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首页> 外文期刊>Patient Preference and Adherence >Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution
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Improving safety and efficiency in care: multi-stakeholders’ perceptions associated with a peritoneal dialysis virtual care solution

机译：改善护理的安全性和效率：多方利益相关者对腹膜透析虚拟护理解决方案的看法

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Background: Although there is a growing body of literature on the outcomes and impacts of remote home management with peritoneal dialysis (PD) patients, less is understood how this virtual care solution impacts the quality and efficiency of the healthcare system care. In this context, a study was undertaken to understand the perceptions of patients and their caregivers, healthcare providers, health system decision makers, and vendors associated with a remote monitoring and tracking solution aimed at enhancing the outcomes and experiences of chronic kidney disease (CKD) patients receiving PD at home. Methods: A qualitative design using semi-structured interviews with 25 stakeholders was used in this study. Narrative data were analyzed by a thematic analysis approach. Results: The following two themes emerged from the data: (1) leveraging data to monitor and intervene to keep patients safe and (2) increasing efficiencies and having control over supplies. Discussion: Our study findings elucidated the ability of patients (and in some cases, caregivers) to monitor and trend their data and order and track directly on-line their dialysis supplies were key to their active participation in managing their CKD and keeping them safe at home. Their active participation and functionality of the virtual care solution also led to enhanced efficiencies (eg, process faster, easier, convenient, time savings) for both patients and healthcare providers. Conclusion: The virtual care solution showed promising signs of a patient-centric approach and may serve as a blueprint for other virtual care solutions for chronic disease management.
机译：背景：尽管关于腹膜透析（PD）患者的远程家庭管理的结果和影响的文献越来越多，但对于这种虚拟护理解决方案如何影响医疗保健系统的质量和效率的了解却很少。在这种情况下，进行了一项研究，以了解患者及其护理人员，医疗保健提供者，卫生系统决策者和与远程监测和跟踪解决方案相关的供应商的看法，旨在提高慢性肾脏病（CKD）的结果和经验。在家接受PD的患者。方法：本研究采用了对25个利益相关者进行半结构化访谈的定性设计。叙事数据通过主题分析方法进行了分析。结果：从数据中得出以下两个主题：（1）利用数据进行监视和干预，以确保患者安全;（2）提高效率并控制供应。讨论：我们的研究结果阐明了患者（在某些情况下，甚至是看护者）监测和趋势化他们的数据，订购和直接在线跟踪其透析用品的能力，是他们积极参与管理CKD和确保他们安全的关键。家。他们对虚拟护理解决方案的积极参与和功能还为患者和医疗保健提供者提高了效率（例如，更快，更轻松，方便，节省时间）。结论：虚拟护理解决方案显示出以患者为中心的方法的良好前景，并且可以用作其他慢性病管理虚拟护理解决方案的蓝图。

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