怀孕期间远程血压监测程序的评估:利用和实施结果
Elizabeth J Howard1, Emily W Harville2, Sherri Longo3
1Ochsner Xavier Institute for Health Equity Research, Ochsner Clinic Foundation, New Orleans, LA, United States.
Pregnancy hypertension
|August 19, 2025
概括
怀孕期间的远程血压监测显示,黑人和农村患者的入学率和参与率较低. 解决招生障碍和加强提供者参与对于公平实施和改善孕产妇结果至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 数字健康实施方案的实施
- 健康 公平 卫生 公平
背景情况:
- 远程血压监测计划旨在改善产前护理.
- 连接的MOM程序使用远程监控孕妇患者.
- 了解招生和参与因素是计划成功的关键.
研究的目的:
- 确定影响 Connected MOM 计划入学,留住和患者参与的因素.
- 评估该计划在不同种族和居住群体的实施情况.
- 评估参与远程血压监测计划的差异.
主要方法:
- 追溯队列研究的设计.
- 对实施结果的分析,包括采用,覆盖范围和可持续性.
- 在远程血压监测中检查患者入学,留住和参与率.
主要成果:
- 在34387个符合条件的怀孕中,有30.7%的怀孕女性参加了连接的MOM.
- 与黑人和农村患者相比,白人和城市患者的入学率更高.
- 消耗率低 (1.3%),但参与度可变;黑人种族,农村居住和公共保险与参与度较低有关.
结论:
- 公平的实施需要解决所有患者群体的入学障碍.
- 提供者参与与患者参与远程监测有积极的关联.
- 改善孕产妇结果的战略必须在数字健康计划中优先考虑健康公平.
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