评估患者和提供者在远程心血管健康计划中注册的经验:一种定性采访研究
Wesley Alexandra Spacht1, Simin Gharib Lee2,3, Matthew Varugheese2
1Division of Medicine, Brigham and Women's Hospital, Boston, MA (W.A.S.).
Circulation. Cardiovascular quality and outcomes
|March 27, 2025
概括
患者在远程高血压管理计划的入学是由强大的患者提供者关系和明确的程序结构驱动的. 提供者认可和混合护理模式显著影响患者参与和成功的高血压管理.
科学领域:
- 数字健康数字健康
- 心血管疾病管理管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程健康管理计划为高血压等慢性疾病提供了创新的解决方案.
- 存在实施差距,特别是在虚拟护理计划的患者入学方面.
研究的目的:
- 探索患者和初级保健医生对远程高血压管理计划的入学态度.
- 确定影响虚拟高血压护理入学和参与的关键因素.
主要方法:
- 对患者和初级保健医生进行结构化采访的定性分析.
- 对20名患者和6名医疗服务提供者的数据进行了主题分析,这些数据来自Mass General Brigham医院.
- 根据远程高血压计划的入学状态选择性招募参与者.
主要成果:
- 六个关键主题出现了:患者护理团队的联系,混合护理的舒适性,家庭监测的提供者指导,提供者认可在入学中的作用,明确的计划结构和接受未经许可的导航员.
- 强大的患者-提供者关系和清晰的程序沟通对于参与至关重要.
- 提供者认可是患者决定注册的重要因素.
结论:
- 远程高血压管理的患者入学受到提供者关系和计划清晰度的影响.
- 解决导航员培训和沟通方面的挑战对于计划扩展至关重要.
- 优化这些因素可以改善可扩展高血压护理的患者结果.
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