全系统的数字平等方法:初级保健中的数字访问协调员计划。

IF 4.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS
Jorge A Rodriguez, Michelle Zelen, Jessica Szulak, Katie Moore, Lee Park
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引用次数: 0

摘要

介绍:由大流行病引发的向数字工具的过渡使数字差距变得显而易见。为了解决数字素养方面的差距,我们实施了一项全系统的数字导航计划:数字访问协调员(DAC)计划由 12 名多语言导航员组成,他们负责帮助患者注册和使用患者门户网站和数字工具。我们在初级医疗网络中实施了该计划,该网络由 1211 名临床医生的 125 万名患者组成:从 2021 年 5 月到 2022 年 11 月,DAC 完成了对 16 045 名患者的外联工作。在他们接触的 13 413 名患者中,有 8193 名(61%)患者成功注册了患者门户网站。在他们登记的患者中,大多数是其他种族和西班牙裔患者,以及讲英语(44%)和西班牙语(44%)的患者。利用我们的嵌入式模型,我们提高了 7 家诊所的注册率(平均增幅:21.3%,标准差:9.2%)。此外,我们还确定了实施数字导航计划的关键方法:通过创建数字导航计划并将其作为优先事项,医疗机构可以支持患者门户注册,这是数字医疗公平的关键部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A system-wide approach to digital equity: the Digital Access Coordinator program in primary care.

Introduction: The transition to digital tools prompted by the pandemic made evident digital disparities. To address digital literacy gaps, we implemented a system-wide digital navigation program.

Methods: The Digital Access Coordinator (DAC) program consists of 12 multilingual navigators who support patients in enrolling and using the patient portal and digital tools. We implemented the program in our primary care network which consists of 1.25 million patients across 1211 clinicians.

Results: From May 2021 to November 2022, the DACs completed outreach to 16 045 patients. Of the 13 413 patients they reached, they successfully enrolled 8193 (61%) patients in the patient portal. Of those patients they enrolled, most patients were of Other race, Hispanic ethnicity, and were English-speaking (44%) and Spanish-speaking patients (44%). Using our embedded model, we increased enrollment across 7 clinics (mean increase: 21.3%, standard deviation: 9.2%). Additionally, we identified key approaches for implementing a digital navigation program.

Conclusion: Organizations can support patient portal enrollment, a key part of digital health equity, by creating and prioritizing digital navigation programs.

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来源期刊
Journal of the American Medical Informatics Association
Journal of the American Medical Informatics Association 医学-计算机:跨学科应用
CiteScore
14.50
自引率
7.80%
发文量
230
审稿时长
3-8 weeks
期刊介绍: JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.
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