与来自偏远地区的心血管疾病患者的知识用户共同设计心脏康复计划
Jessica Bernier1, Mylaine Breton2,3, Marie-Eve Poitras4,5
1Department of Family Medicine and Emergency Medicine, University of Sherbrooke, Saguenay-Lac-St-Jean, 305, Saint-Vallier, Chicoutimi, Québec, G7H 5H6, Canada.
BMC health services research
|July 31, 2024
概括
为偏远地区设计了一项新的心脏康复计划,改善心血管疾病护理公平. 这种以用户为中心的方法使服务适应,以克服人员短缺,并改善服务不足地区的患者接入.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心血管疾病是全球主要的死亡原因.
- 心脏康复 (CR) 计划是有效的,但分布不公平.
- 偏远地区对CR服务的访问有限 (<15%).
研究的目的:
- 为偏远地区量身定制的心脏康复 (CR) 计划的设计.
- 改善服务不足地区患者CR服务的可访问性和公平性.
主要方法:
- 代的以用户为中心的设计方法与共同设计过程.
- 两个偏远地区的两个咨询委员会 (管理人员,医疗保健专业人员,患者).
- 利用BACPR指导方针和卫生当局的项目开发运营模式.
主要成果:
- 开发了一种原型CR程序,其六相路径适用于远程设置.
- 护理阶段 (0,2,3,4) 的结构性变化解决了人员短缺和分散的专业知识.
- 综合治疗性患者教育和拟议的护理主导的随访,以增加获得.
结论:
- 共同设计有效地满足了偏远地区在CR程序开发方面的特定需求.
- 开发的计划适合未来的实施研究,以加强心血管保健的提供.
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