在COVID-19期间心血管疾病风险管理:面对面与虚拟访问
Rachel Gold1, Nicole Cook, Jenine Dankovchik
1Kaiser Permanente Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227.
The American journal of managed care
|January 25, 2024
概括
虚拟护理 (VC) 与社区诊所的面对面访问相比,没有显著改变心血管疾病 (CVD) 风险管理趋势. 两种护理模型都显示了大流行期间心血管疾病风险得分和风险因素的类似变化.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心血管医学 心血管医学
- 数字健康数字健康
背景情况:
- 有限的研究存在于虚拟护理对社区诊所心血管疾病 (CVD) 风险管理的影响.
- 随着COVID-19的流行,医疗保健机构的虚拟护理 (VC) 的采用加速了.
研究的目的:
- 评估在COVID-19大流行期间社区诊所患者中CVD风险管理的变化.
- 为了比较心血管疾病风险因素控制主要接受面对面和虚拟护理访问的患者.
主要方法:
- 对52家社区诊所的电子健康记录进行了回顾性中断时间序列分析.
- 在10年可逆心血管疾病风险评分,血压 (血压) 和血红蛋白A1c (HbA1c) 在大流行前和大流行期间之间的比较变化.
- 使用倾向分数加权来最大限度地减少面对面和VC群体之间的混.
主要成果:
- 面对面和VC组都经历了心血管疾病风险的平均增加,平均静脉血压和高血压的流行率.
- 在CVD风险得分,血压或HbA1c在护理模式之间的变化速度中没有发现显著差异.
- 虚拟护理组通常是年轻的,更多的女性,白人和城市人.
结论:
- 与虚拟相比,接受大部分护理与心血管疾病风险评分或关键风险因素的不同纵向趋势没有显著联系.
- 虚拟护理似乎对心血管疾病风险因素管理趋势的影响与社区诊所环境中的亲自护理具有相似的影响.
- 可能需要进一步的研究来探索心血管健康虚拟护理的细微差别.
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