通过面板管理为医疗保健专业人员量身定制心血管风险管理中的远程患者管理:一种定性研究
Margot Rakers1, Nicoline van Hattem2, Iris Simic2
1Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, 2333 ZA, The Netherlands. m.m.rakers@lumc.nl.
BMC primary care
|April 20, 2024
概括
面板管理增强了初级保健中心血管风险因素的远程患者管理 (RPM). 关键的促进因素包括定制护理和明确的协议,而障碍则涉及数据和报销.
科学领域:
- 主要护理是指初级护理.
- 心血管风险管理心血管风险管理
- 医疗信息学 医疗信息学
背景情况:
- 远程患者管理 (RPM) 显示了在初级保健中控制心血管风险因素的潜力.
- 在不同患者亚组中,RPM的有效性可能会有所不同.
- 面板管理为特定患者风险组提供量身定制的RPM.
研究的目的:
- 评估利益相关者对采用RPM面板管理的看法.
- 确定在初级保健中实施面板管理的障碍和促进者.
主要方法:
- 在荷兰进行了19次半结构面试和2个焦点小组.
- 利用基于"实施战略综合框架" (CFIR) 的专题分析.
- 涉及24名参与者,包括全科医生,护士,保险公司和项目经理.
主要成果:
- 利益相关者认为RPM的面板管理具有价值.
- 障碍包括患者分层数据,护士工作量和补偿.
- 促进者包括量身定制的咨询,早期发现,实施经理和大使角色.
结论:
- 面板管理可以改善主动护理,并确定从心血管疾病 (CVD) 风险降低中RPM中受益最多的患者.
- 成功实施需要就技术支持,金融基础设施和评估指标达成明确的协议.
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