@Article{信息:doi 10.2196 / / jmir。7677，作者="奥罗兹科-贝尔特兰，多明戈和桑切斯，曼纽斯和桑切斯，胡里奥·热苏斯和米拉，乔华金"，标题="慢性病患者初级保健中的远程医疗:ValCr{\ ' o}nic准实验研究"，期刊="J Med Internet Res"，年="2017"，月="12"，日="15"，卷="19"，数="12"，页="e400"，关键词="慢性病;初级保健;背景:慢性疾病患病率的增加创造了适应护理模式和提供更大的家庭监护的需求。目的:本研究的目的是评估远程监测对长期病情再住院或急诊科就诊高危患者在目标疾病控制(糖尿病、高血压、心力衰竭和慢性阻塞性肺疾病)方面的影响。方法:我们进行了一项准实验研究，并进行了前后分析，以评估ValCr{\ ' o}nic计划在1年初级保健监测后的有效性。该研究包括患有以下1种或1种以上疾病的高危患者:糖尿病、高血压、心力衰竭和慢性阻塞性肺病。我们根据社区评估风险筛选评估风险。参与者使用电子设备(平板电脑)自我报告相关健康信息，然后这些信息被自动输入他们的电子健康记录以供咨询。结果:总样本量为521例。 Compared with the preintervention year, there were significant reductions in weight (82.3 kg before vs 80.1 kg after; P=.001) and in the proportion of people with high systolic (≥140 mmHg; 190, 36.5{\%} vs 170, 32.6{\%}; P=.001) and diastolic (≥90 mmHg; 72, 13.8{\%} vs 40, 7.7{\%}; P=.01) blood pressures, and hemoglobin A1c ≥8{\%} (186, 35.7{\%} vs 104, 20.0{\%}; P=.001). There was also a decrease in the proportion of participants who used emergency services in primary care (68, 13.1{\%} vs 33, 6.3{\%}; P<.001) and in hospital (98, 18.8{\%} vs 67, 12.8{\%}; P<.001). Likewise, fewer participants required hospital admission due to an emergency (105, 20.2{\%} vs 71, 13.6{\%}; P<.001) or disease exacerbation (55, 10.5{\%} vs 42, 8.1{\%}; P<.001). Conclusions: The ValCr{\`o}nic telemonitoring program in patients at high risk for rehospitalization or an emergency department visit appears to be useful to improve target disease control and to reduce the use of resources. ", issn="1438-8871", doi="10.2196/jmir.7677", url="//www.mybigtv.com/2017/12/e400/", url="https://doi.org/10.2196/jmir.7677", url="http://www.ncbi.nlm.nih.gov/pubmed/29246881" }