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基层医疗患者和提供者对与人群健康管理相结合的在线体重管理计划的看法:PROPS研究的干预后定性结果。

Primary care patients' and providers' perspectives about an online weight management program integrated with population health management: Post-intervention qualitative results from the PROPS study.

作者信息

Rozenblum Ronen, De La Cruz Barbara A, Nolido Nyryan V, McNulty Saffiya, McManus Katherine D, Halperin Florencia, Block Jason P, Bates David W, Baer Heather J

机构信息

Brigham and Women's Hospital, Boston, MA, USA.

Harvard Medical School, Boston, MA, USA.

出版信息

PEC Innov. 2022 Jun 11;1:100057. doi: 10.1016/j.pecinn.2022.100057. eCollection 2022 Dec.

Abstract

OBJECTIVE

To assess patients' and providers' attitudes about the online weight management program and population health management approach in the PROPS Study, which examined the effectiveness of these strategies in primary care.

METHODS

We conducted semi-structured interviews with 22 patients and nine providers. Using thematic analysis, we analyzed transcripts of the interviews to identify key themes.

RESULTS

Most patients found the online program to be well-structured and easy to use, although a few noted that the information was overwhelming or could be more personalized. Patients mentioned that the support from the population health managers was critical for their success, and several reported that they would have liked more involvement from their primary care provider or a dietitian. Providers also were satisfied with the interventions, and several stated that the population health management support was helpful because it added accountability. Providers suggested that the interventions could be improved by tailoring the information and integrating the online program with the electronic health record.

CONCLUSION

Most patients and providers were satisfied with the interventions, with several recommendations for improvements.

INNOVATION

These findings give additional information about patients' and providers' experience with this innovative approach for managing overweight and obesity in primary care.

摘要

目的

在PROPS研究中评估患者和医疗服务提供者对在线体重管理计划及人群健康管理方法的态度,该研究考察了这些策略在初级保健中的有效性。

方法

我们对22名患者和9名医疗服务提供者进行了半结构化访谈。通过主题分析,我们分析了访谈记录以确定关键主题。

结果

大多数患者认为在线计划结构良好且易于使用,不过有少数患者指出信息过多或可更具个性化。患者提到人群健康管理人员的支持对他们的成功至关重要,还有几名患者表示希望他们的初级保健提供者或营养师能更多地参与其中。医疗服务提供者也对干预措施感到满意,有几名表示人群健康管理支持很有帮助,因为它增加了问责制。医疗服务提供者建议,通过调整信息并将在线计划与电子健康记录整合,可以改进干预措施。

结论

大多数患者和医疗服务提供者对干预措施感到满意,并提出了一些改进建议。

创新点

这些发现提供了关于患者和医疗服务提供者在初级保健中采用这种创新方法管理超重和肥胖方面经验的更多信息。

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