将数字医疗作为激活患者和提高心力衰竭护理质量的工具。

IF 4.5 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Failure Reviews Pub Date : 2024-11-01 Epub Date: 2024-09-06 DOI:10.1007/s10741-024-10433-7
Aradhana Verma, Zahra Azizi, Alexander T Sandhu
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引用次数: 0

摘要

心力衰竭(HF)对临床和经济的影响是巨大的,而且由于该病的发病率越来越高,其影响还将继续上升。尽管有指南推荐的药物可改善死亡率、减少住院次数并提高生活质量,但在实施此类护理方面仍存在很大差距。提高质量的干预措施一般以临床医生为重点。虽然某些干预措施在改善心衰药物使用方面略有成效,但仍不足以优化心衰护理。在此,我们将讨论面向患者的干预措施如何增加价值,并对以临床医生为中心的干预措施进行补充。我们还讨论了如何利用数字健康技术来创建患者激活工具,从而产生更大的、可持续的影响。一些小型研究表明,数字工具在促进患者参与和自我护理方面大有可为,但在采用此类干预措施方面也存在我们所描述的重要障碍。我们分享了数字医疗创新设计和实施的关键原则和策略,以最大限度地提高患者的参与度。通过独特的方式让患者参与到自己的护理中,数字医疗可以释放现有和新的质量改进措施的全部潜力,从而推动高质量和公平的心衰护理。
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Digital health as a tool for patient activation and improving quality of care for heart failure.

The clinical and economic impact of heart failure (HF) is immense and will continue to rise due to the increasing prevalence of the disease. Despite the availability of guideline-recommended medications that improve mortality, reduce hospitalizations, and enhance quality of life, there are major gaps in the implementation of such care. Quality improvement interventions have generally focused on clinicians. While certain interventions have had modest success in improving the use of heart failure medications, they remain insufficient in optimizing HF care. Here, we discuss how patient-facing interventions can add value and supplement clinician-centered interventions. We discuss how digital health can be leveraged to create patient activation tools that create a larger, sustainable impact. Small studies have suggested the promise of digital tools for patient engagement and self-care, but there are also important barriers to the adoption of such interventions that we describe. We share key principles and strategies around the design and implementation of digital health innovations to maximize patient participation and engagement. By uniquely activating patients in their own care, digital health can unlock the full potential of both existing and new quality improvement initiatives to drive forward high-quality and equitable heart failure care.

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来源期刊
Heart Failure Reviews
Heart Failure Reviews 医学-心血管系统
CiteScore
10.40
自引率
2.20%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Heart Failure Reviews is an international journal which develops links between basic scientists and clinical investigators, creating a unique, interdisciplinary dialogue focused on heart failure, its pathogenesis and treatment. The journal accordingly publishes papers in both basic and clinical research fields. Topics covered include clinical and surgical approaches to therapy, basic pharmacology, biochemistry, molecular biology, pathology, and electrophysiology. The reviews are comprehensive, expanding the reader''s knowledge base and awareness of current research and new findings in this rapidly growing field of cardiovascular medicine. All reviews are thoroughly peer-reviewed before publication.
期刊最新文献
Adrenal crisis-induced cardiogenic shock (ACCS): a comprehensive review. Congestion/decongestion in heart failure: what does it mean, how do we assess it, and what are we missing?-is there utility in measuring volume? Treating heart failure by targeting the vagus nerve. The utility of urine sodium-guided diuresis during acute decompensated heart failure. Pharmacological management of heart failure in adults with congenital heart disease.
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