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Updated: Jun 24, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Published on: April 19, 2019

增加弱势群体获得心脏康复服务的机会

Caitlin Murphy¹, Ernest Carter, Laurine Thomas

¹Prince George's County Health Department, Largo, Maryland (Mss Murphy and Stokes and Dr Amuta); Prince George's County Health Department, Largo, and Kennedy Krieger Institute and Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Carter); Independent Consultant, Washington, District of Columbia (Dr Thomas); Totally Linking Care in Maryland, Leonardtown, Maryland (Ms Thomas); Health Quality Innovators, Richmond, Virginia (Ms Lichty-Hess); and Johns Hopkins Center for Health Disparities Solutions, Baltimore, Maryland (Drs Zare and Gaskin).

Journal of public health management and practice : JPHMP

|June 12, 2024

概括

高成本和转诊问题等障碍限制了弱势群体的心脏康复 (CR) 获得. 解决这些政策和系统问题对于改善心血管健康公平至关重要.

科学领域:

公共卫生公共卫生
心血管医学心血管医学
医疗保健服务研究医疗服务研究

背景情况:

弱势群体在获得心脏康复 (CR) 服务方面面临重大障碍.
这些障碍包括财务限制,复杂的转介要求和有限的程序可用性.
系统和政策问题阻碍了最佳的心血管健康服务的提供.

研究的目的:

确定乔治王子县卫生部门在扩大CR接入方面所面临的挑战.
记录部门克服这些进入障碍的策略.
为服务不足的人群提供建议,以提高CR可访问性.

主要方法:

基于实践的报告详细介绍了当地卫生部门遇到的挑战.
分析影响CR服务交付的政策和系统层面障碍.
实施的解决方案和建议建议的文件.

主要成果:

确定了关键挑战:患者成本,医生订单要求,提供者转诊不情愿,有限的CR程序可用性,以及患者识别方面的困难.
这些挑战表明了更广泛的系统和政策相关障碍.
乔治王子县卫生部门积极努力解决这些问题.

结论:

系统和政策改革对于改善弱势群体获得心脏康复的机会至关重要.
解决金融,行政和提供者相关的障碍可以提高CR计划的利用率.
为决策者和医疗保健提供者提供了建议,以促进心血管保健中的更多公平.

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