初级保健家庭血压监测标准化:一项质量改进工程。

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-01-01 Epub Date: 2023-10-19 DOI:10.1097/JAC.0000000000000482
Lisa Knoll, Joy Elwell, Jill Arcari-Couture, Nanette Alexander
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引用次数: 0

摘要

目前的指南建议使用家庭血压监测(HBPM)来筛查和管理高血压。在本研究中,设计了一个质量改进项目,以标准化HBPM在初级保健环境中的使用,并证明改善的血压结果。初始收缩压和舒张压值比较患者日志的平均值。收集患者和提供者的反馈。只有40%的入组患者接受了可操作的HBPM数据随访。患者在获取和呈现HBPM数据时遇到了后勤方面的挑战。跨专业合作和改进的信息技术系统将改善结果。这将需要增加政策和保险公司的支持,以便在小范围内实现这一目标。
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The Standardization of Home Blood Pressure Monitoring in Primary Care: A Quality Improvement Project.

Current guidelines recommend the use of home blood pressure monitoring (HBPM) to screen for and manage hypertension. In this study, a quality improvement project was designed to standardize the use of HBPM in a primary care setting and demonstrate improved blood pressure outcomes. Initial systolic and diastolic values were compared to averages from patient logs. Patient and provider feedback was collected. Only 40% of patients enrolled presented to follow-up with actionable HBPM data. Patients encountered logistical challenges in obtaining and presenting HBPM data. Interprofessional collaboration and improved information technology systems would improve outcomes. This will require increased policy and insurer support to make this possible in small settings.

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来源期刊
JOURNAL OF AMBULATORY CARE MANAGEMENT
JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.10
自引率
4.30%
发文量
65
期刊介绍: The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.
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