评估动态数字应用程序的实施,以实现乌干达风湿性心脏病病例管理的社区分散:混合型III有效性-实施研究协议
Neema W Minja1,2, Jafesi Pulle3, Joselyn Rwebembera4
1Department of Global Health, University of Washington, Seattle, Washington, USA neemaminja@gmail.com.
BMJ open
|October 28, 2023
概括
乌干达的风湿性心脏病 (RHD) 的分散护理,使用数字工具,旨在改善抗生素预防的坚持. 这种策略可能会维持或增加患者在RHD管理的护理中的保留.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 数字健康数字健康
背景情况:
- 风湿性心脏病 (RHD) 影响全球超过3900万,主要在低收入国家.
- 二次抗生素预防 (SAP) 对于RHD管理至关重要,但由于旅行距离等因素,它面临着遵守挑战.
- 建议去中心化RHD护理,以减轻这些障碍,并提高预防的普及率.
研究的目的:
- 评估乌干达一个由数字应用程序支持的分散的RHD护理模式的有效性.
- 评估分权化是否可以维持或改善与集中护理相比,对二次抗生素预防的坚持.
- 了解RHD管理的公共卫生保健系统中采用和扩展数字工具的障碍和促进因素.
主要方法:
- 在乌干达的一项混合实施效果研究 (类型III).
- 涉及在Lira和Gulu医院注册站点接受护理的RHD患者.
- 利用集成到公共卫生保健系统中的基于云的数字应用程序来支持分散的护理.
主要成果:
- 主要结局是遵守二次抗生素预防.
- 实施措施将确定分散和采用数字工具的障碍和促进因素.
- 该研究旨在比较分散式和集中式护理模式之间的坚持率.
结论:
- 通过数字支持去中心化RHD护理,有可能在资源有限的环境中改善SAP遵守.
- 成功实施需要理解和解决系统层面的障碍和促进者.
- 结果将为更广泛扩展有效的RHD护理模式的策略提供信息.
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