加快数字化的影响在COVID-19期间弱势种族少数群体对患者门户网站使用的影响:纵向研究
Feng Mai1, Dong-Gil Ko2, Zhe Shan3
1School of Business, Stevens Institute of Technology, Hoboken, NJ, United States.
Journal of medical Internet research
|June 29, 2023
概括
COVID-19大流行加速了数字化,缩小了远程医疗中的种族数字沟. 少数群体增加了患者门户的使用,特别是通过移动设备,缩小了与白人患者的差距.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康
- 卫生社会学 卫生社会学
背景情况:
- 在使用数字健康资源方面存在种族差异已经被记录在案.
- COVID-19大流行加速了数字化,加剧了对加剧少数群体数字沟的担忧.
- 这种加快的数字化对贫困种族少数群体在医疗信息和通信技术使用方面的影响仍然不清楚.
研究的目的:
- 调查患者是否因COVID-19引起的数字加速而改变了他们使用健康信息和通信技术 (ICT) 的情况.
- 确定加速数字化对ICT使用的影响是否因种族而异.
主要方法:
- 利用来自大型城市学术医疗中心的纵向患者门户数据集.
- 采样了25612名患者 (黑人,西班牙裔,白人),比较了2019年3月11日至8月30日,以及2020年.
- 使用面板数据回归模型 (OLS,RE,FE) 来分析加速数字化对种族数字差距的影响.
主要成果:
- 远程医疗的种族数字沟仍然存在,在流行前的少数群体中,患者门户的使用率较低.
- 少数民族和白人患者之间的患者门户使用频率的数字差距在流行后缩小了.
- 这种缩小主要是由于通过移动设备访问的增加以及少数群体扩大了对门户网站功能多样性的使用.
结论:
- 由于COVID-19流行病的加快数字化,在远程医疗中经验上减少了种族数字差距,主要是由于移动设备的采用.
- 这些发现为少数群体在快速数字化过程中的数字行为提供了新的见解.
- 结果为制定战略提供了基础,以进一步缩小医疗保健中的种族数字差距.
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