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在OSA患者中使用远程监控来控制CPAP疗法:对成本和过程改进的影响
Santiago Antonio Juarros Martínez1,2, María Del Pilar Andrés Porras2, Milagros Del Olmo Chiches1
1Respiratory Sleep Disorders Unit, Hospital Clínico Universitario de Valladolid, Spain.
Open respiratory archives
|September 25, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 治疗评估的远程监测是患者的首选,并降低了成本. 这种方法节省了患者的旅行费用,并减少了诊所的工作量,优化了持续正气道压力 (CPAP) 治疗的护理.
科学领域:
- 睡眠医学 睡眠医学
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响数百万人,持续正气道压力 (CPAP) 是黄金标准的治疗方法.
- 通过自动CPAP定位测试,CPAP疗法需要定期的随访和疗效评估.
- 越来越多地采用远程监控,为优化OSA患者护理提供了机会.
研究的目的:
- 评估远程监测 (TM) 与标准门诊自动CPAP (SoC) 的成本效益,以评估OSA患者的CPAP治疗.
- 为了比较患者的偏好和远程监控与标准护理之间的相关成本.
主要方法:
- 一项前性观察性研究,涉及100名接受CPAP治疗的OSA患者.
- 在标准护理 (SoC) 和远程监控 (TM) 选项之间对患者和睡眠单元的成本进行比较.
- 收集了患者的偏好和旅行相关数据.
主要成果:
- 超过一半的患者 (54%) 喜欢远程监控选项而不是标准护理 (47.5%).
- 喜欢TM的患者年轻,活跃的工人,旅行得更远,并为SoC承担更高的旅行费用.
- 远程监控显著降低了每位患者的睡眠单元资源成本 (0.47€ vs 3.09€).
结论:
- 远程监控用于CPAP治疗评估,通过减少旅行费用和缺勤率,为患者节省了大量成本.
- TM的实施减少了工作量,并优化了睡眠单元内的资源配置.
- 远程监控提高了患者的便利性,并简化了阻塞性睡眠呼吸暂停治疗的管理.
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