一个案例系列研究评估了使用远程医疗的自我监测血压程序的以公平为重点的实施
Leah K Greene1, Glory Song, Ana V Palma
1Author Affiliations: Massachusetts Department of Public Health, Office of Statistics and Evaluation, Bureau of Community Health and Prevention, Boston, Massachusetts (Mss Greene, Palma, and Nielsen and Mr Song); and Massachusetts Department of Public Health, Division of Health Promotion and Protection, Bureau of Community Health and Prevention, Boston, Massachusetts (Mss Santarelli, Wetzel, and Spillane).
远程医疗自动监测血压 (SMBP) 计划成功改善了马萨诸塞州联邦合格卫生中心的高血压管理. 这些计划在不同患者群体中证明了公平的血压降低.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 健康 公平 卫生 公平
背景情况:
- 自动监测血压 (SMBP) 是一种基于证据的高血压管理干预措施.
- 远程医疗促进SMBP,将护理扩展到临床环境之外.
- 公平获得SMBP计划仍然是一个重大问题.
研究的目的:
- 评估远程医疗SMBP计划的实施情况.
- 评估联邦合格卫生中心 (FQHCs) 服务于多样化的人口的计划公平性.
- 分析参与SMBP计划的患者的血压变化.
主要方法:
- 未来的案例系列研究设计.
- 在马萨诸塞州的5个FQHC实施评估.
- 从241名参加远程医疗SMBP计划的患者中收集的数据.
主要成果:
- 53.5%的参与者实现了降低血压.
- 平均血压从146/87降至136/81毫米度.
- 在所有种族,种族和语言子组中观察到的改善.
结论:
- 在5个MAFQHC中成功实施了公平的远程医疗SMBP计划.
- SMBP参与者显示血压有显著改善.
- 关键的促进者包括灵活的设计,社区卫生工作者,适应技术和社区伙伴关系.
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