AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a tota...AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire.Clinical data was obtained from the case management system.Follow-up adherence was defined as completing each follow-up within±30d of the scheduled time set by ophthalmologists during the study period.RESULTS:Average satisfaction scored 78.65±7,with an average of 4.39±0.58 across the seven dimensions.Age negatively correlated with satisfaction(P=0.008),whilst patients with follow-up duration of 2 or more years reported higher satisfaction(P=0.045).Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence(OR=0.97,95%CI,0.95-1.00,P=0.044).Additionally,patients with suspected glaucoma(OR=2.72,95%CI,1.03-7.20,P=0.044)and those with an annual income over 100000 Chinese yuan demonstrated higher adherence(OR=5.57,95%CI,1.00-30.89,P=0.049).CONCLUSION:The case management model proves effective for glaucoma patients,with positive adherence rates.The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals.展开更多
Objective:Explore the application of mobile phone APP in the follow-up management of hospital in the information age,to build a harmonious doctor-patient relationship,improve the effective follow-up rate and promote t...Objective:Explore the application of mobile phone APP in the follow-up management of hospital in the information age,to build a harmonious doctor-patient relationship,improve the effective follow-up rate and promote the rehabilitation of patients.Methods:Compare and analyze the traditional telephone follow-up mode and the mode of mobile phone APP with telephone follow-ups.Results:In 2016,with telephone follow-ups only,the effective rate was 91.3%,the patient satisfaction rate was 92.6%.In 2017,besides telephone follow-ups,we used mobile phone APP,the effective follow-up rate got up to 96.2%,the satisfaction rate of patients got up to 98.1%.Conclusion:Compared with the traditional follow-up model,mobile phone APP follow-up model can improve the clinical follow-up service and the compliance of patients,help to reduce failures of follow-up.With mobile phone APP,it’s much more convenient and effective for doctors to communicate with patients,and it is better for the rehabilitation of patients with disease.展开更多
Aim: Although numerous studies of disease management and case management of chronic heart failure (CHF) have been carried out, length of effectiveness after program commencement has not been examined, so we examined a...Aim: Although numerous studies of disease management and case management of chronic heart failure (CHF) have been carried out, length of effectiveness after program commencement has not been examined, so we examined a follow-up study at 36 months after program commencement. Methods: Participants went for follow-up visits to one Japanese clinic which specializes in internal cardiovascular medicine and they were given diagnoses of CHF. 104 outpatients participated in this study and randomized control trial was implemented. An educational program was implemented for 6 months. The data were collected at baseline, 3, 6, 9, 12 months from both intervention and control groups and at 24 and 36 months from the intervention group. Results: There was significant improvement in New York Heart Association (NYHA) in the intervention group between baseline and 36 months. Improvement in weight monitoring and activities or exercise in the intervention group continued up to 36 months. Meanwhile, sodium restricted diets and quitting smoking and/or drinking depended on individual preference and it was difficult to make improvements in these areas. Conclusions: The educational program showed promise in preventing CHF outpatients from deteriorating significantly on a long-term basis as self-monitoring of activity and weight continued significantly and there were no participants with CHF who deteriorated in the intervention group at 36 months after program commencement, although the program aimed only to provide illness and self-management knowledge. On the other hand, future work will need to compare participants in this program to a control group over an extended period of time with consideration for relieving the burden of the control group.展开更多
Considering the variation in metabolic evaluation and medical management of kidney stone disease,this consensus review was created to discuss the metabolic activity of nephrolithiasis,define the difference between sin...Considering the variation in metabolic evaluation and medical management of kidney stone disease,this consensus review was created to discuss the metabolic activity of nephrolithiasis,define the difference between single and recurrent stone formers,and develop a schema for metabolic and radiologic follow-up.A systematic review of the literature was performed to identify studies of metabolic evaluation and follow-up of patients with nephrolithiasis.Both single and recurrent stone formers share many similarities in metabolic profiles.The study group determined that based on an assessment of risk for stone recurrence and metabolic activity,single and recurrent stone formers should be evaluated comprehensively,including two 24 h urine studies on a random diet.Targeted medication and dietary recommendations are effective for many patients in reducing the risk of stone recurrence.Follow-up of those with stone disease should be obtained depending on the level of metabolic activity of the patient,the risk of chronic kidney disease and the risk of osteoporosis/osteopenia.A standard scheme includes a baseline metabolic profile,a repeat study 3e6 months after initiation of treatment,and then yearly when stable,with abdominal imaging obtained every 1-2 years.展开更多
目的评估高血压电话访问式健康管理模式在社区人群的成本效果。方法研究设计为社区随机对照试验,2011年10月—2012年12月从天津市友谊社区卫生服务中心高血压管理数据库中按居住区域分层,应用整群抽样的方法抽取240例高血压患者组成研...目的评估高血压电话访问式健康管理模式在社区人群的成本效果。方法研究设计为社区随机对照试验,2011年10月—2012年12月从天津市友谊社区卫生服务中心高血压管理数据库中按居住区域分层,应用整群抽样的方法抽取240例高血压患者组成研究队列。按随机数字表分配到规范管理组80例、电话访问组80例和对照组80例,比较各组研究前、6个月、1年血压控制率,分析规范化管理和电话访问式健康管理模式的成本效果。结果 3组完成随访的患者的血压控制率比较,差异无统计学意义(P>0.05);不同随访时间血压控制率比较,差异亦无统计学意义(P>0.05)。规范管理组随访满1年的患者血压平均下降7.2 mm Hg,电话访问组血压平均下降5.8 mm Hg。血压每降低1 mm Hg意愿投入4元/人年及以上,电话访问组较规范管理组有效的概率不超过40%。结论电话访问式健康管理模式可以保证较好的血压控制效果,但其成本效果与规范化管理模式差别甚微,未显示出明显优势。展开更多
基金Supported by the Key Innovation and Guidance Program of the Eye Hospital,School of Ophthalmology&Optometry,Wenzhou Medical University(No.YNZD2201903)the Scientific Research Foundation of the Eye Hospital,School of Ophthalmology&Optometry,Wenzhou Medical University(No.KYQD20180306)the Nursing Project of the Eye Hospital of Wenzhou Medical University(No.YNHL2201908).
文摘AIM:To assess glaucoma patient satisfaction and follow-up adherence in case management and identify associated predictors to improve healthcare quality and patient outcomes.METHODS:In this cross-sectional study,a total of 119 patients completed a Patient Satisfaction Questionnaire-18 and a sociodemographic questionnaire.Clinical data was obtained from the case management system.Follow-up adherence was defined as completing each follow-up within±30d of the scheduled time set by ophthalmologists during the study period.RESULTS:Average satisfaction scored 78.65±7,with an average of 4.39±0.58 across the seven dimensions.Age negatively correlated with satisfaction(P=0.008),whilst patients with follow-up duration of 2 or more years reported higher satisfaction(P=0.045).Multivariate logistics regression analysis revealed that longer follow-up durations were associated with lower follow-up adherence(OR=0.97,95%CI,0.95-1.00,P=0.044).Additionally,patients with suspected glaucoma(OR=2.72,95%CI,1.03-7.20,P=0.044)and those with an annual income over 100000 Chinese yuan demonstrated higher adherence(OR=5.57,95%CI,1.00-30.89,P=0.049).CONCLUSION:The case management model proves effective for glaucoma patients,with positive adherence rates.The implementation of this model can be optimized in the future based on the identified factors and extended to glaucoma patients in more hospitals.
文摘Objective:Explore the application of mobile phone APP in the follow-up management of hospital in the information age,to build a harmonious doctor-patient relationship,improve the effective follow-up rate and promote the rehabilitation of patients.Methods:Compare and analyze the traditional telephone follow-up mode and the mode of mobile phone APP with telephone follow-ups.Results:In 2016,with telephone follow-ups only,the effective rate was 91.3%,the patient satisfaction rate was 92.6%.In 2017,besides telephone follow-ups,we used mobile phone APP,the effective follow-up rate got up to 96.2%,the satisfaction rate of patients got up to 98.1%.Conclusion:Compared with the traditional follow-up model,mobile phone APP follow-up model can improve the clinical follow-up service and the compliance of patients,help to reduce failures of follow-up.With mobile phone APP,it’s much more convenient and effective for doctors to communicate with patients,and it is better for the rehabilitation of patients with disease.
文摘Aim: Although numerous studies of disease management and case management of chronic heart failure (CHF) have been carried out, length of effectiveness after program commencement has not been examined, so we examined a follow-up study at 36 months after program commencement. Methods: Participants went for follow-up visits to one Japanese clinic which specializes in internal cardiovascular medicine and they were given diagnoses of CHF. 104 outpatients participated in this study and randomized control trial was implemented. An educational program was implemented for 6 months. The data were collected at baseline, 3, 6, 9, 12 months from both intervention and control groups and at 24 and 36 months from the intervention group. Results: There was significant improvement in New York Heart Association (NYHA) in the intervention group between baseline and 36 months. Improvement in weight monitoring and activities or exercise in the intervention group continued up to 36 months. Meanwhile, sodium restricted diets and quitting smoking and/or drinking depended on individual preference and it was difficult to make improvements in these areas. Conclusions: The educational program showed promise in preventing CHF outpatients from deteriorating significantly on a long-term basis as self-monitoring of activity and weight continued significantly and there were no participants with CHF who deteriorated in the intervention group at 36 months after program commencement, although the program aimed only to provide illness and self-management knowledge. On the other hand, future work will need to compare participants in this program to a control group over an extended period of time with consideration for relieving the burden of the control group.
文摘Considering the variation in metabolic evaluation and medical management of kidney stone disease,this consensus review was created to discuss the metabolic activity of nephrolithiasis,define the difference between single and recurrent stone formers,and develop a schema for metabolic and radiologic follow-up.A systematic review of the literature was performed to identify studies of metabolic evaluation and follow-up of patients with nephrolithiasis.Both single and recurrent stone formers share many similarities in metabolic profiles.The study group determined that based on an assessment of risk for stone recurrence and metabolic activity,single and recurrent stone formers should be evaluated comprehensively,including two 24 h urine studies on a random diet.Targeted medication and dietary recommendations are effective for many patients in reducing the risk of stone recurrence.Follow-up of those with stone disease should be obtained depending on the level of metabolic activity of the patient,the risk of chronic kidney disease and the risk of osteoporosis/osteopenia.A standard scheme includes a baseline metabolic profile,a repeat study 3e6 months after initiation of treatment,and then yearly when stable,with abdominal imaging obtained every 1-2 years.
文摘目的评估高血压电话访问式健康管理模式在社区人群的成本效果。方法研究设计为社区随机对照试验,2011年10月—2012年12月从天津市友谊社区卫生服务中心高血压管理数据库中按居住区域分层,应用整群抽样的方法抽取240例高血压患者组成研究队列。按随机数字表分配到规范管理组80例、电话访问组80例和对照组80例,比较各组研究前、6个月、1年血压控制率,分析规范化管理和电话访问式健康管理模式的成本效果。结果 3组完成随访的患者的血压控制率比较,差异无统计学意义(P>0.05);不同随访时间血压控制率比较,差异亦无统计学意义(P>0.05)。规范管理组随访满1年的患者血压平均下降7.2 mm Hg,电话访问组血压平均下降5.8 mm Hg。血压每降低1 mm Hg意愿投入4元/人年及以上,电话访问组较规范管理组有效的概率不超过40%。结论电话访问式健康管理模式可以保证较好的血压控制效果,但其成本效果与规范化管理模式差别甚微,未显示出明显优势。
