利用电子健康记录技术和团队护理来解决药物坚持:集群随机对照试验协议
Saul Blecker1,2, Antoinette Schoenthaler1,2, Tiffany Rose Martinez1
1Department of Population Health, NYU Grossman School of Medicine, New York, NY, United States.
JMIR research protocols
|July 7, 2023
概括
本研究评估了使用电子健康记录和团队护理的多组件干预措施,以改善高血压患者的药物服药. TEAMLET试验旨在通过更好的坚持策略来加强血压控制.
科学领域:
- 医疗信息学 医疗信息学
- 临床试验 临床试验
- 高血压管理 高血压管理
背景情况:
- 低剂量药物坚持是导致失控高血压的重要,但往往未被认可的因素.
- 将电子健康记录 (EHR) 与药房数据联系起来,可以识别针对性干预的不遵守患者.
- 开发了一种多组件干预措施,以整合EHR/药房数据与针对药物不服药的基于团队的治疗.
研究的目的:
- 描述利用EHR技术和团队护理来解决药物坚持 (TEAMLET) 试验的设计.
- 为了测试多组分干预对高血压患者药物坚持的有效性.
- 评估基于EHR的数据和基于团队的护理对遵守的影响.
主要方法:
- 实用性,集群随机对照试验,涉及10个初级保健实践,随机分为1:1进行干预或常规护理.
- 纳入标准:患有高血压和药物坚持度低的患者.
- 主要结局:药物坚持 (覆盖日数的比例);次要结局:临床缩血压. 实施结果 (采用,接受,忠实,成本,可持续性) 也将被评估.
主要成果:
- 截至2023年5月,十个初级保健实践随机 (5个手臂).
- 研究报名于2022年10月5日开始,目前仍在进行中.
- 预计到2023年秋季招募患者;初级结局评估2024年秋季.
结论:
- TEAMLET试验将评估一种新的干预措施,以改善高血压患者的药物坚持.
- 成功实施可以为改善血压控制提供可扩展的解决方案.
- 这种方法利用技术和团队护理来解决高血压管理中的关键差距.
关键词:
欧洲人权理事会 欧洲人权理事会坚持性 坚持性临床决策支持 临床决策支持电子健康记录 电子健康记录这种高血压,高血压.药物治疗的坚持 药物治疗的坚持主要护理是一级医疗保健.覆盖日数的比例.技术技术的技术技术的技术.更多相关视频
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