Targeting Missed Care Opportunities Using Modern Communication Methods: A Quality Improvement Initiative to Improve Access to CT and MRI Appointments

Roseland, Molly E.; Shankar, Prasad R.; Houck, Glenn E.; Davenport, Matthew S.

doi:10.1016/j.acra.2021.03.008

Cited by 5 publications

(12 citation statements)

References 23 publications

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“…al, found no improvement in adherence to first time or rescheduled MRI or CT scan appointments within 2 months. [27] Similarly, Turakhia et. al found no significant improvement in AC with an intervention consisting of messaging and transmission of educational materials delivered through a smartphone app.…”

Section: Discussionmentioning

confidence: 96%

“…A quality improvement study looking at an EHR-based reminder messaged by Roseland et al 27 found no improvement in adherence to first-time or rescheduled magnetic resonance imaging or computed tomography scan appointments within 2 months. Similarly, Turakhia et al 28 found no significant improvement in AC with an intervention consisting of messaging and transmission of educational materials delivered through a smartphone application.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings may not be generalizable to the public because users of patient portals tend to have higher motivation, self-determination, and income; have greater access to technology; and are more involved in their health care. 27 , 28 Our survey also may suffer from bias for items related to recall of discussions that patients had with their providers. Additionally, we will not be able to ascertain whether patients read our message, only that our MyChart message was opened.…”

Section: Discussionmentioning

confidence: 99%

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Rampam

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Preventing preventable strokes: A study protocol to push guideline-driven atrial fibrillation patient education via patient portal

Fitzpatrick

Sadiq

Rampam

et al. 2022

Cardiovascular Digital Health Journal

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“…The 99m Tc-3PRGD2.SPECT/CT examination method involves exposure to radioactivity, and patients are prone to fear, depression, and other psychological problems due to lack of understanding of the examination mode[ 9 - 11 ]. Therefore, providing effective health education and psychological care is critical for this examination.…”

Section: Discussionmentioning

confidence: 99%

Effect of teach-back health education combined with structured psychological nursing on adverse emotion and patient cooperation during ^99mTc-3PRGD2.SPECT/CT

Gong¹,

Zhang²,

Niu³

et al. 2022

World J Clin Cases

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BACKGROUND 99m Tc-3PRGD2.SPECT/CT is a commonly used examination method in nuclear medicine. However, patients receiving 99m Tc-3PRGD2.SPECT/CT have insufficient knowledge of this method and worry about the examination results. AIM To investigate the effect of teach-back health education combined with structured psychological nursing on adverse emotion and cooperation in patients undergoing 99m Tc-3PRGD2.SPECT/CT examination. METHODS Ninety patients undergoing 99m Tc-3PRGD2.SPECT/CT examinations were divided into a study group and a control group using a simple random number table, and 45 cases were allocated to each group. Routine nursing was provided to the control group, and teach-back health education combined with structured psychological nursing was provided to the study group on the basis of the control group. Heart rate, diastolic blood pressure, systolic blood pressure, self-rating depression scale (SDS), and self-rating anxiety scale (SAS) were assessed before and after the intervention, and examination cooperation and intervention satisfaction were assessed in the two groups before, during, and after the examination. RESULTS Before the examination, heart rate, diastolic blood pressure, and systolic blood pressure in the study group were not significantly different from the values of the control group ( P > 0.05). The results of the study group before and after the examination were lower than those in the control group ( P < 0.05). Before the intervention, SDS and SAS scores in the study group were not significantly different from those in the control group ( P > 0.05). After the intervention, SDS and SAS scores in the study group were lower than those in the control group ( P < 0.05). The degree of cooperation was higher in the study group than in the control group ( P < 0.05). The satisfaction rate with the intervention was higher in the study group than in the control group ( P < 0.05). CONCLUSION Teach-back health education combined with structured psychological nursing can help maintain the stability of blood pressure and heart rate, relieve negative emotions, and improve the satisfaction and cooperation of patients undergoing 99m Tc-3PRGD2.SPECT/CT examinations.

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“…Because our search terms included "behavioural economics", some studies that included intervention(s) that are behavioural economics-oriented and incentivize desired behaviour may have been excluded if the authors did not categorize their intervention as one that derives from behavioural economics. Lastly, we are cognizant that publication bias may favour studies with positive results, leaving out many interventions to reduce patient non-attendance; nevertheless, our review captures ten studies with null results [15][16][17][18][19][20][21][22][23][24].…”

Section: Limitationsmentioning

confidence: 99%

Behavioural economic interventions to reduce health care appointment non-attendance: A systematic review

Werner

Alsuhaibani

Alsukait

et al. 2023

Preprint

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Background Appointment non-attendance – often referred to as “missed appointments”, “patient no-show”, or “did not attend (DNA)” – causes volatility in health systems around the world. Of the different approaches that can be adopted to reduce patient non-attendance, behavioural economics-oriented mechanisms (i.e., psychological, cognitive, emotional, and social factors that may impact individual decisions) are reasoned to be better suited in such contexts – where the need is to persuade, nudge, and/ or incentivize patients to honour their scheduled appointment. The aim of this systematic literature review is to identify and summarize the published evidence on the use and effectiveness of behavioural economic interventions to reduce no-shows for health care appointments. Methods We systematically searched four databases (PubMed/Medline, Cochrane, Embase, Scopus, and Web of Science) for published and grey literature on behavioural economic strategies to reduce no-shows for health care appointments. Eligible studies met four criteria for inclusion; they were (1) available in English, Spanish, or French, (2) assessed behavioural economics interventions, (3) objectively measured a behavioural outcome (as opposed to attitudes or preferences), and (4) used a randomized and controlled or quasi-experimental study design. Results Our initial search of the five databases identified 1,225 articles. After screening studies for inclusion criteria and assessing risk of bias, 61 studies were included in our final analysis. Data was extracted using a predefined 19-item extraction matrix. All studies assessed ambulatory or outpatient care services, although a variety of hospital departments or appointment types. The most common behaviour change intervention assessed was the use of reminders (n = 56). Results were mixed regarding the most effective methods of delivering reminders. There is significant evidence supporting the effectiveness of reminders (either by SMS, telephone, or mail) across various settings. However, there is a lack of evidence regarding alternative interventions and efforts to address other heuristics, leaving a majority of behavioural economic approaches unused and unassessed. Conclusion The studies in our review reflect a lack of diversity in intervention approaches but point to the effectiveness of reminder systems in reducing no-show rates across a variety of medical departments. We recommend future studies to test additional behavioural economic interventions that have not been used, tested, and/or published before.

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Targeting Missed Care Opportunities Using Modern Communication Methods: A Quality Improvement Initiative to Improve Access to CT and MRI Appointments

Cited by 5 publications

References 23 publications

Preventing preventable strokes: A study protocol to push guideline-driven atrial fibrillation patient education via patient portal

Preventing preventable strokes: A study protocol to push guideline-driven atrial fibrillation patient education via patient portal

Effect of teach-back health education combined with structured psychological nursing on adverse emotion and patient cooperation during ^99mTc-3PRGD2.SPECT/CT

Behavioural economic interventions to reduce health care appointment non-attendance: A systematic review

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Targeting Missed Care Opportunities Using Modern Communication Methods: A Quality Improvement Initiative to Improve Access to CT and MRI Appointments

Cited by 5 publications

References 23 publications

Preventing preventable strokes: A study protocol to push guideline-driven atrial fibrillation patient education via patient portal

Preventing preventable strokes: A study protocol to push guideline-driven atrial fibrillation patient education via patient portal

Effect of teach-back health education combined with structured psychological nursing on adverse emotion and patient cooperation during 99mTc-3PRGD2.SPECT/CT

Behavioural economic interventions to reduce health care appointment non-attendance: A systematic review

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Effect of teach-back health education combined with structured psychological nursing on adverse emotion and patient cooperation during ^99mTc-3PRGD2.SPECT/CT