nonadherence).RESULTS The study (conducted March 31, 2016 through December 31, 2017) included 750 English- or Spanish-speaking patients. Compared with usual care patients, intervention patients more often reported "definitely" preparing questions for their doctor (59.5% vs 45.1%, P