使用远程患者监测程序实施公平的高血压护理:混合方法研究
Amber E Johnson1, Kevin Pearlman2, Ria Sood3
1The University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA; Section of Cardiology, Department of Medicine, Biological Sciences Division, University of Chicago, Chicago, Illinois, USA.
JACC. Advances
|December 5, 2025
概括
远程患者监测 (RPM) 改善了高血压护理,特别是对于高度参与的患者. 这突出了通过有效的RPM实施策略实现公平血压结果的机会.
科学领域:
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 远程患者监测 (RPM) 提供了以患者为中心的高血压管理方法.
- 成功实施RPM需要了解社会和机构因素.
- 公平的高血压结果可以通过系统层面的战略来推进.
研究的目的:
- 确定影响RPM利用的社会和机构因素.
- 评估RPM参与和高血压控制之间的关系.
- 确定RPM程序实施的障碍和促进者.
主要方法:
- 混合方法设计将定量和定性数据结合起来.
- 用物流和考克斯回归方法对社会人口学变量和RPM参与的回顾性分析.
- 与RPM工作人员进行定性访谈,以使用验证的框架探索实施主题.
主要成果:
- 分析了1744名参与者 (平均年龄为63.1,64.7%是女性,82.6%是黑人).
- 与年龄较大相关的更高的RPM参与率和黑人患者的更大代表性.
- 高参与度显著增加了血压正常的可能性 (OR:2.06) 和缩短了血压正常的时间 (HR:2.52).
结论:
- RPM程序有效地改善了血压控制,特别是在高度参与的患者中.
- 这些发现强调了RPM在提高高血压护理公平性方面的潜力.
- 确定实施因素可以指导未来的RPM程序开发.
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