在心血管疾病的退伍军人中基于视频的初级保健使用的差异
Rebecca Tisdale1,2, Claudia Der-Martirosian3, Caroline Yoo3
1Veterans Affairs Palo Alto Healthcare System/Center for Innovation to Implementation (Ci2i), Palo Alto, CA, USA. rtisdale@stanford.edu.
Journal of general internal medicine
|January 22, 2024
概括
患有心力衰竭或高血压的退伍军人使用视频护理的几率较低,如果他们年长,男性或生活在农村. 这表明在虚拟心血管疾病护理获得方面存在潜在的不平等.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 心血管疾病 (CVD) 影响了许多退伍军人.
- 视频护理改善了获得心血管疾病治疗的机会.
- 了解视频护理在心血管疾病初级护理中的使用至关重要.
研究的目的:
- 描述退伍军人事务 (VA) 视频初级保健对心力衰竭和高血压退伍军人的使用.
- 为了识别与视频护理使用相关的患者特征.
主要方法:
- 对心力衰竭和/或高血压的退伍军人进行了回顾性队列研究.
- 在COVID-19大流行之前和期间对初级保健访问的分析.
- 多级回归来评估视频护理使用与患者人口统计学/临床因素之间的关联.
主要成果:
- 老年人,男性和居住在农村的退伍军人使用视频初级保健的几率较低.
- 与仅患有高血压的退伍军人相比,心力衰竭的退伍军人使用视频护理的几率更高.
- 该研究包括超过380万退伍军人和5190万初级保健访问.
结论:
- 视频护理的扩大可能会加剧心血管疾病服务的不平等.
- 识别使用视频护理较少的患者是公平护理的关键.
- 洞察力可以指导为退伍军人提供虚拟护理的有针对性的支持.
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