在COVID-19大流行期间,智力或其他发育障碍的人和没有智力或其他发育障碍的人之间的远程医疗使用差异
Jaewhan Kim1, Indrakshi Roy2, Joseph Sanchez1
1University of Utah, Salt Lake City, UT, USA.
概括
在COVID-19大流行期间,智力或其他发育障碍 (IDD) 患者的远程医疗使用显著增加. 远程医疗的这种激增有可能减少IDD人口的医疗保健差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 关于残疾人的研究.
背景情况:
- 在COVID-19大流行期间,智力或其他发育障碍 (IDD) 患者的远程医疗使用情况仍未得到充分研究.
- 对于IDD患者来说,持续存在的医疗保健差异,需要对可访问的医疗保健模式进行调查.
- 随着COVID-19大流行,在不同患者群体中加速采用远程医疗.
研究的目的:
- 为了比较COVID-19大流行之前和期间的IDD和没有IDD的个体之间的远程医疗利用模式.
- 确定与IDD和没有IDD的成年人使用远程医疗相关的因素.
- 评估远程医疗在缓解IDD患者医疗保健差异方面的潜力.
主要方法:
- 使用了犹他州所有付款人索赔数据库 (2019-2021) 对年龄在18-62岁的成年人.
- 员工倾向性得分匹配,以创建具有和没有IDD的个人可比的群体.
- 应用负二项式回归来分析远程医疗利用率,控制混因素.
主要成果:
- 与非IDD组相比,在2020年和2021年,IDD患者的远程医疗利用率明显高 (P < .01).
- 与非IDD组相比,IDD组的远程医疗接触次数增加了56% (IRR = 1.56,P < .01).
- 在疫情期间,远程医疗的使用在两个群体中都大幅增加,但在IDD队列中更为如此.
结论:
- 在COVID-19大流行期间远程医疗的扩张为减少IDD患者现有的医疗保健差异提供了机会.
- 虽然远程医疗可以改善获取,但仔细考虑其质量对于优化IDD人口的健康结果至关重要.
- 进一步的研究应该集中在针对IDD个体需求的远程医疗服务的质量和有效性上.
更多相关视频
09:55Bridging the Technology Divide in the COVID-19 Era: Using Virtual Outreach to Expose Middle and High School Students to Imaging Technology
Published on: September 28, 2022
1.7K
11:29Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
9.1K
相关概念视频
Intellectual Disability
55
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
55
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Learning Disabilities
147
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Dyslexia
Dyslexia is a...
147
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Specialized Care Centers and Settings-II
726
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
726
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
