无控高血压患者参与试点:对质量,安全和人口健康的影响
Molly L Daughtry1, Kristen E Miller2,3, David Brennan4
1Care Transformation Organization, MedStar Health, Columbia, MD, United States.
Frontiers in health services
|May 1, 2025
概括
通过短信发送的患者生成的健康数据 (PGHD) 显著改善了高血压控制和患者参与. 这种数字健康方法有效地覆盖了服务不足的人群,增强了慢性疾病管理.
科学领域:
- 数字健康数字健康
- 心血管医学 心血管医学
- 医疗信息学 医疗信息学
背景情况:
- 传统的高血压管理在患者参与和及时干预方面扎.
- 患者生成的健康数据 (PGHD) 为慢性疾病管理提供了一种新的方法.
- 基于文本消息的平台可以促进远程患者监控和参与.
研究的目的:
- 评估基于文本消息的PGHD系统在改善高血压控制方面的有效性.
- 评估患者参与高血压管理的数字健康干预.
- 探索PGHD对不同患者群体的影响,包括服务不足的社区.
主要方法:
- 在马里兰州初级保健计划 (MDPCP) 中,MedStar Health实施了一项患者参与活动.
- 通过Twistle平台,自动短信被发送给血压控制不良的患者,促使他们在家进行血压测定.
- 数据收集是自动化的,并通过参与指标和血压控制结果来衡量干预的有效性.
主要成果:
- 在20天的时间里,9,216名患者参与了这项干预,其中28.5%的患者提交了血压读数.
- 根据提交的读数,对1,209名患者进行了护理计划调整,表明改善了高血压控制.
- 该倡议在患者参与和高血压管理的质量方面取得了显著的改善.
结论:
- 通过短信传递的PGHD大大提高了患者的参与度和高血压管理,导致更好的结果和患者安全.
- 这个数字健康战略在接触和影响服务不足社区的患者方面被证明是有效的.
- 该研究支持在慢性疾病管理中更广泛地采用PGHD干预措施,强调数字工具在患者护理中的变革潜力.
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