在COVID-19大流行期间,一般实践中心力衰竭医疗保健的变化
Raphael Rothenberger1,2, Thomas Blakeman3, Carolyn A Chew-Graham4
1Department of Cardiology, University Hospital Bern, Bern, Switzerland rr669@cantab.ac.uk.
BJGP open
|March 31, 2025
概括
对心力衰竭 (HF) 的远程医疗改善了获取,但突出了数字差距. 整合远程医疗和家庭监测需要公平的接入和均衡的护理模式,以长期管理疾病.
科学领域:
- 心脏病学 心脏病学
- 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:
- 随着COVID-19大流行,慢性病如心力衰竭 (HF) 的远程医疗采用加速了.
- 对于患者和临床医生的经验和偏好,对于过渡后远程高频管理的了解有限.
- 这项研究解决了疫情期间关于服务转型的知识差距.
研究的目的:
- 确定英国医疗保健提供者,患者和护理人员对转向远程心力衰竭 (HF) 护理的看法.
- 关于未来在高频管理中使用远程医疗和家庭监控,达成共识.
- 确定远程HF护理的挑战和机遇.
主要方法:
- 经过修改的Delphi流程使用在线平台进行共识开发.
- 调查分发给医疗保健提供者和心力衰竭 (HF) 患者,主要是心力衰竭与保留射出分数 (HFpEF) 的患者.
- 评估了利益相关方对远程医疗和家庭监控的看法.
主要成果:
- 远程医疗显著提高了患者获得HF护理的机会.
- 家庭监控设备和系统被确定为维持护理连续性的关键.
- 虽然关于远程咨询的实用性存在共识,但注意到与数字访问和识字相关的局限性.
结论:
- 远程医疗提供了好处,但也带来了风险,需要公平地获得远程医疗技术.
- 将远程护理深思熟虑地整合到现有医疗保健系统中至关重要.
- 实现远程和亲自护理的平衡,以及提供者培训,对于有效的长期病情管理至关重要.
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