一项关于远程医疗的回顾性观察性研究,为患有淋病的患者处方低剂量药片
Yumi Inoo1,2, Hiroshi Iida1, Norihito Yoshioka3
1Department of Medical Education, Yokohama City University School of Medicine, Yokohama, Japan.
Telemedicine reports
|March 12, 2024
概括
远程医疗与低剂量雌激素-孕激素 (LEP) 处方的面对面访问相结合,显示出与单独面对面访问的异常更年症具有相似的疗效. 然而,远程医疗的提款率和共同支付率更高. 需要进一步的研究.
科学领域:
- 妇科 妇科医生 妇科
- 生殖健康 生殖健康
- 数字健康数字健康
背景情况:
- 在日本,远程医疗的使用在COVID-19后有所增加,但其在妇科等专业护理中的应用仍未得到充分探索.
- 低剂量雌激素-孕激素 (LEP) 处方正在越来越多地利用远程医疗来治疗诸如失经症等疾病.
研究的目的:
- 评估综合远程医疗和面对面访问的疗效和安全性,而不是单独面对面访问,用于在患有经期障碍的患者中初始低剂量雌激素-孕激素 (LEP) 治疗.
- 为了比较两个护理模型之间的治疗结果,副作用和成本.
主要方法:
- 两家妇科诊所的医疗记录的回顾性分析.
- 倾向性得分匹配用于比较在LEP治疗的前六个月内接受综合远程医疗/亲临医疗的患者与仅接受亲临医疗的患者.
主要成果:
- 在综合远程医疗和人身治疗组之间,没有观察到异常子宫出血,副作用或治疗疗效的显著差异.
- 远程医疗群体的提款率显著上升 (13%与0%相比),平均共付费用在1个月和3个月后增加.
结论:
- 对于LEP处方,综合远程医疗和面对面的方法在治疗异常更年症的有效性和安全性方面与面对面的诊所可比.
- 与远程医疗相关的更高的戒断率和成本需要进一步调查,并仔细考虑患者选择.
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