农村和地区远程患者监测计划面临的挑战:定性研究
Joel Fossouo Tagne1, Kara Burns2, Teresa O'Brein2
1Centre for Digital Transformation of Health, University of Melbourne, Level 8 - Melbourne Connect, 700 Swanston St., Melbourne, VIC, 3010, Australia. joel.fossouotagne@unimelb.edu.au.
BMC health services research
|March 14, 2025
概括
远程患者监测 (RPM) 可以改善农村医疗保健的获取,但实施面临数字素养和基础设施等障碍. 定制策略对于澳大利亚地区的RPM成功至关重要.
科学领域:
- 数字健康数字健康
- 医疗保健管理的管理
- 农村卫生公平 农村卫生公平
背景情况:
- 与城市同行相比,农村人口面临着重大的医疗保健接入挑战.
- 数字健康工具,如远程患者监测 (RPM),提供了潜在的解决方案,但缺乏在偏远地区实施的研究.
研究的目的:
- 确定在澳大利亚农村和地区实施RPM的医疗保健工作人员的促进者和障碍.
- 了解COVID-19流行后出现的挑战,以便采用RPM.
主要方法:
- 澳大利亚维多利亚州农村地区与医疗保健专业人员的半结构焦点小组.
- 利用实施研究综合框架 (CFIR) 来确定主题.
- 分析了微,中和宏观层面的障碍和促进因素.
主要成果:
- 确定了微层面的障碍 (数字素养,语言),中层面的障碍 (IT基础设施,培训,治理) 和宏观层面的障碍 (资金,服务提供商可靠性).
- 已知的好处包括改进的互操作性,社区参与和数据驱动的质量改进.
- 强调灵活,针对农村和地区需求的RPM方法的价值.
结论:
- 卫生专业人士认为RPM对于弥合农村医疗保健差距至关重要.
- 如果不适应农村挑战,以城市为中心的RPM策略可能会失败.
- 优先考虑特定区域的战略,政策改革和公平的资源分配对于在农村环境中成功实施RPM至关重要.
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