远程患者监测在大型门诊医疗系统中的操作实施:多方法定性案例研究
Katharine Lawrence1,2, Nina Singh1, Zoe Jonassen1
1Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States.
JMIR human factors
|July 27, 2023
概括
远程患者监测 (RPM) 通过实现自我监测和增强临床决策来改善慢性疾病护理. 早期实施揭示了对数据,主动护理和公平的关键见解,为卫生系统提供了建议.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
背景情况:
- 远程患者监测 (RPM) 为慢性疾病管理提供了潜力,但面临着有限的大规模实施.
- 了解RPM对临床工作流程和患者护理经验的影响仍然是一个差距.
研究的目的:
- 评估慢性疾病管理的运营RPM倡议的早期实施情况.
- 专注于早期采用者临床医生和学术医疗中心门诊网络中的患者的经验.
主要方法:
- 采用了一种多方法的定性方法.
- 我们采访了9个专业的13名早期采用者临床医生.
- 投机性设计会议与21名患者和患者代表举行.
主要成果:
- 关于数据收集,实践和安全/隐私的关键主题出现了.
- 确定了积极和预防性护理模式,包括干预和支持.
- 研究了健康差异和公平考虑,如量身定制的护理和隐性偏见,并指出了缓解策略.
结论:
- 该研究强调了在临床实践中部署RPM的上下文因素,感知和挑战.
- 这些发现突出了对临床工作流程和工作经验的潜在影响.
- 为采用RPM支持的医疗保健的卫生系统提供了实施和设计建议.
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