缩小差距:数字创新解决高血压差异问题
Bassel M Shanab1, Allison E Gaffey2,3, Lee Schwamm4,5
1Yale School of Medicine, New Haven, CT, USA.
Current cardiology reports
|January 15, 2025
概括
通过远程医疗的远程血压监测 (RBPM) 可以减少高血压差异. 整合可访问的技术和多元化的护理团队是改善所有患者治疗结果的关键.
科学领域:
- 心血管健康 心血管健康
- 健康 公平 卫生 公平
- 数字健康数字健康
背景情况:
- 高血压控制仍然不公平,不成比例地影响少数群体,造成严重的健康后果.
- 远程血压监测 (RBPM) 与远程医疗相结合,显示出高血压管理的前景.
- 技术采用,患者参与和健康的社会决定因素 (SDoH) 的挑战阻碍了公平的结果.
研究的目的:
- 审查RBPM的证据,以促进血压控制的健康公平.
- 确定大规模实施RBPM的战略.
主要方法:
- 审查关于RBPM程序的现有研究.
- 对解决健康差异的RBPM组件的分析.
- 检查实施的挑战和促进者.
主要成果:
- RBPM程序可以使用支持蜂的设备来解决差异,促进家庭监控以赋予患者权力,标准化算法和SDoH集成.
- 多学科团队 (护士,药剂师,社区卫生工作者) 对于有效的RBPM至关重要.
- 目前的局限性包括RBPM组件的不完全采用,以及数字健康和多元化护理团队的不充分的支付模式.
结论:
- RBPM计划必须整合可访问的数字技术和多学科的护理团队.
- 解决医疗和社会需求对于面临健康不平等的人口至关重要.
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