在低资源环境中扩展基于电话的PROM收集:从MomCare学习,一个数字怀孕护理捆绑
Femke Heddema1, Elizabeth Opondo2, Nkirote Kalaine3
1PharmAccess Foundation, Amsterdam, the Netherlands.
Journal of patient experience
|February 11, 2026
概括
可扩展的基于手机的患者报告结果和经验 (PROM / PREM) 的收集在资源有限的环境中是可行的. 肯尼亚和坦桑尼亚的MomCare研究表明,基于价值的医疗保健的覆盖范围,数据质量和成本效益有所改善.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 全球健康 全球健康
背景情况:
- 基于价值的医疗保健 (VBHC) 需要可扩展的方法来收集患者报告的结果和经验指标 (PROM / PREM).
- 在低收入和中等收入国家实施数字健康解决方案带来了独特的挑战和机遇.
- "MomCare"数字怀孕护理包旨在满足肯尼亚和坦桑尼亚的这些需求.
研究的目的:
- 展示从MomCare数字怀孕护理包中的实施见解.
- 在资源有限的卫生系统中评估基于电话的PROM/PREM采集的可扩展性.
- 分析实施选择对患者覆盖范围,数据质量和成本的影响.
主要方法:
- 在MomCare研究中,采用了基于电话的数据收集,从短信调查过渡到计算机辅助电话采访 (CATI).
- 实施侧重于设计选择,如标准化,上下文化和自动化.
- 从肯尼亚和坦桑尼亚的7000多名妇女收集数据.
主要成果:
- 基于电话的PROM/PREM收集成功扩展到超过7000名女性.
- 过渡到CATI改善了患者覆盖范围和数据质量.
- 随着规模的增加,成本降低了,证明了成本效益.
- 设计选择对可行性和价值创造产生了积极的影响.
结论:
- 基于电话的PROM/PREM收集是资源有限的卫生系统的可扩展解决方案.
- 来自MomCare的实施见解为加强以患者为中心的护理提供了实际建议.
- 研究结果支持将患者的声音嵌入到低收入和中等收入国家的质量改善和VBHC模型中.
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