van Steenkiste Job, Verberk-Jonkers Iris, de Koning Stéphanie, Voss-de Haan Joyce, de Jong-Verhagen Bianca, Dohmen Daan
Faculty of Management Sciences, Open University, Heerlen, the Netherlands.
Department of Internal Medicine, Maasstad Hospital, Rotterdam, the Netherlands.
J Patient Exp. 2024 Dec 8;11:23743735241297626. doi: 10.1177/23743735241297626. eCollection 2024.
We evaluated current experiences and future needs for the long-term engagement of patients in a hypertension hybrid care pathway (Maasstad Hospital, NL). Patients >18 y/o with ≥3 months care pathway participation were recruited by telephone and divided into three age/focus groups with distinct digital skills and attitudes toward lifestyle interventions (group 1:18-40 y/o, group 2:40-65 y/o, group 3:>65 y/o). We used deductive thematic content analysis to cluster the results to the different digital elements (remote monitoring, communication, digital lifestyle intervention) of the care pathway. Fifteen patients were interviewed in March 2023 (Group 1;2;3, 3;6;6 participants). The care pathway improved disease insight, engagement, and shared decision capabilities in all groups. For further improved adherence and engagement, all patients indicated the need to incorporate a more personalized approach and interaction with their healthcare provider. In addition, the oldest group preferred simplification of the telemonitoring application, while the other groups preferred enrichment with more complex information. To ensure optimal engagement, digital elements in hybrid care pathways should be personalized and tailored to individual as well as to age-specific needs.
我们评估了患者长期参与高血压混合护理路径（荷兰马斯斯塔德医院）的当前体验和未来需求。通过电话招募了参与护理路径≥3个月的18岁以上患者，并将其分为三个年龄/重点组，这些组在数字技能和对生活方式干预的态度方面存在差异（第1组：18 - 40岁，第2组：40 - 65岁，第3组：>65岁）。我们采用演绎主题内容分析法，将结果聚类到护理路径的不同数字元素（远程监测、沟通、数字生活方式干预）上。2023年3月对15名患者进行了访谈（第1组、第2组、第3组分别有3名、6名、6名参与者）。护理路径提高了所有组患者对疾病的认知、参与度和共同决策能力。为了进一步提高依从性和参与度，所有患者都表示需要采用更个性化的方法并与医疗服务提供者进行互动。此外，年龄最大的组希望简化远程监测应用程序，而其他组则希望增加更复杂的信息。为确保最佳参与度，混合护理路径中的数字元素应针对个人以及特定年龄需求进行个性化定制。
