改善在联邦合格医疗中心使用家庭血压计的机会。

Pub Date : 2023-04-01 DOI:10.1177/87551225231156741
Isha Deshpande, Amrita Kanwar, Kendra Swyers, Aida Garza, Kathryn Litten
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引用次数: 0

摘要

背景:自我监测血压(BP)在临床上可降低血压。然而,费用可能会限制获取,特别是在服务不足的人群中。目的:本混合方法试点研究旨在通过量化对血压的影响并调查患者满意度和参与程度,确定在联邦合格医疗中心(FQHC)为患者免费提供家庭血压监测仪的影响。方法:180例临床诊断为高血压的患者接受血压监测。在接受监护前后三个月,回顾患者图表,收集人口统计数据和办公室血压读数。一项包含13个问题的电话调查对患者样本进行了满意度和参与度调查。答案是基于李克特量表和“是/否”的二分法。结果采用描述性统计和配对t检验进行分析。结果:图表回顾显示,干预后收缩压平均下降5.44 mm Hg (P < 0.001, -8.03至-2.84),舒张压平均下降2.70 mm Hg (P < 0.001, -4.08至-1.32)。对于那些接受调查的人(13%),每周检查血压的频率显着增加了1.5个李克特点(P < 0.00001, -1.0至-1.9),大多数人(57.8%)除了其他好处外,还感到他们的医疗保健稍微或更加积极。结论:向FQHC患者免费提供血压监测仪可能有助于显著降低办公室血压,提高敬业度和满意度。该项目消除了成本障碍,使患者能够更积极地参与他们的医疗保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center.

Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center.

Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center.

Improving Access to Home Blood Pressure Monitors at a Federally Qualified Health Center.

Background: Self-monitoring of blood pressure (BP) clinically decreases BP. However, cost can limit access, especially in underserved populations. Objective: This mixed-methods pilot study aims to determine the impact of providing home BP monitors free of charge to patients at a federally qualified health center (FQHC) by quantifying the effect on BP and surveying patients to measure satisfaction and engagement. Methods: One hundred eighty patients with clinically diagnosed hypertension received BP monitors. Patient charts were reviewed to collect demographics and office BP readings 3 months before and after receiving a monitor. A 13-question phone survey was conducted to a sample of patients addressing satisfaction and engagement. Answers were based on a Likert scale and dichotomous yes/no. Results were analyzed with descriptive statistics and paired t tests. Results: The chart review demonstrated a significant mean decrease in systolic BP by 5.44 mm Hg (P < 0.001, -8.03 to -2.84) and a mean decrease in diastolic BP by 2.70 mm Hg (P < 0.001, -4.08 to -1.32) after the intervention. For those included who responded to the survey (13%), there was a significant mean increase in the frequency of checking BP per week by 1.5 Likert points (P < 0.00001, -1.0 to -1.9), and a majority (57.8%) felt slightly or much more active in their health care in addition to other benefits. Conclusion: Providing BP monitors to FQHC patients free of charge may have contributed to a significantly decreased office BP, improved engagement, and satisfaction. This program removed cost barriers and allowed patients to be more active in their health care.

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