PDF(Pubmed)
Abstract：
Digital health tools may facilitate the continuity of care. Enhancement of digital aid is imperative to prevent information gaps or redundancies, as well as to facilitate support of flexible care plans.
The study presents Health Circuit, an adaptive case management approach that empowers health care professionals and patients to implement personalized evidence-based interventions, thanks to dynamic communication channels and patient-centered service workflows; analyze the health care impact; and determine its usability and acceptability among health care professionals and patients.
From September 2019 to March 2020, the health impact, usability (measured with the system usability scale; SUS), and acceptability (measured with the net promoter score; NPS) of an initial prototype of Health Circuit were tested in a cluster randomized clinical pilot (n=100) in patients with high risk for hospitalization (study 1). From July 2020 to July 2021, a premarket pilot study of usability (with the SUS) and acceptability (with the NPS) was conducted among 104 high-risk patients undergoing prehabilitation before major surgery (study 2).
In study 1, Health Circuit resulted in a reduction of emergency room visits (4/7, 13% vs 7/16, 44%), enhanced patients\' empowerment (P<.001) and showed good acceptability and usability scores (NPS: 31; SUS: 54/100). In study 2, the NPS was 40 and the SUS was 85/100. The acceptance rate was also high (mean score of 8.4/10).
Health Circuit showed potential for health care value generation and good acceptability and usability despite being a prototype system, prompting the need for testing a completed system in real-world scenarios.
ClinicalTrials.gov NCT04056663; https://clinicaltrials.gov/ct2/show/NCT04056663.
The study presents Health Circuit, an adaptive case management approach that empowers health care professionals and patients to implement personalized evidence-based interventions, thanks to dynamic communication channels and patient-centered service workflows; analyze the health care impact; and determine its usability and acceptability among health care professionals and patients.
From September 2019 to March 2020, the health impact, usability (measured with the system usability scale; SUS), and acceptability (measured with the net promoter score; NPS) of an initial prototype of Health Circuit were tested in a cluster randomized clinical pilot (n=100) in patients with high risk for hospitalization (study 1). From July 2020 to July 2021, a premarket pilot study of usability (with the SUS) and acceptability (with the NPS) was conducted among 104 high-risk patients undergoing prehabilitation before major surgery (study 2).
In study 1, Health Circuit resulted in a reduction of emergency room visits (4/7, 13% vs 7/16, 44%), enhanced patients\' empowerment (P<.001) and showed good acceptability and usability scores (NPS: 31; SUS: 54/100). In study 2, the NPS was 40 and the SUS was 85/100. The acceptance rate was also high (mean score of 8.4/10).
Health Circuit showed potential for health care value generation and good acceptability and usability despite being a prototype system, prompting the need for testing a completed system in real-world scenarios.
ClinicalTrials.gov NCT04056663; https://clinicaltrials.gov/ct2/show/NCT04056663.
摘要：
背景：数字健康工具可以促进护理的连续性。必须加强数字援助，以防止信息缺口或冗余，以及促进灵活护理计划的支持。
目的：该研究提出了健康电路，一种适应性病例管理方法，使医疗保健专业人员和患者能够实施个性化的循证干预措施，由于动态沟通渠道和以患者为中心的服务工作流程;分析医疗保健影响;并确定其可用性和在医疗保健专业人员和患者中的可接受性。
方法：从2019年9月到2020年3月，对健康的影响，可用性(用系统可用性量表测量；SUS)，在分组随机临床试验(n=100)中,对住院风险高的患者(研究1)进行了健康电路初始原型的可接受性(用净启动子评分;NPS测量).从2020年7月到2021年7月，对104名接受大手术前康复的高危患者进行了可用性（使用SUS）和可接受性（使用NPS）的上市前试点研究（研究2）。
结果：在研究1中，HealthCircuit导致急诊室就诊减少（4/7，13％vs7/16，44％），增强患者的授权（P<.001），并显示出良好的可接受性和可用性评分（NPS：31;SUS：54/100）。在研究2中，NPS为40，SUS为85/100。接受率也很高（平均得分为8.4/10）。
结论：尽管是原型系统，但健康电路显示出医疗保健价值生成的潜力以及良好的可接受性和可用性，提示需要在现实世界的场景中测试一个完整的系统。
背景：ClinicalTrials.govNCT04056663;https://clinicaltrials.gov/ct2/show/NCT04056663。
目的：该研究提出了健康电路，一种适应性病例管理方法，使医疗保健专业人员和患者能够实施个性化的循证干预措施，由于动态沟通渠道和以患者为中心的服务工作流程;分析医疗保健影响;并确定其可用性和在医疗保健专业人员和患者中的可接受性。
方法：从2019年9月到2020年3月，对健康的影响，可用性(用系统可用性量表测量；SUS)，在分组随机临床试验(n=100)中,对住院风险高的患者(研究1)进行了健康电路初始原型的可接受性(用净启动子评分;NPS测量).从2020年7月到2021年7月，对104名接受大手术前康复的高危患者进行了可用性（使用SUS）和可接受性（使用NPS）的上市前试点研究（研究2）。
结果：在研究1中，HealthCircuit导致急诊室就诊减少（4/7，13％vs7/16，44％），增强患者的授权（P<.001），并显示出良好的可接受性和可用性评分（NPS：31;SUS：54/100）。在研究2中，NPS为40，SUS为85/100。接受率也很高（平均得分为8.4/10）。
结论：尽管是原型系统，但健康电路显示出医疗保健价值生成的潜力以及良好的可接受性和可用性，提示需要在现实世界的场景中测试一个完整的系统。
背景：ClinicalTrials.govNCT04056663;https://clinicaltrials.gov/ct2/show/NCT04056663。
