在服务不足的初级保健机构采用自测血压监测:使用客户发现和价值主张原则进行定性研究
Rasha Khatib1, Iridian Guzman2, Nicole Glowacki2
1Advocate Aurora Research Institute, Advocate Health, Milwaukee, 945 N 12th St, WI, 53233, USA. rasha.alkhatib@aah.org.
BMC primary care
|October 6, 2025
概括
在初级保健机构中,自测血压监测 (SMBP) 的低采用是一个挑战. 一个新的整合方案解决了患者,提供者和系统障碍,以改善血压控制.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床干预开发 临床干预开发
- 高血压管理 高血压管理
背景情况:
- 建议自测血压监测 (SMBP),但在美国未得到充分利用,特别是在服务不足的人群中.
- 在SMBP采用现有的差异突出了需要可访问的解决方案.
- 由于技术成本,医疗保健系统面临实施SMBP的障碍.
研究的目的:
- 开发一个原型的自测血压监测 (SMBP) 临床整合包.
- 支持使用标准的,具有成本效益的SMBP设备.
- 尽量减少医疗保健系统的技术投资.
主要方法:
- 使用I-CorpsTM方法来采用干预措施.
- 与28名患者,提供者和领导者进行了客户发现访谈.
- 采用快速定性分析来识别关键主题和障碍.
主要成果:
- 确定了六个关键主题:设备访问,自我效能,动机,数据共享途径,文档化过程和未满足的社会需求.
- 突出了患者,提供者和卫生系统层面的多方面的障碍.
- 确定需要采取干预措施来应对这些不同的挑战.
结论:
- 在I-CorpsTM方法论中,确定了在低资源环境中采用SMBP的关键需求.
- 该ASPIRE临床整合包解决了患者和医疗保健系统的障碍.
- 该方案支持SMBP的完成,文档,共享,以及改善高血压管理的社会需求.
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