Background: The growing use of web-based patient portals offers patients valuable tools for accessing health information, communicating with healthcare providers, and engaging in self-management. However, the influenc...Background: The growing use of web-based patient portals offers patients valuable tools for accessing health information, communicating with healthcare providers, and engaging in self-management. However, the influence of educating patients on these portals’ functionality on clinical outcomes, such as all-cause readmission rates, remains underexplored. Objective: This research proposal tested the hypothesis that educating a subset of patients with Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF), on how to effectively access and utilize the functionality of web-based patient portals can reduce all-cause readmission rates. Methods: We performed a prospective, quasi-experimental study at Bon Secours St. Mary’s Hospital in Richmond, Virginia, USA;dividing participants into an intervention group, receiving education about accessing and navigating “My Chart”, the Bon Secours Web based portal, and a control group, receiving standard care. We then compared 30-day readmission rates, patient engagement, and self-management behaviors between the groups. Data was analyzed using statistical tests to assess the intervention’s impact. Results: We projected that educated patients will exhibit lower readmission rates, improved engagement, and better self-management. The results of the study showed that there was a significant decrease in 30-day readmissions in the intervention group in comparison with the control group (22.7% and 40.9%, respectively). This reduction of 18. 2% of readmissions evaluated here for a trial of meaningful clinical effect is statistically insignificant (p = 0. 184). The practical significance of the intervention is considered small-to-moderate (Cramer V = 0. 20) suggesting that the observed difference has a potential clinical importance even though the difference was not statistically significant. Conclusion: These results imply that the proposed educational intervention might have a positive impact on readmissions;nonetheless, the patient’s characteristics that make him or her capable of readmission cannot be changed and are assessed by the RoR (Risk of Readmission) score. The potential impact of the intervention may be offset, in part, by these baseline risk factors. The study’s power may be limited by sample size, potentially affecting the detection of significant differences. Future studies with larger, multi-center samples and longer follow-up periods are recommended to confirm these findings.展开更多
为全面了解土壤胶体影响重金属行为方向的研究现状和前沿动态,基于Web of Science(WoS)核心合集数据库,利用WoS自带分析工具、HistCite引文图谱分析软件、VOSviewer和Citespace可视化分析软件对1990—2021年间土壤胶体影响重金属行为的...为全面了解土壤胶体影响重金属行为方向的研究现状和前沿动态,基于Web of Science(WoS)核心合集数据库,利用WoS自带分析工具、HistCite引文图谱分析软件、VOSviewer和Citespace可视化分析软件对1990—2021年间土壤胶体影响重金属行为的文献进行了计量分析。结果表明,在世界范围内该方向的发文量逐年稳步增长,我国相关研究起步较晚,但近些年呈现迅猛发展的势头。目前土壤胶体影响重金属行为研究发文量最多的国家和研究机构分别是美国和中国科学院,发文量最高的期刊为Environmental Science&Technology,主要研究学科为环境科学与生态学的交叉学科。关键词聚类分析显示“土壤胶体颗粒粒径分级与重金属的形态分布”、“土壤胶体的释放、沉积及对重金属的吸附作用”和“土壤胶体颗粒的迁移机制与迁移模型研究”为主要的研究主题,人工纳米颗粒在土壤中的行为、迁移转化以及生物有效性是现阶段的研究热点。利用场流分离技术结合单粒子电感耦合等离子体质谱等技术,探讨土壤胶体与人工纳米颗粒之间发生的复杂相互作用及其对人工纳米颗粒迁移归趋与环境命运的影响,是未来的主要研究方向。展开更多
文摘Background: The growing use of web-based patient portals offers patients valuable tools for accessing health information, communicating with healthcare providers, and engaging in self-management. However, the influence of educating patients on these portals’ functionality on clinical outcomes, such as all-cause readmission rates, remains underexplored. Objective: This research proposal tested the hypothesis that educating a subset of patients with Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF), on how to effectively access and utilize the functionality of web-based patient portals can reduce all-cause readmission rates. Methods: We performed a prospective, quasi-experimental study at Bon Secours St. Mary’s Hospital in Richmond, Virginia, USA;dividing participants into an intervention group, receiving education about accessing and navigating “My Chart”, the Bon Secours Web based portal, and a control group, receiving standard care. We then compared 30-day readmission rates, patient engagement, and self-management behaviors between the groups. Data was analyzed using statistical tests to assess the intervention’s impact. Results: We projected that educated patients will exhibit lower readmission rates, improved engagement, and better self-management. The results of the study showed that there was a significant decrease in 30-day readmissions in the intervention group in comparison with the control group (22.7% and 40.9%, respectively). This reduction of 18. 2% of readmissions evaluated here for a trial of meaningful clinical effect is statistically insignificant (p = 0. 184). The practical significance of the intervention is considered small-to-moderate (Cramer V = 0. 20) suggesting that the observed difference has a potential clinical importance even though the difference was not statistically significant. Conclusion: These results imply that the proposed educational intervention might have a positive impact on readmissions;nonetheless, the patient’s characteristics that make him or her capable of readmission cannot be changed and are assessed by the RoR (Risk of Readmission) score. The potential impact of the intervention may be offset, in part, by these baseline risk factors. The study’s power may be limited by sample size, potentially affecting the detection of significant differences. Future studies with larger, multi-center samples and longer follow-up periods are recommended to confirm these findings.
文摘为全面了解土壤胶体影响重金属行为方向的研究现状和前沿动态,基于Web of Science(WoS)核心合集数据库,利用WoS自带分析工具、HistCite引文图谱分析软件、VOSviewer和Citespace可视化分析软件对1990—2021年间土壤胶体影响重金属行为的文献进行了计量分析。结果表明,在世界范围内该方向的发文量逐年稳步增长,我国相关研究起步较晚,但近些年呈现迅猛发展的势头。目前土壤胶体影响重金属行为研究发文量最多的国家和研究机构分别是美国和中国科学院,发文量最高的期刊为Environmental Science&Technology,主要研究学科为环境科学与生态学的交叉学科。关键词聚类分析显示“土壤胶体颗粒粒径分级与重金属的形态分布”、“土壤胶体的释放、沉积及对重金属的吸附作用”和“土壤胶体颗粒的迁移机制与迁移模型研究”为主要的研究主题,人工纳米颗粒在土壤中的行为、迁移转化以及生物有效性是现阶段的研究热点。利用场流分离技术结合单粒子电感耦合等离子体质谱等技术,探讨土壤胶体与人工纳米颗粒之间发生的复杂相互作用及其对人工纳米颗粒迁移归趋与环境命运的影响,是未来的主要研究方向。
