评估与远程医疗相关的因素在门诊类类风湿性关节炎遭遇的适当性,使用对你 (EASY) 的遭遇适当性得分
Isaac D Smith1, Mary J Solomon2, Hillary Mulder3
1I.D. Smith, MD, MSc, C. Sims, MD, Department of Medicine, Division of Rheumatology and Immunology, Duke University School of Medicine, and Department of Medicine, Division of Rheumatology, Durham Veterans Affairs Medical Center; isaac.smith063@duke.edu.
The Journal of rheumatology
|May 15, 2024
概括
对于类风湿性关节炎 (RA) 护理的远程医疗的适当性与提供者偏好和遭遇类型有关. 较高的RA疾病活性和先前的远程医疗使用减少了适当性,而老年患者和当前的远程医疗访问增加了它.
科学领域:
- 类风湿病学 类风湿病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程医疗为风湿性关节炎 (RA) 的个人护理提供了一个潜在的替代方案.
- 评估影响远程医疗适合RA管理的因素对于优化其实施至关重要.
- 了解这些因素可以改善患者在类风湿病的获取和护理质量.
研究的目的:
- 识别和评估与远程医疗在门诊类类风湿性关节炎 (RA) 遭遇的适当性相关的因素.
- 为医疗保健提供者和系统提供关于优化RA患者远程医疗利用的见解.
主要方法:
- 从2021年1月到2021年8月进行了前性队列研究.
- 分析了来自门诊RA患者的电子健康记录数据.
- 风湿病学提供者使用"适合您的遭遇得分" (EASY) 来评估远程医疗的适合性,并使用强大的Poisson回归来进行分析.
主要成果:
- 提供者对远程医疗的偏好,当前的远程医疗模式和患者年龄的增加与更高的远程医疗适用性有关.
- 中度至高的类风湿性关节炎 (RA) 疾病活动和以前的远程医疗接触与适当性降低有关.
- 患者人口统计学,RA药物和并发性关节疼痛原因并没有显著影响远程医疗的适当性.
结论:
- 在RA中,远程医疗的适用性主要受到医疗提供者的偏好,接触方式和RA疾病活动的影响.
- 患者年龄和以前使用远程医疗等因素也起到作用.
- 远程医疗可以有效地用于RA管理,并特别考虑疾病活动和病史.
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