PDF(Pubmed)
Abstract：
BACKGROUND: Patient education plays a critical role in healthcare, influencing outcomes and resource utilization. However, effectively integrating patient education into clinical practice remains challenging due to time constraints and inconsistencies in information delivery. Enhancements in Electronic Health Records (EHR) offer potential solutions by facilitating customized, quality education delivery. This study investigates the impact of an EHR-enhanced patient education intervention on short-term revisit rates to healthcare facilities.
METHODS: A quasi-experimental, pre-test/post-test design without a control group was employed at the International Medical Center in Riffa, Bahrain. The intervention consisted of modifications to the EHR system to support patient education, along with staff training on effective education delivery. Patient revisit rates within seven days post-consultation were compared before and after the intervention using chi-square tests and logistic regression, adjusting for potential confounders.
RESULTS: A total of 1,239 patients participated in the study, which was divided into two groups: 754 patients in the pre-intervention group and 485 patients in the post-intervention group. A significant change was observed in the patient revisit rates: in the pre-intervention group, 53.32% of patients (402 out of 754) returned within seven days, compared to 41.44% of patients (201 out of 485) in the post-intervention group, with a p-value < 0.01.
CONCLUSIONS: Enhancements to EHR systems, combined with comprehensive staff education on patient education, can lead to significant reductions in short-term patient revisits. This underscores the importance of integrating technological and educational interventions in healthcare settings to improve patient outcomes and efficiency.
METHODS: A quasi-experimental, pre-test/post-test design without a control group was employed at the International Medical Center in Riffa, Bahrain. The intervention consisted of modifications to the EHR system to support patient education, along with staff training on effective education delivery. Patient revisit rates within seven days post-consultation were compared before and after the intervention using chi-square tests and logistic regression, adjusting for potential confounders.
RESULTS: A total of 1,239 patients participated in the study, which was divided into two groups: 754 patients in the pre-intervention group and 485 patients in the post-intervention group. A significant change was observed in the patient revisit rates: in the pre-intervention group, 53.32% of patients (402 out of 754) returned within seven days, compared to 41.44% of patients (201 out of 485) in the post-intervention group, with a p-value < 0.01.
CONCLUSIONS: Enhancements to EHR systems, combined with comprehensive staff education on patient education, can lead to significant reductions in short-term patient revisits. This underscores the importance of integrating technological and educational interventions in healthcare settings to improve patient outcomes and efficiency.
摘要：
背景：患者教育在医疗保健中起着至关重要的作用，影响成果和资源利用。然而,由于时间限制和信息传递不一致,有效地将患者教育纳入临床实践仍然具有挑战性.电子健康记录(EHR)的增强功能通过促进定制、提供优质教育。这项研究调查了EHR增强的患者教育干预对医疗机构短期重访率的影响。
方法：准实验，Riffa国际医疗中心采用了没有对照组的测试前/测试后设计，巴林。干预包括修改EHR系统以支持患者教育，以及对员工进行有效教育培训。使用卡方检验和logistic回归比较干预前后咨询后七天内的患者再就诊率，调整潜在的混杂因素。
结果：共有1,239名患者参与了这项研究，分为两组：干预前组754例患者和干预后组485例患者。观察到患者复诊率的显着变化：在干预前组中，53.32%的病人(754人中有402人)在七天内返回,与之相比，干预后组有41.44%的患者(485人中有201人)，p值<0.01。
结论：对EHR系统的增强，结合全面的员工患者教育，可导致短期患者复诊的显著减少。这强调了在医疗机构中整合技术和教育干预措施以改善患者预后和效率的重要性。
方法：准实验，Riffa国际医疗中心采用了没有对照组的测试前/测试后设计，巴林。干预包括修改EHR系统以支持患者教育，以及对员工进行有效教育培训。使用卡方检验和logistic回归比较干预前后咨询后七天内的患者再就诊率，调整潜在的混杂因素。
结果：共有1,239名患者参与了这项研究，分为两组：干预前组754例患者和干预后组485例患者。观察到患者复诊率的显着变化：在干预前组中，53.32%的病人(754人中有402人)在七天内返回,与之相比，干预后组有41.44%的患者(485人中有201人)，p值<0.01。
结论：对EHR系统的增强，结合全面的员工患者教育，可导致短期患者复诊的显著减少。这强调了在医疗机构中整合技术和教育干预措施以改善患者预后和效率的重要性。
