在临床实践中实施一项针对类风湿性关节炎的数字患者教育计划的促进者和挑战
Line Raunsbaek Knudsen1,2, Kirsten Lomborg3,4, Ellen-Margrethe Hauge5,6
1Department of Rheumatology, Aarhus University Hospital, Palle Juul- Jensens Boulevard 99, Aarhus, 8200, Denmark. linknuds@rm.dk.
BMC health services research
|September 20, 2024
概括
针对类风湿性关节炎 (RA) 的数字患者教育 (PE) 对更广泛的患者群体显示出希望. 成功实施需要解决医疗保健提供者的担忧,并为持续采用远程医疗进行组织调整.
科学领域:
- 类风湿病学 类风湿病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程医疗在临床实践中的整合面临着采用延迟.
- 此前已经开发了一项针对类风湿性关节炎 (RA) 自主管理的数字患者教育 (PE) 计划.
- 需要对实施前景进行系统的评估,以便广泛采用.
研究的目的:
- 探索在临床实践中实施数字PE计划的关键前景.
- 确定影响在RA管理中采用数字PE的促进者和挑战.
主要方法:
- 非采用,放弃,扩大,传播和可持续性 (NASSS) 框架指导了评估.
- 与医疗保健专业人员 (护士,风湿病学家,领导者) 进行了定性焦点小组讨论.
- 综合了先前关于程序开发,有效性 (RCT) 和患者观点的研究数据.
主要成果:
- 数字PE对广泛的患者来说是有益的,具有更广泛覆盖的潜力.
- 患者和医疗保健提供者都发现这项技术易于使用,并接受了它的使用.
- 实施需要个性化评估,组织调整和适应性结构来管理不断变化的护理需求; 对于角色变化存在一些提供者不情愿.
结论:
- 通过技术设计,易用性,有效性,可用性和潜在的医疗保健资源节约,鼓励数字PE的实施.
- 关键的挑战包括患者群体的适应性,用户技术的采用,以及组织患者教育的交付.
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