在正在进行的COVID-19流行病中,远程医疗利用的下降趋势正在持续
David Shilane1, Ting'an Heidi Lu1
1Program in Applied Analytics, Columbia University, New York, NY, USA.
Journal of telemedicine and telecare
|September 28, 2023
概括
在COVID-19期间,远程医疗的使用激增,但在2022年大幅下降. 这一趋势扩大了差距,特别是在老年人,农村和低收入人群中,影响了医疗保健公平.
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:
- 远程医疗已经成为医疗保健提供的一个关键组成部分,为解决障碍提供解决方案,并促进健康公平.
- COVID-19大流行加速了远程医疗的采用,突出了其潜力和挑战.
研究的目的:
- 分析从2020年到2022年的远程医疗利用趋势.
- 为了识别不同的人口和临床子组的远程医疗使用的变化.
- 评估这些趋势对健康公平的影响.
主要方法:
- 利用了2020-2022年国家健康访谈调查的数据.
- 计算了总体和特定患者子组内的远程医疗利用率.
- 采用多变量后勤回归来模拟年度趋势,并分析子组利用率.
主要成果:
- 总体而言,远程医疗利用率从2021年的38.9%下降到2022年的31.3%,这是统计学上显著的下降.
- 在大多数患者小组中观察到远程医疗使用的减少.
- 在老年人,农村居民和收入较低或教育水平较低的人群中,使用率差异越来越大.
结论:
- 远程医疗的使用量有所下降,伴随着患者群体之间的差异越来越大.
- 解决这些不平等问题对于确保公平获得远程医疗和整体医疗保健至关重要.
- 未来的战略必须专注于缓解这些日益扩大的差距,以维护远程医疗在改善健康公平方面的潜力.
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