在阻塞性睡眠呼吸暂停患者途径中实施数字方法的价值:西班牙的一个例子
Sara Correia1, Monica Gonzalez2, Melike Deger3
1ResMed Science Center, Madrid, Spain.
Open respiratory archives
|January 16, 2024
概括
数字途径显著改善了对阻塞性睡眠呼吸暂停 (OSA) 持续正气道压力 (CPAP) 治疗的坚持,降低了成本和等待时间. 这种方法提高了患者管理和临床结果.
科学领域:
- 睡眠医学 睡眠医学
- 医疗信息学 医疗信息学
- 卫生经济学 卫生经济学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 的管理依赖于持续的正气道压力 (CPAP),但不坚持会带来重大挑战.
- 由于COVID-19大流行,需要创新的医疗保健交付模式来管理OSA.
- 评估数字与标准护理途径对优化OSA治疗至关重要.
研究的目的:
- 评估数字管理途径与西班牙OSA标准途径相比的影响和价值.
- 分析OSA治疗中数字健康解决方案的成本效益.
主要方法:
- 使用基于时间驱动的基于活动的成本计算方法对一年的回顾性分析.
- 标准途径 (频繁的面对面预约) 与数字途径 (减少面对面访问,远程监控) 的比较.
主要成果:
- 数字途径减少了等候名单时间 (18至2个月) 和整体途径时间 (12至6个月).
- 每名患者的医疗保健专业人员费用下降 (从95欧元降至85欧元),医院预约也下降了 (从6欧元降至3.1欧元).
- CPAP使用量增加 (每晚5.7至6.3小时),坚持率显著上升 (79%至91%).
结论:
- 数字途径有效地减少了医疗保健专业人员在OSA管理中的时间和成本.
- 实施数字解决方案可以提高CPAP的遵守率,并促进个性化患者护理.
- 更广泛地采用数字途径可以提高OSA患者的治疗机会和临床结果.
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