实现对高血压管理的远程患者监测
David R Boston1, Rose Gunn1, Shelby L Watkins1
1From the PeaceHealth Cardiovascular, Vancouver, WA, USA (DRB); OCHIN, Inc. Portland, OR, USA (RG, SLW, RG, SN, LC); Kaiser Permanente Center for Health Research, Portland, OR, USA (CM).
Journal of the American Board of Family Medicine : JABFM
|October 20, 2025
概括
仅仅提供家庭血压 (BP) 套件是远程患者监测 (RPM) 成功的不足. 卫生中心需要足够的资源和精简的操作,以有效地管理使用RPM技术高血压.
科学领域:
- 心血管疾病研究研究
- 医疗信息学 医疗信息学
- 公共卫生干预 公共卫生干预
背景情况:
- 失控的高血压是心血管疾病的主要可逆风险因素.
- 远程患者监测 (RPM) 为改善血压 (BP) 控制提供了一个有效的策略.
- 由于COVID-19的流行,慢性疾病管理的虚拟护理和RPM的采用加速了.
研究的目的:
- 评估为RPM实施提供家庭BP套件 (BP袖口,智能手机,蜂数据) 的有效性.
- 在社区医疗中心识别RPM采用的促进者和障碍.
- 评估联邦资助虚拟护理扩张对RPM利用的影响.
主要方法:
- 在接受BP套件的18个卫生中心进行了混合方法分析.
- 分析了2020-2023年的电子健康记录 (EHR) 数据.
- 与工作人员和患者进行的半结构化采访以及实地观察笔记提供了定性见解.
主要成果:
- 56%的医疗中心至少有5名患者启动了RPM.
- 只有16%的RPM订单患者提供了有意义的BP数据.
- 资源不足和运营复杂性是RPM计划成功的关键障碍.
结论:
- 没有足够的支持资源,免费的RPM硬件和数据计划是不够的.
- 成功实施RPM需要解决医疗中心的资源限制和运营挑战.
- 社区医疗中心需要全面的支持,以便有效地利用RPM用于高血压管理.
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