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Can digital engagement improve outcomes for total joint replacements?
BACKGROUND: Patient activation and engagement can improve outcomes of medical and surgical care by increasing involvement of patients in their care plan. We designed a digital engagement tool to improve surgical cancellation and post-surgical outcomes for adult patients undergoing total joint replac...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044791/ https://www.ncbi.nlm.nih.gov/pubmed/35493958 http://dx.doi.org/10.1177/20552076221095322 |
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author | Milliren, Carly E Lindsay, Bill Biernat, Lisa Smith, Todd A Weaver, Betsy |
author_facet | Milliren, Carly E Lindsay, Bill Biernat, Lisa Smith, Todd A Weaver, Betsy |
author_sort | Milliren, Carly E |
collection | PubMed |
description | BACKGROUND: Patient activation and engagement can improve outcomes of medical and surgical care by increasing involvement of patients in their care plan. We designed a digital engagement tool to improve surgical cancellation and post-surgical outcomes for adult patients undergoing total joint replacements by providing patient education materials via email or text, in small increments throughout the perioperative period. METHODS: We assessed the tool's impact using a quasi-experimental design comparing patients scheduled for surgery January–June 2017 (pre-intervention) versus January–June 2018 (post-intervention). Post-intervention patients with digital contact information in the medical record were automatically enrolled. We extracted de-identified administrative data for all patients during both time periods and utilized an intent-to-treat approach including all post-intervention patients regardless of enrollment. Surgical cancellation and post-surgical outcomes (length of stay, discharge to home and revisits and readmissions) were compared between periods using adjusted regression models. We also examined associations between measures of engagement with the intervention and outcomes. RESULTS: A total of 2027 joint replacement patients were included (720 hip replacements; 1307 knee replacements). Adjusting for gender, age and insurance type, both hip and knee patients in the post-intervention group were more likely to have a cancelled surgery, but cancellations were less likely to be on the day of surgery compared to pre-intervention patients. Post-intervention patients were also less likely to have length of stay >2 days. Forty- three per cent of hip and 47% of knee patients in the post-period received the intervention and most were highly engaged. Higher engagement was associated with lower odds of surgical cancellation, shorter stays and higher odds of discharge home. CONCLUSION: Findings suggest that utilization of a digital patient engagement tool translates into improved hospital efficiency and patient outcomes, particularly for those highly engaged. |
format | Online Article Text |
id | pubmed-9044791 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-90447912022-04-28 Can digital engagement improve outcomes for total joint replacements? Milliren, Carly E Lindsay, Bill Biernat, Lisa Smith, Todd A Weaver, Betsy Digit Health Original Research BACKGROUND: Patient activation and engagement can improve outcomes of medical and surgical care by increasing involvement of patients in their care plan. We designed a digital engagement tool to improve surgical cancellation and post-surgical outcomes for adult patients undergoing total joint replacements by providing patient education materials via email or text, in small increments throughout the perioperative period. METHODS: We assessed the tool's impact using a quasi-experimental design comparing patients scheduled for surgery January–June 2017 (pre-intervention) versus January–June 2018 (post-intervention). Post-intervention patients with digital contact information in the medical record were automatically enrolled. We extracted de-identified administrative data for all patients during both time periods and utilized an intent-to-treat approach including all post-intervention patients regardless of enrollment. Surgical cancellation and post-surgical outcomes (length of stay, discharge to home and revisits and readmissions) were compared between periods using adjusted regression models. We also examined associations between measures of engagement with the intervention and outcomes. RESULTS: A total of 2027 joint replacement patients were included (720 hip replacements; 1307 knee replacements). Adjusting for gender, age and insurance type, both hip and knee patients in the post-intervention group were more likely to have a cancelled surgery, but cancellations were less likely to be on the day of surgery compared to pre-intervention patients. Post-intervention patients were also less likely to have length of stay >2 days. Forty- three per cent of hip and 47% of knee patients in the post-period received the intervention and most were highly engaged. Higher engagement was associated with lower odds of surgical cancellation, shorter stays and higher odds of discharge home. CONCLUSION: Findings suggest that utilization of a digital patient engagement tool translates into improved hospital efficiency and patient outcomes, particularly for those highly engaged. SAGE Publications 2022-04-24 /pmc/articles/PMC9044791/ /pubmed/35493958 http://dx.doi.org/10.1177/20552076221095322 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Milliren, Carly E Lindsay, Bill Biernat, Lisa Smith, Todd A Weaver, Betsy Can digital engagement improve outcomes for total joint replacements? |
title | Can digital engagement improve outcomes for total joint
replacements? |
title_full | Can digital engagement improve outcomes for total joint
replacements? |
title_fullStr | Can digital engagement improve outcomes for total joint
replacements? |
title_full_unstemmed | Can digital engagement improve outcomes for total joint
replacements? |
title_short | Can digital engagement improve outcomes for total joint
replacements? |
title_sort | can digital engagement improve outcomes for total joint
replacements? |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044791/ https://www.ncbi.nlm.nih.gov/pubmed/35493958 http://dx.doi.org/10.1177/20552076221095322 |
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