@文章{info:doi/10.2196/26072，作者=“Biersteker, Tom and Hilt, Alexander and van der Velde, Enno and Schalij, Martin Jan and Treskes, Roderick Willem”，标题=“临床实践中移动健康实施的真实经验(盒子):设计和可用性研究”，期刊=“JMIR Cardio”，年=“2021”，月=“12”，日=“16”，卷=“5”，数=“2”，页=“e26072”，关键词=“eHealth;移动健康;远程病人监控;心脏病;病人满意度;病人权利;背景:移动健康(mHealth)是世界范围内一个新兴的科学领域。潜在的好处包括增加患者参与，改善临床结果，降低医疗保健成本。但移动健康的研究多在项目或试验中，而在临床实践中结构植入较少。目的:本论文的目的是概述盒子的设计及其在门诊设置的实现和使用。 The impact on logistical outcomes and patient and provider satisfaction is discussed. Methods: In 2016, an mHealth care track including smartphone-compatible devices, named the Box, was implemented in the cardiology department of a tertiary medical center in the Netherlands. Patients with myocardial infarction, rhythm disorders, cardiac surgery, heart failure, and congenital heart disease received devices to measure daily weight, blood pressure, heart rate, temperature, and oxygen saturation. In addition, professional and patient user comments on the experience with the care track were obtained via structured interviews. Results: From 2016 to April 2020, a total of 1140 patients were connected to the mHealth care track. On average, a Box cost {\texteuro}350 (US {\$}375), not including extra staff costs. The median patient age was 60.8 (IQR 52.9-69.3) years, and 73.59{\%} (839/1140) were male. A median of 260 (IQR 105-641) measurements was taken on a median of 189 (IQR 98-372) days. Patients praised the ease of use of the devices and felt more involved with their illness and care. Professionals reported more productive outpatient consultations as well as improved insight into health parameters such as blood pressure and weight. A feedback loop from the hospital to patient to focus on measurements was commented as an important improvement by both patients and professionals. Conclusions: In this study, the design and implementation of an mHealth care track for outpatient follow-up of patients with various cardiovascular diseases is described. Data from these 4 years indicate that mHealth is feasible to incorporate in outpatient management and is generally well-accepted by patients and providers. Limitations include the need for manual measurement data checks and the risk of data overload. Moreover, the tertiary care setting in which the Box was introduced may limit the external validity of logistical and financial end points to other medical centers. More evidence is needed to show the effects of mHealth on clinical outcomes and on cost-effectiveness. ", issn="2561-1011", doi="10.2196/26072", url="https://cardio.www.mybigtv.com/2021/2/e26072", url="https://doi.org/10.2196/26072", url="http://www.ncbi.nlm.nih.gov/pubmed/34642159" }