产科医生对高血压疾病的远程监测计划的经验
Kortney F James1, Molly Waymouth2, Gabriela Alvarado1
1RAND Corporation (James), Santa Monica, CA.
AJOG global reports
|June 27, 2025
概括
对于妊娠中高血压疾病的远程患者监测 (RPM) 面临成本和工作流等障碍,但提供临床益处. 现有策略可以克服这些挑战,改善患者的参与度和结果.
科学领域:
- 产科和妇科 产科和妇科
- 数字健康数字健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 远程患者监测 (RPM) 在孕期高血压疾病的产科使用是有限的.
- 缺乏了解RPM模式,影响和整合到产科实践中.
研究的目的:
- 探索产科医生对围产期高血压疾病的RPM的经验.
- 确定实施障碍和RPM采用有希望的实践.
主要方法:
- 使用20名美国产科医生的半结构面试进行的定性研究.
- 根据RE-AIM框架进行的主题分析.
主要成果:
- 关键主题:参与障碍,临床益处感知,财务障碍,工作流/数据挑战和责任问题.
- 主要障碍包括财务限制,复杂的工作流程,责任和患者层面的问题.
- 克服障碍的策略包括袖口验证,专注的员工,增强服务和员工培训.
结论:
- 需要特定背景的方法来提高RPM可访问性和有效性,用于围产期高血压疾病.
- 尽管面临挑战,但产科医生认为RPM具有价值和临床益处.
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