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

社区卫生中心慢性病远程患者监测（REDUCE）

基本信息

批准号：
10673712
负责人：
CARMIT Kurn MCMULLEN
金额：
$ 50.86万
依托单位：
KAISER FOUNDATION RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-20 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10673712
关键词：
Address Administrator Adoption Adult Affect Award Blood Glucose Blood Pressure Bluetooth COVID-19 pandemic Caring Cause of Death Cellular Phone Characteristics Chronic Chronic Disease Clinic Clinical Clinical Services Clinical Trials Communication Consolidated Framework for Implementation Research Continuity of Patient Care Diabetes Mellitus Disease Management Disease Outcome Education Effectiveness Ensure Equity Face Foundations Frequencies Future General Population Glycosylated hemoglobin A Goals Grant Health Health Technology Home Hypertension Internet Intervention Interview Knowledge Learning Low income Measurement Measures Methods Monitor Natural experiment Neighborhood Health Center Non-Insulin-Dependent Diabetes Mellitus Participant Patient Care Patient Monitoring Patients Pattern Persons Play Population Proliferating Provider Public Policy Readiness Reporting Research Role Self Management Services Technology Telecommunications Time United States Visit Vulnerable Populations barrier to care blood pressure control burden of illness clinical care comparison group design digital digital health digital healthcare effectiveness evaluation evidence base experience gaps in access glucose monitor health care delivery health data health disparity hypertension control implementation evaluation implementation facilitators implementation outcomes improved improved outcome insight medically underserved medically underserved population outcome disparities pandemic disease patient oriented patient population programs remote patient monitoring safety net sociodemographics socioeconomics technology validation telehealth tool uptake

项目摘要

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.

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。