在初级保健中实施远程患者监测计划的挑战和促进者
Ruth Hailu1, Jessica Sousa2, Mitchell Tang1
1Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Journal of general internal medicine
|April 23, 2024
概括
初级保健医生面临着采用远程患者监控 (RPM) 的挑战,包括数据过载和工作流的问题. 解决这些障碍是扩大RPM的关键.
科学领域:
- 数字健康数字健康
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,远程患者监测 (RPM) 的采用加速了.
- 然而,RPM的采用落后于其他远程医疗模式.
- 了解实施障碍对于RPM增长至关重要.
研究的目的:
- 在初级保健医生 (PCP) 之间识别和描述远程患者监测 (RPM) 实施的障碍.
- 了解限制RPM在初级保健机构中增长的因素.
主要方法:
- 在美国与使用RPM的初级保健医生 (PCP) 进行了20次半结构化采访.
- 采用主题分析与归纳和演方法,以NASSSS框架为指导.
- 包括PCP监测血压和/或葡萄糖,并自动传输至少3名成年患者的数据.
主要成果:
- PCP承认RPM的质量改进潜力,但引用了重要的采用障碍.
- 关键的挑战包括管理数据流入,工作流集成和数字/健康素养差距.
- 许多PCP认为RPM程序是无利可图的.
结论:
- 解决RPM实施障碍需要多方面的解决方案.
- 建议包括修订支付政策,加强数字素养培训,优化员工角色和工作流程,并确保公平获取.
- 这些策略对于持续的RPM扩张至关重要.
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