短信改善了孟加拉国高血压护理中的留守率
Shamim Jubayer1, Jubaida Akhtar2, Ahmad Khairul Abrar2
1National Heart Foundation Hospital & Research Institute, Dhaka, Bangladesh. bith74@yahoo.com.
Journal of human hypertension
|August 24, 2024
概括
移动短信提醒显著改善了孟加拉国高血压护理的患者访问出席率. 这一策略对常规患者和逾期患者都有效,提高了低收入和中等收入国家的治疗保留率.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 心血管疾病管理管理
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,对控制高血压的重大障碍是不出席访问.
- 需要有效的策略来改善患者在初级卫生保健机构内的高血压管理计划中的保留.
研究的目的:
- 评估移动短信提醒在提高孟加拉国高血压患者诊所出席率方面的有效性.
- 为了比较不同的文本提醒策略 (单个和级联) 对于常规的与会者,并评估对逾期患者的影响.
主要方法:
- 一项随机的A/B测试研究,涉及20 072名常规和12 708名过期高血压患者在初级医疗保健机构.
- 常规患者被分配到接收一连串的三条文本提醒,一个文本提醒,或没有提醒.
- 逾期的患者要么只收到一个文本提醒,要么没有提醒.
主要成果:
- 在常规患者中,与没有提醒 (74.8%) 相比,连续 (78.2%) 和单次 (76.6%) 提醒的访问出席率更高.
- 对于已逾期的患者,单一的文本提醒增加了5.8%的访问出席率 (26.5%对比20.7%).
- 多变量分析证实了文本提醒的积极影响,调整后的流行率表明出席率有显著改善.
结论:
- 移动短信提醒是一个具有成本效益和有效的策略,可以提高患者在高血压治疗计划中的保留率.
- 这项干预特别有前途,可以吸引逾期护理的患者,解决LMICs慢性疾病管理中的关键差距.
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