电子邮件血压测量推广计划的评估
Beverly B Green1, Laurel D Hansell2, Clarissa W Hsu2
1Department of Health Systems Science, Kaiser Permanente Washington Health Research Institute; Kaiser Permanente Bernard J Tyson School of Medicine.
American journal of hypertension
|October 15, 2025
概括
一个医疗保健外展计划改善了高血压患者的血压 (BP) 随访. 然而,家庭BP监测使用的差异仍然存在,突出需要加强患者参与和教育.
科学领域:
- 心血管健康 心血管健康
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压的管理往往缺乏足够的跟踪对患者的血压不受控制.
- 对医疗保健系统的电子邮件和安全消息外展计划进行了一项混合方法评估,以加强血压 (BP) 后续.
研究的目的:
- 评估数字外展计划在提高BP后续调查率方面的有效性.
- 识别与计划覆盖范围和血压测量类型 (家庭与诊所) 相关的患者特征.
- 了解患者的经验,并确定需要改善的BP宣传领域.
主要方法:
- 一组患有高血压和不受控制的血压的患者收到了安全消息,提示他们进行家庭血压测量 (HBPM) 或临床血压检查.
- 通过在3个月内将BP记录在电子健康记录 (EHR) 中来评估程序的覆盖范围.
- 来自22个患者访谈和快速组分析的定性数据探索了患者的经验.
主要成果:
- 超过一半 (53.8%) 的接触患者在3个月内在EHR中记录了BP.
- 年轻,男性,亚洲,黑人和西班牙裔患者的随访率较低.
- 家庭血压测量比临床测量少 (18.9%) (81.1%),黑人患者的HBPM使用率最低 (9.9%). 家庭BP读数更有可能低于140/90mmHg.
结论:
- 该外展计划成功增加了超过一半的患者的随访血压记录.
- 在家庭使用BP监测方面存在显著差异,特别是在少数群体中.
- 患者采访表明,需要改善患者对血压测量,目标和反机制的教育.
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