为患有慢性疼痛病的患者实施电子学习解决方案
Lindsey M Philpot1,2, Desiree J Ahrens1, Ryan J Eastman1,3
1Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Digital health
|November 30, 2023
概括
实施映射促进了在一个大型医疗保健系统中采用移动健康 (mHealth) 电子学习解决方案. 这种方法改善了患者的知识和慢性疼痛疾病的自我护理.
科学领域:
- 实施科学 实施科学
- 数字健康数字健康
- 医疗保健创新 医疗保健创新
背景情况:
- 数字和移动健康 (mHealth) 解决方案为有健康需求的个人提供支持,特别是慢性疼痛管理.
- 尽管证明了好处和需求,但在医疗保健环境中采用mHealth仍然是一个挑战.
- 实施映射提供了一种结构化的方法来克服障碍,并加强移动健康解决方案的整合.
研究的目的:
- 应用实施映射来制定在多站点医疗保健系统中采用mHealth电子学习解决方案的策略.
- 通过使用既定的框架,识别移动健康实施的利益相关者,障碍,促进者和结果.
主要方法:
- 采用了基于实施研究综合框架 (CFIR) 的实施映射.
- 通过RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) 进行了利益相关者的参与,障碍/促进者分析和结果定义.
- 在整个过程中,实施策略的代改进一直在进行.
主要成果:
- 开发和执行了30个实施策略.
- 在第一年,70个提供商在临床站点上订购了2559个mHealth解决方案.
- 大多数患者 (74%) 接受了mHealth电子学习模块,报告的情况知识 (82%) 和自我护理能力 (73%) 显著改善.
结论:
- 实施科学方法,如实施映射,是推动医疗保健变革的实际工具.
- 实施地图有效地让利益相关者参与到临床实践中整合新的护理方法,包括移动健康解决方案.
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