通过Naveta基于价值的远程医疗倡议实施慢性病患者报告的系统措施:观察性回顾性多中心研究
Gabriel Mercadal-Orfila1,2, Salvador Herrera-Pérez3,4, Núria Piqué5,6
1Pharmacy Department, Hospital Mateu Orfila, Mahó, Spain.
JMIR mHealth and uHealth
|March 28, 2024
概括
在远程医疗中,患者报告的结果和经验测量 (PROM / PREM) 显示了46.12%的响应率. 诸如年龄和健康状况等因素会影响参与率,随着时间的推移,参与率会下降,但会恢复. 定制的方法是包容性护理的关键.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 患者报告的结果和经验测量 (PROM/PREM) 对于以患者为中心,以价值为基础的护理至关重要,特别是对于慢性疾病.
- 远程医疗平台,如Naveta倡议,可以将这些措施整合到医疗保健系统中.
研究的目的:
- 在Naveta远程医疗倡议中评估电子PROM和PREM的响应率.
- 分析响应率与社会人口统计学/临床特征之间的相关性.
- 检查响应率的时间演变.
主要方法:
- 在2.5年内,通过Naveta-Phemium平台向20种慢性疾病的患者提供了53,364个电子PROM/PREM.
- 使用后勤回归和ANOVA分析响应率变化和时间趋势.
- 为了进行相关性分析,收集了社会人口统计和临床数据.
主要成果:
- 总体响应率为46.12% (24,704/53,364),基线为53.33%.
- 较低的应答率与男性性别,年龄较大,教育程度较低,酒精使用,学生身份和不活动有关.
- 响应率因病情而异,最高的是呼吸系统 (71.5%),最低的是艾滋病毒 (32.93%).
结论:
- 社会人口统计学因素对参与远程监测有重大影响,需要制定包容性,以患者为中心的护理策略.
- 随着时间的推移,响应率的下降,可能是由于调查疲劳,需要采取缓解策略.
- 为特定的慢性病量身定制远程监测方法对于优化参与和结果至关重要.
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