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

项目摘要/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的有效工具 一些人群的血压和血糖，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，或者在 医疗服务不足的人群。新冠肺炎大流行凸显了 RPM可以在确保护理的连续性方面发挥作用。它还说明了有限的基础设施准备 社区卫生中心，为美国最缺乏医疗服务的患者提供护理，以 提供RPM工具。拟议的研究将评估RPM工具对社区卫生的实施情况 新冠肺炎大流行期间为高血压和2型糖尿病患者设立的中心。这样做的目的是 这项研究旨在评估这些RPM干预措施的生物医学效果，并深入了解障碍和 计划的实施和采用的促进者。我们的结果将为确保 社区卫生中心的患者可以从数字RPM干预中受益，并将为 大规模实施这类干预措施。

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.