Digital Innovation to Grow Quality Care Through an Interprofessional Care Team (DIG IT) Among Underserved Patients With Hypertension.

IF 4.4 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Annals of Family Medicine Pub Date : 2024-09-01 DOI:10.1370/afm.3151
Joyce Y Lee, Jenny Nguyen, Vanessa Rodriguez, Allen Rodriguez, Nisa Patel, Alexandre Chan, Sarah McBane, José Mayorga
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Abstract

Purpose: The impact of digital health on medically underserved patients is unclear. This study aimed to determine the early impact of a digital innovation to grow quality care through an interprofessional care team (DIG IT) on the blood pressure (BP) and 10-year atherosclerotic cardiovascular disease (ASCVD) risk score of medically underserved patients.

Methods: This was a 3-month, prospective intervention study that included patients aged 40 years or more with BP of 140/90 mmHg or higher who received care from DIG IT from August through December 2021. Sociodemographic and clinical outcomes of DIG IT were compared with historical controls (controls) whose data were randomly extracted by the University of California Data Warehouse and matched 1:1 based on age, ethnicity, and baseline BP of the DIG IT arm. Multiple linear regression was performed to adjust for potential confounding factors.

Results: A total of 140 patients (70 DIG IT, 70 controls) were included. Both arms were similar with an average age (SD) of 62.8 (9.7) years. The population was dominated by Latinx (79.3%) persons, with baseline mean BP of 163/81 mmHg, and mean ASCVD risk score of 23.9%. The mean (SD) reduction in systolic BP at 3 months in the DIG IT arm was twice that of the controls (30.8 [17.3] mmHg vs 15.2 [21.2] mmHg; P <.001). The mean (SD) ASCVD risk score reduction in the DIG IT arm was also twice that of the controls (6.4% [7.4%] vs 3.1% [5.1%]; P = .003).

Conclusions: The DIG IT was more effective than controls (receiving usual care). Twofold improvement in the BP readings and ASCVD scores in medically underserved patients were achieved with DIG IT.

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通过跨专业护理团队(DIG IT)进行数字化创新,提高未得到充分服务的高血压患者的护理质量。
目的:数字医疗对医疗服务不足患者的影响尚不明确。本研究旨在确定通过跨专业护理团队(DIG IT)增加优质护理的数字创新对医疗服务不足患者的血压和 10 年动脉粥样硬化性心血管疾病(ASCVD)风险评分的早期影响:这是一项为期 3 个月的前瞻性干预研究,研究对象包括 2021 年 8 月至 12 月期间接受 DIG IT 治疗的 40 岁或以上、血压 140/90 mmHg 或更高的患者。DIG IT 的社会人口学和临床结果与历史对照组(对照组)进行了比较,后者的数据由加利福尼亚大学数据仓库随机提取,并根据年龄、种族和 DIG IT 组的基线血压进行了 1:1 匹配。对潜在的混杂因素进行了多元线性回归调整:共纳入 140 名患者(70 名 DIG IT 组,70 名对照组)。两组患者的平均年龄(标清)相似,均为 62.8 (9.7) 岁。患者以拉丁裔为主(79.3%),基线平均血压为 163/81 mmHg,平均 ASCVD 风险评分为 23.9%。DIG IT治疗组3个月时收缩压的平均(标清)降幅是对照组的两倍(30.8 [17.3] mmHg vs 15.2 [21.2] mmHg;P P = .003):结论:DIG IT 比对照组(接受常规护理)更有效。结论:DIG IT 比对照组(接受常规护理)更有效。DIG IT 使医疗服务不足的患者的血压读数和 ASCVD 评分提高了两倍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Family Medicine
Annals of Family Medicine 医学-医学:内科
CiteScore
3.70
自引率
4.50%
发文量
142
审稿时长
6-12 weeks
期刊介绍: The Annals of Family Medicine is a peer-reviewed research journal to meet the needs of scientists, practitioners, policymakers, and the patients and communities they serve.
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