在巴西的第三级护理环境中促进罕见病患者的综合护理:混合方法实施研究协议.
Domingos Alves1, Filipe Andrade Bernardi2,3,4, Vinicius Costa Lima2
1Department of Social Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
JMIR research protocols
|August 18, 2025
概括
这项研究引入了一个数字健康工具,以改善对罕见病 (RD) 患者的护理. 该工具增强了医疗保健专业人员的协调,资源分配和教育,最终改善了患者的治疗结果.
科学领域:
- 数字健康数字健康
- 公共卫生政策 公共卫生政策
- 罕见疾病管理 罕见疾病管理
背景情况:
- 由于复杂性和低患病率,罕见疾病 (RDs) 构成了医疗保健方面的重大挑战.
- 对 RDs 的全面护理需要加强服务,计划和护理水平.
- 数字健康工具对于流行病监测,患者随访和医疗保健专业人员 (HCP) 教育至关重要.
研究的目的:
- 为巴西国家罕见病综合护理政策实施加强行动.
- 开发一个计算工具,以优化研发和开发的参考服务和信息传播.
- 改善罕见病患者的诊断,协作和整体护理.
主要方法:
- 将监管流程映射出来,并应用5W2H框架.
- 整合基于可查找性,可访问性,互操作性和可重复使用性 (FAIR原则) 的数字工具.
- 开展医疗保健人员的培训计划,并开发用于患者跟踪的计算工具.
主要成果:
- 获得了伦理审批;为数据采集举行了技术会议.
- 确定了关键指导方针,绘制了管理流程;评估了知识管理成熟度.
- 一个计算本体正在开发用于语义互操作性;教育举措启动.
结论:
- 数字健康解决方案可以通过改进协调,资源配置和教育来改变研发和开发护理.
- 有效的采用提高了获得专业护理的机会,减少了效率低下,并为公共卫生政策提供了信息.
- 整合数字技术对于管理R&D至关重要,需要利益相关者的持续合作.
相关概念视频
Tertiary Healthcare System
1.9K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.9K
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Chronic Pancreatitis II: Collaborative Care
127
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
127
Chronic Kidney Disease III: Interprofessional Care
77
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
77
Primary Healthcare Services
1.5K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.5K


