心脏电生理学中数字健康领域的变化：COVID-19大流行前及流行期间的一项调查

Changes in the digital health landscape in cardiac electrophysiology: A pre-and peri-pandemic COVID-19 era survey.

作者信息

Han Janet K, Al-Khatib Sana M, Albert Christine M

机构信息

Cardiac Arrhythmia Center, Division of Cardiology, VA Greater Los Angeles Healthcare System and David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California.

Division of Cardiology, Duke University, Durham, North Carolina.

出版信息

Cardiovasc Digit Health J. 2020 Dec 25;2(1):55-62. doi: 10.1016/j.cvdhj.2020.12.001. eCollection 2021 Feb.

DOI:10.1016/j.cvdhj.2020.12.001

PMID:35265890

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8890346/

Abstract

BACKGROUND

Digital health is transforming healthcare delivery.

OBJECTIVE

To compare the current digital health landscape in select groups of cardiac electrophysiology (EP) professionals prior to and during the COVID-19 era.

METHODS

Two online surveys were emailed to 4 Heart Rhythm Society communities and tweeted out to Twitter EP, 1 before and 1 during the pandemic. Categorical variables were analyzed using the test and reported as absolute numbers and percentages.

RESULTS

There were 253 pre-pandemic (S1) and 273 follow-up surveys (S2) completed. The majority of respondents to both surveys were male, aged <55 years (70.6% vs 75.1%), university-affiliated (52.6% vs 55%), and physicians (83.3% vs 87.9%). Between S1 and S2, routine use of video-telehealth increased (5.9% vs 58.6%; < .001) for all types of consultations ( < .001 for all). Wireless electrocardiogram prescribing was prevalent and similar (80.2% vs 81.0%), whereas wireless blood pressure monitoring (9.9% vs 18.3%) and wireless oximetry (1.6% vs 8.1%; = .006 for both) prescribing both increased. For smartphone mobile applications (mApps), prescriptions for heart rate mApps decreased (50.6% vs 40.7%; = .022), while vital sign (28.9% vs 37%; = .04) and symptom trackers (15.8% vs 24.9%; = .01) prescribing increased. A majority in both surveys (84.6% vs 75.5%) reported no workplace infrastructure or support for digital health with concerns for lack of parity in reimbursement.

CONCLUSION

Our results show an increase in adoption of digital health by EP during the COVID-19 pandemic. Concerns regarding a lack of supportive infrastructure persisted. Development of professional society guidelines on optimal clinical workflow, infrastructure, and reimbursement may help advance and sustain digital health integration in EP.

摘要

背景

数字健康正在改变医疗服务的提供方式。

目的

比较在COVID-19疫情之前和期间，特定心脏电生理学（EP）专业人员群体中的当前数字健康状况。

方法

向4个心律协会社区发送了两份在线调查问卷，并在推特上向推特EP群体发布，一份在疫情之前，一份在疫情期间。使用卡方检验分析分类变量，并报告为绝对数字和百分比。

结果

共完成了253份疫情前的调查问卷（S1）和273份随访调查问卷（S2）。两份调查问卷的大多数受访者为男性，年龄小于55岁（分别为70.6%和75.1%），隶属于大学（分别为52.6%和55%），并且是医生（分别为83.3%和87.9%）。在S1和S2之间，对于所有类型的会诊，视频远程医疗的常规使用有所增加（分别为5.9%和58.6%；P<0.001）（所有类型的会诊P<0.001）。无线心电图处方很普遍且相似（分别为80.2%和81.0%），而无线血压监测（分别为9.9%和18.3%）和无线血氧饱和度监测（分别为1.6%和8.1%；两者P = 0.006）的处方都有所增加。对于智能手机移动应用程序（mApps），心率mApps的处方减少（分别为50.6%和40.7%；P = 0.022），而生命体征（分别为28.9%和37%；P = 0.04）和症状追踪器（分别为15.8%和24.9%；P = 0.01）的处方增加。两份调查问卷中的大多数人（分别为84.6%和75.5%）报告说工作场所没有数字健康方面的基础设施或支持，并担心报销缺乏公平性。