SWOT 分析:远程血压监控
- 作者: Demkina A.E.1, Korobeynikova A.N.2, Rogoza A.N.3, Vladzimirskiy A.V.1
-
隶属关系:
- Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies
- Center of Cardiology and Neurology
- National Medical Research Centre of Cardiology Named After Academician E.I. Chazov
- 期: 卷 5, 编号 2 (2024)
- 页面: 303-317
- 栏目: 科学评论
- URL: https://journals.rcsi.science/DD/article/view/264840
- DOI: https://doi.org/10.17816/DD568899
- ID: 264840
如何引用文章
全文:
详细
由于全球政治和社会经济的变化,医疗保健系统面临着巨大的压力。向新的医疗水平过渡需要引入现代技术解决方案。医学创新的加速发展和个性化方法的形成将提高医疗服务的质量和可及性。
保健发展的一个领域是使用数字技术和应用远程监控来评估公民的健康指标。目前,俄罗斯联邦正在实施对动脉高血压患者进行远程监控的联邦项目《个人医疗助理》。与任何新技术一样,远程监控也有其优缺点。本文进行了战略分析(SWOT 分析),并考虑了可能影响联邦项目最终结果的医疗、经济、社会和政治方面。要有效实施远程监控技术,就必须强调医疗保健系统和整个国家的优势并克服其不足。所进行的 SWOT 分析可用于制定进一步的战略,以便在临床实践中广泛使用新的数字技术。
作者简介
Alexandra E. Demkina
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies
Email: ademkina@bk.ru
SPIN 代码: 4657-5501
MD, Cand. Sci (Medicine)
俄罗斯联邦, MoscowAnna N. Korobeynikova
Center of Cardiology and Neurology
编辑信件的主要联系方式.
Email: anna_best2004@mail.ru
ORCID iD: 0000-0002-8934-7021
SPIN 代码: 9728-9583
MD, Cand. Sci. (Medicine)
俄罗斯联邦, KirovAnatoliy N. Rogoza
National Medical Research Centre of Cardiology Named After Academician E.I. Chazov
Email: anrogoza@gmail.com
ORCID iD: 0000-0002-4829-0954
SPIN 代码: 9362-3496
Dr. Sci. (Biology), Professor
俄罗斯联邦, MoscowAnton V. Vladzimirskiy
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies
Email: a.vladzimirskiy@npcmr.ru
ORCID iD: 0000-0002-2990-7736
SPIN 代码: 3602-7120
MD, Dr. Sci. (Medicine)
俄罗斯联邦, Moscow参考
- Zudin AB, Chepin VO. Global Challenges for Russian Healthcare. Byulleten’ Natsional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni N.A. Semashko. 2016;(5):41–45. (In Russ). EDN: XWOKVJ
- Boytsov SA, Demkina AE, Oshchepkova EV, Dolgusheva YuA. Progress and Problems of Practical Cardiology in Russia at the Present Stage. Kardiologiia. 2019;59(3):53–59. EDN: CJGCQF doi: 10.18087/cardio.2019.3.10242
- Boytsov SA, Pogosova NV, Bubnova MG, et al. Cardiovascular prevention 2017. National Guidelines. Russian Journal of Cardiology. 2018;23(6):7–122. EDN: XSLTTF doi: 10.15829/1560-4071-2018-6-7-122
- Balanova YuA, Shalnova SA, Imaeva AE, et al. Prevalence, Awareness, Treatment and Control of Hypertension in Russian Federation (Data of Observational ESSERF-2 Study). Rational Pharmacotherapy in Cardiology. 2019;15(4):450–466. EDN: ZRWESV doi: 10.20996/1819-6446-2019-15-4-450-466
- Lebedev GS, Vladzymyrskyy AV, Shaderkin IA, Dudareva VP. Remote monitoring complex for chronic noncommunicable diseases. Russian Journal of Telemedicine and E-Health. 2020;8(1):7–14. EDN: NMFKNG doi: 10.29188/2712-9217-2022-8-1-7-14
- Nikolaev VA. Innovative technologies for personalized medicine. Forcipe. 2019;2(S3):40–41. EDN: UEPRRX
- Bautista LE. Predictors of persistence with antihypertensive therapy: Results from the NHANES. Am J Hypertens. 2008;21(2):183–188. doi: 10.1038/ajh.2007.33
- Paramore LC, Halpern MT, Lapuerta P, et al. Impact of poorly controlled hypertension on health care resource utilization and cost. Am J Manag Care. 2001;7(4):89–98.
- Varma N, Epstein AE, Irimpen A, et al. TRUST investigators. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the lumos-t safely reduces routine office device follow-up (TRUST) Trial. Circulation. 2010;122(4):325–332. doi: 10.1161/CIRCULATIONAHA.110.937409
- Sana F, Isselbacher EM, Singh JP, et al. Wearable Devices for Ambulatory Cardiac Monitoring: JACC State-of-the-Art Review. J Am CollCardiol. 2020;75(13):1582–1592. doi: 10.1016/j.jacc.2020.01.046
- Cleland JGF, Louis AA, Rigby AS, et al. Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study. Journal of the American College of Cardiology. 2005;45(10):1654–1664. doi: 10.1016/j.jacc.2005.01.050
- Pyzhlakov DS. Strengths and Opportunities. The concept of dynamic SWOT analysis. Russian Journal of Entrepreneurship. 2008;(6-1):133–138. (In Russ). EDN: JKONSZ
- Lewington S, Clarke R, Qizilbash N, et al. Age-specific relevance of usual blood pressure to vascular mortality. The Lancet. 2003;361(9366):1391–1392. doi: 10.1016/S0140-6736(03)13061-9
- Slimko ML, Mensah GA. The role of diets, food, and nutrients in the prevention and control of hypertension and prehypertension. Clinical Cardiology. 2010;4(28):665–674. doi: 10.1016/j.ccl.2010.08.001
- Chazova IE, Oshchepkova EV. Results of the federal (national) project for prevention and treatment essential hypertension patients in Russia from 2002–2012 years. Annals of the Russian academy of medical sciences. 2013;68(2):4–11. EDN: PWEBNT doi: 10.15690/vramn.v68i2.542
- McKoy J, Fitzner K, Margetts M, et al. Are telehealth technologies for hypertension care and self-management effective or simply risky and costly. Popul Health Manag. 2015;18(3):192–202. doi: 10.1089/pop.2014.0073
- Fitzner K, Moss G. Telehealth-an effective delivery method for diabetes self-management education. Popul Health Manag. 2013;16(3):169–177. doi: 10.1089/pop.2012.0054
- Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015;2015(9):CD002098. doi: 10.1002/14651858.CD002098.pub2
- Piette JD, Marinec N, Gallegos-Cabriales EC, et al. Spanish-speaking patients’ engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries. Telemed Telecare. 2013;19(2):89–94. doi: 10.1177/1357633x13476234
- Kaambwa B, Bryan S, Jowett S, et al. Telemonitoring and self-management in the control of hypertension (TASMINH2): a cost-effectiveness analysis. Eur J Prev Cardiol. 2014;21(12):1517–1530. doi: 10.1177/2047487313501886
- Maciejewski ML, Bosworth HB, Olsen MK, et al. Do the benefits of participation in a hypertension self-management trial persist after patients resume usual care. Circ Cardiovasc Qual Outcomes. 2014;7(2):269–275. doi: 10.1161/CIRCOUTCOMES.113.000309
- Shaderkin IA, Shaderkina VA. Remote health monitoring: motivating patients. Journal of Telemedicine and E-Health. 2020;6(3):37–43. EDN: PBHHKX doi: 10.29188/2542-2413-2020-6-3-37-43
- Wise J. Activity trackers, even with cash incentives, do not improve health. BMJ. 2016;355:i5392. doi: 10.1136/bmj.i5392
- Jones MI, Greenfield SM, Bray EP, et al. Patients’ experiences of self-monitoring blood pressure and self-titration of medication: the TASMINH2 trial qualitative study. Br J Gen Pract. 2012;65(595):e135–e142. doi: 10.3399/bjgp12X625201
- Shaw RJ, Kaufman MA, Bosworth HB, et al. Organizational factors associated with readiness to implement and translate a primary care-based telemedicine behavioral program to improve blood pressure control: the HTN-IMPROVE study. Implement Sci. 2013;8. doi: 10.1186/1748-5908-8-106
- AbuDagga A, Resnick HE, Alwan M. Impact of Blood Pressure Telemonitoring on Hypertension Outcomes: A Literature Review. Telemedicine and eHealth. 2010;16(7):830–838. doi: 10.1089/tmj.2010.0015
- Chandak A, Joshi A. Self-management of hypertension using technology enabled interventions in primary care settings. Technology and Health Care. 2015;23(2):119–128. doi: 10.3233/thc-140886
- McKinstry B, Hanley J, Lewis S. Telemonitoring in the management of high blood pressure. Curr Pharm Des. 2015;21(6):823–827. doi: 10.2174/1381612820666141024154232
- Sivakumaran D, Earle K. Telemonitoring: use in the management of hypertension. Vascular Health and Risk Management. 2014;10:217–224. doi: 10.2147/vhrm.s36749
- Kontsevaya AV, Komkov DS, Boytsov SA. The modeling as a technique of evaluation of expediency of remote monitoring of arterial tension at the regional level. Health Care of the Russian Federation. 2017;61(1):10–16. EDN: YFOKVP doi: 10.18821/0044-197X-2017-61-1-10-16
- Ho K. Health-e-Apps: A project to encourage effective use of mobile health applications. BCMJ. 2013;55(10):458–460.
- Isaeva AV, Krasnova KS, Tagoev YuSh, et al. A study of the digital readiness of patients with chronic heart failure. Russian Journal of Preventive Medicine and Public Health. 2023;26(3):101–108. EDN: DGKTAU doi: 10.17116/profmed202326031101
- Baysangurov AF, Arutyunova NN, Baysangurova MM. Analysis of the demotivation factors that reduce the efficiency of employees. Digital Diagnostics. 2021;2(2S):10–11. EDN: VGEGJF doi: 10.17816/DD83175
- Davoudi A, Lee NS, Chivers C, et al. Patient interaction phenotypes with an automated remote hypertension monitoring program and their association with blood pressure control: observational study. J Med Internet Res. 2020;22(12):e22493. doi: 10.2196/22493
- Vandenberk T, Lanssens D, Storms V, et al. Relationship Between Adherence to Remote Monitoring and Patient Characteristics: observational study in women with pregnancy-induced hypertension. JMIR mHealth and uHealth. 2019;7(8):e12574. doi: 10.2196/12574
- Case MA, Burwick HA, Volpp KG, et al. Accuracy of smartphone applications and wearable devices for tracking physical activity data. JAMA. 2015;313(6):625–626. doi: 10.1001/jama.2014.17841
- O’Kane MJ. Efficacy of self-monitoring of blood glucose in patients with newly diagnosed type 2 diabetes (ESMON study): randomised controlled trial. BMJ. 2008;336(7654):1174–1180. doi: 10.1136/bmj.39534.571644.BE
- Walker RC, Tong A, Howard K, et al. Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies. Int J Med Inform. 2019;124:78–85. doi: 10.1016/j.ijmedinf.2019.01.013
- Mareev YuV, Zinchenko AO, Myasnikov RP, et al. Telemonitoring in patients with chronic heart failure. Kardiologiia. 2019;59(S9):4–15. EDN: ISWIAY doi: 10.18087/cardio.n530
- Omboni S, Ferrari R. The role of telemedicine in hypertension management: focus on blood pressure telemonitoring. Curr Hypertens Rep. 2015;17. doi: 10.1007/s11906-015-0535-3
- Gazit T, Gutman M, Beatty AL. Assessment of hypertension control among adults participating in a mobile technology blood pressure self-management program. JAMA Netw Open. 2021;4(10):e2127008. doi: 10.1001/jamanetworkopen.2021.27008
- Komkov DS, Baturin DI, Kulikov AA, et al. The role of SMS-informing in the dispensary monitoring of patients with arterial hypertension. Arterial’naya Gipertenziya. 2015;21(S1):91. (In Russ). EDN: WEPXLT
- Komkov DS, Goryachkin EA, Korsunsky DV, et al. Clinical effectiveness of various models of telemedicine technologies in patients with arterial hypertension. Russian Journal of Preventive Medicine and Public Health. 2020;23(4):27–35. EDN: PMROKX doi: 10.17116/profmed20202304127
- Melnyk SD, Zullig LL, McCant F, et al. Telemedicine cardiovascular risk reduction in veterans. Am Heart J. 2013;165(4):501–508. doi: 10.1016/j.ahj.2012.08.005
- Kalinina AM, Gornyy BE, Dubovoy II, et al. The attitude of primary care physicians to the use of telemedicine technologies in dispensary observation of patients with chronic diseases (medical and sociological research). Russian Journal of Preventive Medicine and Public Health. 2020;23(6):8–13. EDN: TIADWK doi: 10.17116/profmed2020230628
- Wang V, Smith VA, Bosworth HB, et al. Economic evaluation of telephone self-management interventions for blood pressure control. Am Heart J. 2012;163(6):980–986. doi: 10.1016/j.ahj.2012.03.016
- Cuspidi C, Facchetti R, Dell’Oro R, et al. Office and out-of-office blood pressure changes over a quarter of century: findings from the PAMELA Study. Hypertension. 2020;76(3):759–765. doi: 10.1161/HYPERTENSIONAHA.120.15434
- Mancia G, Facchetti R, Bombelli M, et al. Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure. Hypertension. 2006;47(5):846–853. doi: 10.1161/01.HYP.0000215363.69793.bb
- Stergiou GS, Salgami EV, Tzamouranis DG, Roussias LG. Masked hypertension assessed by ambulatory blood pressure versus home blood pressure monitoring: is it the same phenomenon. Am J Hypertens. 2005;18(6):772–778. doi: 10.1016/j.amjhyper.2005.01.003
- Pickering TG. Self-monitoring of blood pressure. In: Ambulatory Monitoring and Blood Pressure Variability (Part 1). London: Science Press; 1990.
- Pickering T. Recommendations for the use of home (self) and ambulatory blood pressure monitoring. American Society of Hypertension Ad Hoc Panel. Am J Hypertens. 1996;9(1):1–11. doi: 10.1016/0895-7061(95)00341-x
- Barochiner J, Posadas Martínez ML, Martínez R. Reproducibility of masked uncontrolled hypertension detected through home blood pressure monitoring. J Clin Hypertens (Greenwich). 2019;21(7):877–883. doi: 10.1111/jch.13596
- Myers MG. Reporting bias in self-measurement of blood pressure. Blood Press Monit. 2001;(6):181–183.
- Miao H, Liu Y, Tsai TC, Schwartz J, Ji JS. Association between blood lead level and uncontrolled hypertension in the US population (NHANES 1999-2016). J Am Heart Assoc. 2020;9(13):e015533. doi: 10.1161/JAHA.119.015533
- Jackson SL, Gillespie C, Shimbo D, Rakotz M, Wall HK. Blood Pressure Cuff Sizes for Adults in the United States: National Health and Nutrition Examination Survey, 2015–2020. Am J Hypertens. 2022;35(11):923–928. doi: 10.1093/ajh/hpac104
- Cepeda M, Pham P, Shimbo D. Status of ambulatory blood pressure monitoring and home blood pressure monitoring for the diagnosis and management of hypertension in the US: an up-to-date review. Hypertens Res. 2023;46:620–629. doi: 10.1038/s41440-022-01137-2
- Duan Y, Xie Z, Dong F, et al. Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies. Journal of Human Hypertension. 2017;31:427–437. doi: 10.1038/jhh.2016.99
- Bubnova MG, Tribuntseva LV, Ostroushko NI, et al. Impact of remote follow-up on the course of hypertension. The Russian Journal of Preventive Medicine. 2018;21(5):77–82. EDN: YPHTZJ doi: 10.17116/profmed20182105177
- Schoenhagen P, Mehta N. Big data, smart computer systems, and doctor-patient relationship. European Heart Journal. 2017;38(7):508–510. doi: 10.1093/eurheartj/ehw217
- Sharova DE, Zinchenko VV, Akhmad ES, et al. On the issue of ethical aspects of the artificial intelligence systems implementation in healthcare. Digital Diagnostics. 2021;2(3):356−368. EDN: TGZGZZ doi: 10.17816/DD77446
- Kario K, Tomitani N, Kanegae H, et al. The further development of out-of-office BP monitoring: Japan’s ImPACT Program Project’s achievements, impact, and direction. J Clin Hypertens (Greenwich). 2019;21(3):344–349. doi: 10.1111/jch.13495
- Starodubtseva IA, Sharapova YuA. The Distance Monitoring of Blood Pressure as a Tool for Improving of the Quality of Follow-Up Observation of Patients with Arterial Hypertension. The Russian Archives of Internal Medicine. 2021;11(4):255–263. EDN: FTKKTE doi: 10.20514/2226-6704-2021-11-4-255-263
- Karpov OE, Khramov AE. Information Technology, Computing and Artificial Intelligence in Medicine. Moscow: DPK Press; 2022. (In Russ).
- Buldakova TI, Mikov DA, Sokolova AV. Data Security at Remote Monitoring of Human State. Herald of the Bauman Moscow state technical university. Series Instrument engineering. 2020;(4):42–57. EDN: QHBUUF doi: 10.18698/0236-3933-2020-4-42-57
- Alessa T, Hawley MS, Hock ES, de Witte L. Smartphone apps to support self-management of hypertension: review and content analysis. JMIR mHealth and uHealth. 2019;7(5):e13645. doi: 10.2196/13645
- Picone DS, Deshpande RA, Schultz MG, et al. Nonvalidated home blood pressure devices dominate the online marketplace in Australia. Hypertension. 2020;75(6):1593–1599. doi: 10.1161/HYPERTENSIONAHA.120.14719
- Jalali MS, Russell B, Razak S, et al. EARS to cyber incidents in health care. J Am Med Inform Assoc. 2019;26(1):81–90. doi: 10.1093/jamia/ocy148
- Vladzymyrskyy AV. Systematic review: the messengers «WhatsApp®» and «Viber®» in a clinical routine. Zhurnal telemeditsiny i elektronnogo zdravookhraneniya. 2017;(1):30–41. EDN: YPTUYR
补充文件
