在美国东南部的贫困社区使用数字健康工具促进健康公平的机会和挑战:一项混合方法研究研究
Mitchell A Blount1, Megan D Douglas1,2, Chaohua Li1
1National Center for Primary Care, Morehouse School of Medicine, Atlanta, GA, USA.
Journal of primary care & community health
|July 4, 2023
概括
数字健康工具 (DHT) 改善了医疗保健的获取,特别是在服务不足的地区. 时间和成本等挑战阻碍了公平使用,但政策改进可以提高卫生公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 健康 公平 卫生 公平
背景情况:
- 在过去的30年里,健康信息技术和数字健康工具 (DHTs) 改善了美国的医疗保健准入,特别是在农村和服务不足的人群中.
- 尽管初级保健临床医生广泛采用,但挑战仍然存在,导致不公平的使用和收益.
- 由于政策变化和患者需求,COVID-19大流行加速了DHT的采用.
研究的目的:
- 评估东南州初级保健医生采用和使用DHT的情况.
- 识别DHT实施的个人和实践层面的障碍和促进者.
- 了解DHT对医疗保健准入和健康差距的影响.
主要方法:
- 一种混合方法的方法,结合了调查和重点小组.
- 调查采用多模式招聘策略,覆盖了1215名初级保健医生.
- 焦点小组 (n=25) 探讨了优先事项,障碍和促进者,并对成绩单进行了主题分析.
主要成果:
- 在过去5年中,几乎所有临床医生 (99%) 使用了DHT,其中远程医疗和电子健康记录最常见.
- 主要障碍包括时间 (53%) 和成本 (51%).
- 临床医生表示对远程医疗 (61%) 和电子健康记录 (75%) 的满意度很高. COVID-19和补充工具激励了采用,但注意到了HIE接口问题和患者连接挑战.
结论:
- 初级保健医生采用DHT扩大了医疗保健的获取,并可以减少不平等地区的健康差异.
- 调查结果突出了利用DHTs促进健康公平的机会.
- 需要改进政策,以应对实施的挑战,并加强公平的DHT利益.
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