远程监控与现场心脏随访的环境影响:一种混合方法研究
Egid M van Bree1,2, Lynn E Snijder3, Sophie Ter Haak1
1Department of Public Health and Primary Care, Leiden University Medical Center, Albinusdreef 2, PO Box 9600, 2300 RC Leiden, the Netherlands.
European heart journal. Digital health
|May 21, 2025
概括
对心肌梗塞 (MI) 患者的数字健康远程监测对环境的影响比人体护理更大,主要是由于设备的生产. 可持续实施需要考虑设备的重复使用和通勤距离.
科学领域:
- 环境科学 环境科学
- 数字健康数字健康
- 医疗保健管理的管理
背景情况:
- 建议使用数字健康技术来减少医疗保健的环境足迹.
- 数字健康的环境影响,特别是远程监控,仍未得到充分研究.
- 心肌梗塞 (MI) 后的随访是评估数字健康干预措施的关键领域.
研究的目的:
- 为了比较远程监控与个人护理 (CoS) 的环境影响,用于MI后的随访.
- 探索患者和医疗保健专业人员 (HP) 关于远程监控使用的看法.
- 确定在心血管保健中实现远程监测可持续实施的战略.
主要方法:
- 一项混合方法研究,结合了生命周期评估 (LCA) 和定性访谈/重点小组.
- 在荷兰一家医院,LCA使用了环境足迹3.1方法进行1年的MI后随访.
- 针对对感知和偏好的定性数据,采用了主题分析.
主要成果:
- 在所有类别中,远程监控的环境影响明显大于COS,特别是全球变暖 (+480%) 和矿物/金属资源使用 (+4390%).
- 远程监控设备的生产占环境负担的89%.
- 在65公里的单向患者通勤距离上实现了环境平价;患者的健康,而不是环境影响,推动了偏好.
结论:
- 在MI后的护理中,远程监控比传统的面对面跟踪对环境的影响更大.
- 可持续的远程监控实施应优先考虑设备的重复使用,量身定制的使用,并尽量减少患者的通勤时间.
- 患者和医疗保健人员接受可持续的医疗保健实践,并支持知情的心血管护理选择.
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