在COVID-19大流行期间对远程患者监测计划的评估:用混合方法解释序列设计的回顾性案例研究
Rose Gunn1, Shelby L Watkins1, Dave Boston1
1OCHIN, Inc, Portland, OR, United States.
JMIR formative research
|July 9, 2024
概括
社区卫生中心可以通过远程患者监测 (RPM) 程序来改善高血压控制. 成功实施需要对这些慢性疾病管理工具的支持和技术援助进行大量投资.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 社区卫生中心的患者患慢性病的比例很高.
- 在获取管理这些条件的技术方面存在障碍.
- 在COVID-19大流行期间,远程患者监控 (RPM) 的使用增加了.
研究的目的:
- 评估社区卫生中心 (CHC) 中远程患者监测 (RPM) 计划的实施情况.
- 为了评估RPM在COVID-19大流行期间对高血压控制的影响.
主要方法:
- 追溯案例研究,采用混合方法的解释性顺序设计.
- 利用电子健康记录数据来确定健康结果.
- 与CHC工作人员和患者进行半结构化采访.
主要成果:
- 147名患者参加了高血压RPM计划.
- 观察到压缩性血压 (13.4 mm Hg) 和压缩性血压 (6.4 mm Hg) 的显著降低.
- 6个月后,高血压控制从33.3%增加到81.5%.
- 项目实施面临挑战,包括有限的培训和技术复杂性.
结论:
- 远程患者监测 (RPM) 在慢性疾病管理方面表现有前途.
- 成功实施RPM计划需要大量的支持和技术援助投资.
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