远程医疗作为改变儿科护理的工具:利益相关方的观点
Emily Jones1, Caitlin Cross-Barnet1
1Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Department of Health and Human Services, Baltimore, Maryland, USA.
概括
在COVID-19大流行期间,远程医疗迅速扩大. 这项研究分析了指导儿科远程医疗政策的观点,强调了对健康公平和获取的潜在益处,以及实施挑战.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 数字健康数字健康
背景情况:
- COVID-19大流行加速了远程医疗的采用,揭示了了解最佳服务和资金分配的差距.
- 现有的研究往往只集中在单个程序或条件上,需要对儿科远程医疗进行更广泛的评估.
研究的目的:
- 评估关于儿科远程医疗的不同观点,以告知政策和实践.
- 识别促进者和障碍物,有效的远程医疗实施在儿科.
主要方法:
- 分析了55个对2017年医疗保险和医疗补助服务中心关于儿童综合护理模型信息请求的响应.
- 基于理论和建设主义方法的应用,以将医疗补助政策和受访者特征置于背景.
主要成果:
- 远程医疗可以解决诸如进入障碍,专家短缺和患者参与等健康公平问题.
- 实施障碍包括报销,许可和基础设施成本.
- 潜在的好处包括成本节省,护理整合和改善接入.
结论:
- 远程医疗对改变儿科护理和提高医疗公平具有重大前景,只要它支持系统性转型.
- 快速实施是可行的,但对于某些服务,如疫苗接种,存在局限性.
- 政策和实践必须解决已识别的障碍,以最大限度地为儿科患者提供远程医疗的好处.
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