Remote Patient Monitoring of Chronic Disease in Community Health Centers (REDUCE)

项目总结/摘要：临床试验研究表明，远程患者 慢性疾病状态监测（RPM）可以成为更好地控制血液 血压和血糖，例如临床试验参与者和富裕患者。 然而，关于RPM在医疗保健提供环境中的有效性，或者 医疗服务不足的人群。新型冠状病毒肺炎疫情凸显了 RPM可以确保护理的连续性。它还表明， 社区健康中心，为美国最缺乏医疗服务的患者提供护理，到 提供RPM工具。拟议的研究将评估RPM工具在社区卫生中的实施情况 新冠肺炎大流行期间，高血压和2型糖尿病患者的中心。这个目标 这项研究的目的是评估这些RPM干预措施的生物医学影响，并深入了解障碍， 促进方案的实施和通过。我们的研究结果将有助于确保 社区卫生中心的患者可以从数字RPM干预中受益， 大规模实施此类干预措施。

PROJECT SUMMARY/ABSTRACT: Clinical trial research has demonstrated that remote patient monitoring (RPM) of chronic disease status can be an effective tool to achieve better control of blood pressure and blood glucose for some populations such as participants in clinical trials and affluent patients. However, little is known though about the effectiveness of RPM in healthcare delivery settings, or in medically underserved populations. The Covid-19 pandemic has brought to the fore the important role that RPM can play in ensuring continuity of care. It also has illustrated the limited infrastructural preparedness of community health centers, which provide care to the most medically underserved patients in the U.S., to provide RPM tools. The proposed study will evaluate the implementation of RPM tools to community health centers for patients with hypertension and type 2 diabetes during the Covid-19 pandemic. The goal of this study is to evaluate the biomedical effects of these RPM interventions, and to gain insights into barriers and facilitators to implementation and adoption of the programs. Our results will inform efforts to ensure that patients in community health centers can benefit from digital RPM interventions and will lay the foundation for large-scale implementation of such interventions.