与流行病相关的实践变化以及社区诊所中心血管疾病风险管理
Christina R Sheppler, Annie E Larson, David Boston
1Kaiser Permanente Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227.
The American journal of managed care
|January 25, 2024
概括
随着COVID-19大流行,心血管疾病 (CVD) 风险监测的虚拟护理获得改善,预约完成率增加,等待时间缩短. 然而,血压记录下降,需要进一步调查虚拟护理.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19大流行大大改变了医疗保健的提供,影响了对心血管疾病 (CVD) 风险因素的常规监测.
- 了解这些转变对于优化初级保健中心血管疾病风险管理策略至关重要.
研究的目的:
- 检查大流行导致的初级保健服务变化对心血管疾病 (CVD) 风险管理流程的影响.
- 评估虚拟护理 (VC) 和面对面的预约在疫情期间如何影响护理过程措施.
主要方法:
- 一项回顾性研究分析了来自70家初级保健诊所的电子健康记录.
- 数据涵盖了2018年9月至2021年9月期间超过110万个预定预约.
- 关键指标包括预约完成率,预约时间,以及血压 (BP) 和血红蛋白A1c (HbA1c) 的记录.
主要成果:
- 虚拟护理 (VC) 预约的完成率更高,等待时间比面对面访问更短.
- 流行后的发病,预约完成和HbA1c文档增加,而BP文档下降.
- 面对面的预约显示了比VC预约更高的BP记录率.
结论:
- 疫情加速了虚拟护理的采用,改善了心血管疾病风险监测的获取和效率.
- 虽然HbA1c监测通过VC得到改善,但BP文档的下降需要注意.
- 未来的研究应该利用VC对心血管疾病风险管理的好处,同时监测潜在的不良影响.
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