解锁心力衰竭远程监测的持续改进:一种参与式方法,揭示价值维度和性能指标
Rafael Miranda1,2, Rita Silvério1, Filipa Matos Baptista2
1Centro de Estudos de Gestão do Instituto Superior Técnico, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.
概括
这项研究开发了一种全面的方法,以确定心力衰竭 (HF) 管理中远程患者监测 (RPM) 的关键指标. 它确保包括各种利益相关者的观点,以更好地评估和改进机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 患者监测 患者监测
背景情况:
- 心力衰竭 (HF) 显著影响公众健康,生活质量和医疗保健成本.
- 远程患者监测 (RPM) 有潜力通过积极的患者参与和加强后续行动来改善HF管理.
- 目前的HF RPM评估往往只关注成本效益,忽视了更广泛的影响和利益相关者的见解.
研究的目的:
- 开发一种参与式方法来选择持续心力衰竭患者远程监测评估的价值维度和指标.
- 将不同利益相关者的观点纳入HF RPM的评估框架.
- 确定监测和评估高频RPM有效性的综合指标.
主要方法:
- 采用了四个阶段的参与式方法,从文献综述开始.
- 专家采访进行了验证和扩展列表.
- 与利益相关者和专家的Web-Delphi流程促进了对评估维度和指标的协议.
主要成果:
- 一份由4个价值维度和22个指标组成的初始清单通过专家的意见和利益相关方的共识,被改进为5个维度和43个指标.
- 很大一部分 (76.0%) 的指标达成了集团协议.
- 该过程确定了5个维度,43个指标和6个案例组合参数,这些参数被认为与高频RPM评估有关.
结论:
- 一个全面的社会方法成功地捕获了有关HF RPM的各种利益相关者的观点.
- 在监测和评估心力衰竭患者远程监测的相关指标上达成协议.
- 这些发现可以指导开发工具,以改善日常RPM评估和识别改进机会.
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