在COVID-19期间扩大远程医疗使用的种族差异:文献综述
1Center for Health services Research, Psychiatric Research Institute University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
概括
在COVID-19大流行期间,远程医疗使用的种族差异增加了,少数群体使用的服务较少. 解决接入障碍对于公平的医疗保健服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 数字健康数字健康
背景情况:
- 随着COVID-19大流行,医疗保健的远程医疗采用加速了.
- 人们对远程医疗的公平获取存在担忧,特别是对弱势群体的公平获取.
- 在获得医疗保健方面的种族差异是一个持久的问题.
研究的目的:
- 在COVID-19大流行期间,检查美国种族的远程医疗利用模式.
- 确定各种远程医疗模式的采用和使用中的种族差异.
- 探索地理和临床专业等因素如何影响这些差异.
主要方法:
- 一项对2020年1月至2022年8月期间发表的26篇文章的系统审查.
- 从电子健康记录和自我报告的种族数据的分析.
- 基于地理位置,临床护理类型,远程医疗模式 (音频/视频) 和研究设计的变化探索.
主要成果:
- 与白人相比,少数群体的远程医疗利用率较低.
- 非洲裔美国人更有可能选择仅有音频的远程医疗访问,而不是视频访问.
- 地理位置和临床护理类型并没有显著影响远程医疗使用的种族差异.
结论:
- 一致的证据表明,在远程医疗使用中,种族差异越来越大.
- 未来的研究应该确定导致这些差异的因素,并制定有针对性的干预措施.
- 促进财政援助,宽带接入和数字素养的政策倡议对于公平的远程医疗接入至关重要.
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