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卫生保健专业人员对使用远程测量技术管理中枢神经系统疾病的看法:定性访谈研究。

Health Care Professionals' Views on Using Remote Measurement Technology in Managing Central Nervous System Disorders: Qualitative Interview Study.

机构信息

Division of Psychiatry and Applied Psychology, Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom.

NIHR MindTech Medtech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.

出版信息

J Med Internet Res. 2020 Jul 24;22(7):e17414. doi: 10.2196/17414.

Abstract

BACKGROUND

Remote measurement technologies (RMT) can be used to collect data on a variety of bio-behavioral variables, which may improve the care of patients with central nervous system disorders. Although various studies have explored their potential, prior work has highlighted a knowledge gap in health care professionals' (HCPs) perceptions of the value of RMT in clinical practice.

OBJECTIVE

This study aims to understand HCPs' perspectives on using RMT in health care practice for the care of patients with depression, epilepsy, or multiple sclerosis (MS).

METHODS

Semistructured interviews were conducted with 26 multidisciplinary primary and secondary care HCPs who care for patients with epilepsy, depression, or MS. Interviews were transcribed verbatim and analyzed using thematic analysis.

RESULTS

A total of 8 main themes emerged from the analysis: (1) potential clinical value of RMT data; (2) when to use RMT in care pathways; (3) roles of health care staff who may use RMT data; (4) presentation and accessibility of data; (5) obstacles to successful use of RMT; (6) limits to the role of RMT; (7) empowering patients; and (8) considerations around alert-based systems.

CONCLUSIONS

RMT could add value to the system of care for patients with central nervous system disorders by providing clinicians with graphic summaries of data in the patient record. Barriers of both technical and human nature should be considered when using these technologies, as should the limits to the benefits they can offer.

摘要

背景

远程测量技术(RMT)可用于收集各种生物行为变量的数据,这可能有助于改善中枢神经系统疾病患者的护理。尽管各种研究都探讨了它们的潜力,但之前的工作强调了医疗保健专业人员(HCPs)对 RMT 在临床实践中的价值的认知差距。

目的

本研究旨在了解 HCPs 在使用 RMT 进行医疗保健实践以护理抑郁症、癫痫或多发性硬化症(MS)患者方面的观点。

方法

对 26 名从事癫痫、抑郁或 MS 患者护理的多学科初级和二级保健 HCP 进行半结构式访谈。访谈逐字记录并使用主题分析进行分析。

结果

分析共产生 8 个主要主题:(1)RMT 数据的潜在临床价值;(2)在护理途径中何时使用 RMT;(3)可能使用 RMT 数据的医疗保健人员的角色;(4)数据的呈现和可及性;(5)成功使用 RMT 的障碍;(6)RMT 作用的局限性;(7)赋能患者;以及(8)基于警报系统的注意事项。

结论

RMT 可以通过在患者记录中为临床医生提供数据的图形摘要,为中枢神经系统疾病患者的护理系统增加价值。在使用这些技术时,应考虑技术和人为因素的障碍,以及它们所能提供的益处的局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ea/7414408/b8476a9c2d15/jmir_v22i7e17414_fig1.jpg

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