@Article{info:doi/10.2196/22136，作者=“de Batlle, Jordi和Massip, Mireia和Vargiu, Eloisa和Nadal, Nuria和Fuentes, Araceli和Ortega Bravo, Marta和Colomina, Jordi和Drudis, Reis和Torra, Montserrat和Pallis{\'o}， Francesc和Miralles, Felip和Barb{\'e}， Ferran和Torres, Gerard”，标题=“实现移动医疗-支持复杂慢性患者的综合护理:患者和专业人员可接受性研究”，期刊=“JMIR Mhealth Uhealth”，年=“2020”，月=“11”，日=“20”，卷=“8”，号=“11”，页=“e22136”，关键词=“Mhealth”;电子健康;患者对医疗保健的接受程度;病人满意度;保健计划的实施;背景:综合护理(IC)可以通过优先考虑以患者为中心的预防性模式、整理护理碎片和跨卫生层的协作来促进卫生和社会护理效率，而移动医疗(mHealth)可以成为采用综合护理的基石。本研究旨在评估复杂慢性病患者和卫生专业人员的移动健康IC模型的可接受性、可用性和满意度。方法:作为CONNECARE Horizon 2020项目的一部分，于2018年7月至2019年8月在西班牙加泰罗尼亚的一个农村地区进行了一项前瞻性、务实、双支队、平行、混合有效性实施试验。研究招募了55岁及以上有慢性阻塞性肺疾病或心力衰竭住院史的居家患者(用例[UC] 1)，或预定的主要选择性髋关节或膝关节置换术(UC2)。 During the 3 months, patients experienced an mHealth-enabled IC model, including a self-management app for patients, a set of integrated sensors, and a web-based platform connecting professionals from different settings or usual care. The Person-Centered Coordinated Care Experience Questionnaire (P3CEQ) and the Nijmegen Continuity Questionnaire (NCQ) assessed person-centeredness and continuity of care. Acceptability was assessed for IC arm patients and staff with the Net Promoter Score (NPS) and the System Usability Scale (SUS). Results: The analyses included 77 IC patients, 58 controls who completed the follow-up, and 30 health care professionals. The mean age was 78 (SD 9) years in both study arms. Perception of patient-centeredness was similarly high in both arms (usual care: mean P3CEQ score 16.1, SD 3.3; IC: mean P3CEQ score 16.3, SD 2.4). IC patients reported better continuity of care than controls (usual care: mean NCQ score 3.7, SD 0.9; IC: mean NCQ score 4.0, SD 1; P=.04). The scores for patient acceptability (UC1: NPS +67{\%}; UC2: NPS +45{\%}) and usability (UC1: mean SUS score 79, SD 14; UC2: mean SUS score 68, SD 24) were outstanding. Professionals' acceptability was low (UC1: NPS −25{\%}; UC2: NPS −35{\%}), whereas usability was average (UC1: mean SUS score 63, SD 20; UC2: mean SUS score 62, SD 19). The actual use of technology was high; 77{\%} (58/75) of patients reported physical activity for at least 60 days, and the ratio of times reported over times prescribed for other sensors ranged from 37{\%} for oxygen saturation to 67{\%} for weight. Conclusions: The mHealth-enabled IC model showed outstanding results from the patients' perspective in 2 different UCs but lacked maturity and integration with legacy systems to be fully accepted by professionals. This paper provides useful lessons learned through the development and assessment process and may be of use to organizations willing to develop or implement mHealth-enabled IC for older adults. ", issn="2291-5222", doi="10.2196/22136", url="https://mhealth.www.mybigtv.com/2020/11/e22136", url="https://doi.org/10.2196/22136", url="http://www.ncbi.nlm.nih.gov/pubmed/33216004" }