让它适合所有人:在单心室监测中的公平
Meredith Sooy-Mossey1, Sarah Tallent1, Christoph P Hornik1,2
1Paediatric and Congenital Heart Centre, Duke University, Durham, NC, USA.
Cardiology in the young
|October 23, 2024
概括
单心室疾病的间期监测使用远程医疗和移动应用程序. 在基于患者社会人口统计数据的移动应用注册和使用方面存在差异,需要进一步调查以获得公平的访问.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 数字健康数字健康
- 健康 公平 卫生 公平
背景情况:
- 间阶段监测计划对于单心室疾病至关重要,可以降低发病率和死亡率.
- 远程医疗和移动应用程序在这些项目中越来越多地被使用.
- 在使用这些数字健康工具方面,潜在的社会人口差异是未知的.
研究的目的:
- 调查患者社会人口统计因素与远程医疗和移动应用程序在单一心室监测程序中的使用之间的关联.
- 评估资源利用率和权重变化与计划时代的关系.
主要方法:
- 在一个单心室监测计划中,使用KidsHeart应用程序对94名儿童进行了回顾性队列研究.
- 分析远程医疗的使用情况,移动应用程序的注册情况和使用模式.
- 评估社会人口统计因素,资源利用和重量变化.
主要成果:
- 对于诺伍德和管道支架手术的患者,远程医疗的访问率更高,无论社会人口统计情况如何.
- 通过种族和族群,以及根据母亲的教育水平,在移动应用程序招生中观察到显著的差异.
- 来自低收入社区的患者使用移动应用程序较少,尽管应用程序使用的急诊室访问减少.
结论:
- 在单心室监测计划中,移动应用程序的注册和使用显示出基于社会人口统计因素的差异.
- 进一步的努力是必不可少的,以确保所有患者平等地获得和使用移动卫生技术.
- 在所有节目时期都观察到体重与年龄的z-score增加,这表明了积极的增长结果.
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