在COVID-19期间和之后为弱势种族和少数民族提供远程医疗
Alok Sarwal1, Jeehyun Lim2, Ashwin Sarwal3
1Colorado Alliance for Health Equity and Practice-Family Medicine Clinic, Denver, Colorado, USA.
概括
文化定制的远程医疗改善了各种糖尿病患者的血糖控制. 这种可访问的远程监测协议支持慢性疾病管理,特别是对服务不足的人群.
科学领域:
- 数字健康数字健康
- 临床医学 临床医学
- 健康 公平 卫生 公平
背景情况:
- 由于COVID-19大流行,需要快速采用远程医疗.
- 现有的健康差异影响少数群体的慢性疾病管理.
- 对糖尿病患者来说,护理的连续性和血糖控制仍然是挑战.
研究的目的:
- 实施和评估一个文化和语言上适当的远程医疗协议.
- 通过远程监测改善糖尿病患者的血糖控制.
- 作为定期临床服务的延伸,提供持续的护理.
主要方法:
- 建立了一个与远程患者监测 (蓝牙血糖计) 集成的远程医疗平台.
- 在12个月内对498名患者进行糖尿病管理的监测 (Rx补充,实验室结果,教育,病诊).
- 针对不同患者群体的数字沟,语言障碍和导航.
主要成果:
- 与对照组相比,干预组的血糖控制得到了改善.
- 42名参与者的验证结果,基线血红蛋白A1C (HgA1C) ≥7%.
- 远程医疗有效地支持对患者进行慢性疾病管理,但远程监测经验有限.
结论:
- 一个文化和语言上适当的远程医疗协议可以增强血糖控制.
- 远程医疗是支持服务不足的少数群体慢性疾病管理的可行工具.
- 开发的协议可以扩展到其他慢性疾病,并纳入常规的临床实践.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Pulmonary Tuberculosis V
177
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
177


