探索对远程医疗使用的访问和偏好的多个维度
Kristin Pullyblank1, Melissa Scribani2, Nicole Krupa2
1Center for Rural Community Health, Bassett Research Institute, Bassett Medical Center, Cooperstown, New York, USA.
远程医疗接入是复杂的,受患者特征之外的多个因素的影响. 了解这些方面是提高数字健康公平性和持续使用远程医疗的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
- 远程医疗远程医疗
背景情况:
- 随着COVID-19的流行,远程医疗在医疗保健中的重要性得到了强调.
- 研究显示,在不同的人群中,在远程医疗接入方面存在显著的不平等.
研究的目的:
- 检查影响远程医疗利用和患者偏好的多方面的访问维度.
- 确定影响个人使用和偏好远程医疗服务的能力的因素.
主要方法:
- 采用混合方法的方法,以Levesque的医疗保健准入模式为指导.
- 在农村卫生网络中对500名患者进行的一项调查评估了数字技术和远程医疗的熟悉性,使用和偏好.
- 进行了关键信息人采访,以收集定性见解.
主要成果:
- 患者愿意使用远程医疗是由可接近性,可接受性,可用性,负担能力和适当性决定的.
- 临床医生的态度和卫生系统政策显著影响了患者对远程医疗的看法,参与和获取.
结论:
- 获得医疗保健是一个动态的概念,受个人,组织和系统因素的影响.
- 除了患者决定因素之外,检查各种访问维度对于有效的远程医疗实施和可持续性至关重要.
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