Community-Based Telemonitoring for Hypertension Management: Practical Challenges and Potential Solutions
Community-Based Telemonitoring for Hypertension Management: Practical Challenges and Potential Solutions
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DOI：
10.1089/tmj.2011.0027
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发表时间：
2011-10-01
影响因子：
4.7
通讯作者：
Resnick, Helaine E.
中科院分区：
文献类型：
--
作者：
Hovey, Lauren;Kaylor, Mary Beth;Resnick, Helaine E.
居住在农村地区的老年人往往缺乏方便、以病人为中心、以社区为基础的方法，无法促进接受常规护理来管理常见的慢性病。如果没有足够的机会获得适当的疾病管理资源，老年人经历与这些常见疾病有关的急性事件的风险大大增加。此外，管理不善的慢性疾病代价高昂，并使老年人面临更大的住院风险和永久丧失独立性。以远程健康为基础的新方法来管理常见的慢性疾病，如高血压，不仅可能改善老年人的健康，而且还可能导致与急性护理事件和住院相关的大量成本节约。本报告的目的是总结一项独特的以社区为基础的远程监测试点研究的运作和后勤方面的实际考虑，该研究的目标是利用社区老年中心的农村老年人。本文回顾了在研究过程中遇到的技术挑战，并提出了与未来社区聚集环境中远程医疗研究和实施相关的解决方案。
Older adults residing in rural areas often lack convenient, patient-centered, community-based approaches to facilitate receipt of routine care to manage common chronic conditions. Without adequate access to appropriate disease management resources, the risk of seniors' experiencing acute events related to these common conditions increases substantially. Further, poorly managed chronic conditions are costly and place seniors at increased risk of institutionalization and permanent loss of independence. Novel, telehealth-based approaches to management of common chronic conditions like hypertension may not only improve the health of older adults, but may also lead to substantial cost savings associated with acute care episodes and institutionalization. The aim of this report is to summarize practical considerations related to operations and logistics of a unique community-based telemonitoring pilot study targeting rural seniors who utilize community-based senior centers. This article reviews the technological challenges encountered during the study and proposes solutions relevant to future research and implementation of telehealth in community-based, congregate settings.