与错过的息护理联系的障碍 远程医疗访问
Renato V Samala1, Paul Farah1, Wei Wei2
1Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
The American journal of hospice & palliative care
|September 30, 2023
概括
缓和护理中的远程医疗改善了医疗服务的准入,但突出了差异. 生活在服务不足的地区,拥有多个保险计划和积极的癌症治疗与错过的远程医疗访问有关,这表明需要采取公平获取措施.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 远程医疗权益股权
背景情况:
- 由于COVID-19大流行,在息治疗机构迅速推进了远程医疗的采用.
- 远程医疗的实施揭示了社会弱势群体在获得医疗保健方面的重大不平等.
研究的目的:
- 在息护理背景下,确定导致错过远程医疗预约的关键因素.
- 分析与远程医疗访问不出席相关的人口和疾病相关的变量.
主要方法:
- 远程医疗访问 (2020年4月-2021年3月) 在息护理诊所的回顾性审查.
- 数据收集包括患者人口统计,疾病状况和社区外展区 (COZ) 的居住情况.
- 错过访问的分类为"任何错过" (AM) 和"错过模式" (PM) 进行统计分析.
主要成果:
- 居住在COZ (服务不足地区) 的患者的模式错误风险高出2.56倍 (P=.03).
- 多重保险覆盖与3.06倍高的模式错误风险相关 (P=.006).
- 积极的癌症治疗增加了1.75倍 (P=.04) 的任何错过诊所的风险.
结论:
- 住宅区的医疗保健利用不足,活跃的癌症治疗和复杂的保险状况是远程医疗在息护理中的重要障碍.
- 有针对性的干预措施对于减少差距和确保公平获得远程医疗缓和护理服务至关重要.
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