由药剂师领导的初级保健远程高血压服务的实施修改和结果
Journal of the American Pharmacists Association : JAPhA
|November 3, 2025
概括
药剂师主导的高血压远程生理监测 (RPM) 随着时间的推移改善了患者的治疗范围. 持续的适应和多层面的调整是成功实施的关键,为更广泛的采用提供了见解.
科学领域:
- 实施科学 实施科学
- 心血管健康 心血管健康
- 药剂师主导的干预措施
背景情况:
- 国家指导方针提倡以团队为基础的远程血压 (BP) 管理.
- 远程BP管理的现实世界临床实施存在复杂性.
- 为了有效采用,需要对实际挑战和解决方案的洞察力.
研究的目的:
- 为推进药剂师领导的高血压远程生理监测 (RPM) 提供实用见解和经验教训.
- 详细说明影响干预的上下文因素.
- 描述干预组件和修改.
- 分析执行决策对结果的影响.
主要方法:
- 利用探索,准备,实施和维持 (EPIS) 框架来描述上下文因素.
- 应用了基于证据的干预措施 (FAME) 的调整和修改报告框架,以记录修改.
- 使用描述性统计和千平方分析来评估实施结果 (覆盖范围,有效性,采用) 随着时间的推移.
主要成果:
- 在三年内,显示了提供者推,患者入学和RPM计费代码增加的趋势.
- 观察到支付者组合的统计学上显著改善,表明增强的节目覆盖范围 (P < 0.01).
- 虽然患者的血压控制有所改善,但这种变化在统计学上并不显著 (P = 0.53).
结论:
- 通过多层次的调整和持续的适应,成功实施了药剂师主导的高血压RPM.
- 该干预措施随着时间的推移显示出更好的覆盖范围,突出其可扩展性.
- 研究结果为医疗保健从业者,组织和政策制定者提供了宝贵的资源,旨在实施高血压的RPM.
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