Changes in the digital health landscape in cardiac electrophysiology: A pre-and peri-pandemic COVID-19 era survey.
Changes in the digital health landscape in cardiac electrophysiology: A pre-and peri-pandemic COVID-19 era survey.
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DOI：
10.1016/j.cvdhj.2020.12.001
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发表时间：
2021-03
影响因子：
--
通讯作者：
Albert CM
中科院分区：
文献类型：
--
作者：
Han JK;Al-Khatib SM;Albert CM
数字健康正在改变医疗保健服务。比较COVID-19之前和期间选定的心脏电生理学（EP）专业人员群体的当前数字健康状况。两份在线调查通过电子邮件发送到4个心律协会社区，并通过Twitter发布到Twitter EP，其中一份在大流行之前，另一份在大流行期间。使用χ2检验分析分类变量，并报告为绝对数和百分比。完成了253次大流行前调查（S1）和273次后续调查（S2）。两项调查的大多数受访者都是男性，年龄<55岁（70.6%对75.1%），大学附属机构（52.6%对55%）和医生（83.3%对87.9%）。在S1和S2之间，视频远程保健的常规使用增加了（5.9%对58.6%; P < .001），所有类型的咨询（所有P < .001）。无线心电图处方普遍且相似（80.2% vs 81.0%），而无线血压监测（9.9% vs 18.3%）和无线血氧测定（1.6% vs 8.1%; P = 0.006）处方均增加。对于智能手机移动的应用程序（mApp），心率mApp的处方减少（50.6% vs 40.7%; P = 0.022），而生命体征（28.9% vs 37%; P = 0.04）和症状追踪器（15.8% vs 24.9%; P = 0.01）处方增加。在这两项调查中，大多数人（84.6%对75.5%）表示没有工作场所基础设施或对数字健康的支持，并担心报销方面缺乏平等。我们的业绩显示，在COVID-19疫情期间，EP对数字医疗的采用有所增加。对缺乏支助性基础设施的关切依然存在。制定关于最佳临床工作流程、基础设施和报销的专业协会指南可能有助于推进和维持EP中的数字健康整合。
Digital health is transforming healthcare delivery. To compare the current digital health landscape in select groups of cardiac electrophysiology (EP) professionals prior to and during the COVID-19 era. Two online surveys were emailed to 4 Heart Rhythm Society communities and tweeted out to Twitter EP, 1 before and 1 during the pandemic. Categorical variables were analyzed using the χ2 test and reported as absolute numbers and percentages. There were 253 pre-pandemic (S1) and 273 follow-up surveys (S2) completed. The majority of respondents to both surveys were male, aged <55 years (70.6% vs 75.1%), university-affiliated (52.6% vs 55%), and physicians (83.3% vs 87.9%). Between S1 and S2, routine use of video-telehealth increased (5.9% vs 58.6%; P < .001) for all types of consultations (P < .001 for all). Wireless electrocardiogram prescribing was prevalent and similar (80.2% vs 81.0%), whereas wireless blood pressure monitoring (9.9% vs 18.3%) and wireless oximetry (1.6% vs 8.1%; P = .006 for both) prescribing both increased. For smartphone mobile applications (mApps), prescriptions for heart rate mApps decreased (50.6% vs 40.7%; P = .022), while vital sign (28.9% vs 37%; P = .04) and symptom trackers (15.8% vs 24.9%; P = .01) prescribing increased. A majority in both surveys (84.6% vs 75.5%) reported no workplace infrastructure or support for digital health with concerns for lack of parity in reimbursement. Our results show an increase in adoption of digital health by EP during the COVID-19 pandemic. Concerns regarding a lack of supportive infrastructure persisted. Development of professional society guidelines on optimal clinical workflow, infrastructure, and reimbursement may help advance and sustain digital health integration in EP.
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影响因子：
4.7
作者：
Srivastava, Anshul;Do, Jacquelyn-My;Joseph, Jacob
通讯作者：
Joseph, Jacob
影响因子：
39
作者：
Ong MK;Romano PS;Edgington S;Aronow HU;Auerbach AD;Black JT;De Marco T;Escarce JJ;Evangelista LS;Hanna B;Ganiats TG;Greenberg BH;Greenfield S;Kaplan SH;Kimchi A;Liu H;Lombardo D;Mangione CM;Sadeghi B;Sadeghi B;Sarrafzadeh M;Tong K;Fonarow GC;Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group
通讯作者：
Better Effectiveness After Transition–Heart Failure (BEAT-HF) Research Group
DOI：
10.1056/nejmoa1010029
发表时间：
2010-12-09
期刊：
The New England journal of medicine
影响因子：
--
作者：
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通讯作者：
Krumholz HM
影响因子：
5.5
作者：
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Tarakji, Khaldoun G.
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5.5
作者：
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通讯作者：
Varosy, Paul D.