远程医疗使用的种族和民族差异
Felippe O Marcondes1, Sharon-Lise T Normand2,3, Benjamin Le Cook4,5
1Division of General Internal Medicine, Massachusetts General Hospital, Boston.
JAMA health forum
|March 22, 2024
概括
种族和少数民族群体最初使用远程医疗的比例较高,但考虑到地理因素,他们使用远程医疗的次数比白人更少. 这突显了医疗保健获取和利用方面的差异.
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
- 远程医疗的利用 远程医疗的利用
背景情况:
- 种族和少数民族群体可能会面临远程医疗的障碍,例如数字沟.
- 现有研究表明,与白人相比,少数群体在远程医疗使用的结果是相互矛盾的.
研究的目的:
- 量化远程医疗和总体医疗保健访问的种族和种族差异.
- 分析这些差异,并没有控制人口,临床和地理因素.
主要方法:
- 从2020年3月到2022年2月,对传统医疗保险入学者的横截面研究.
- 远程医疗和总访问的分析,调整种族/种族,人口统计,临床特征和地理位置.
主要成果:
- 未经调整的分析显示,与白人相比,黑人,西班牙裔和其他种族群体的远程医疗使用率更高.
- 在调整了混因素后,黑人,西班牙裔和其他种族群体的远程医疗访问比白人更少.
- 在所有模型中,少数群体总体上总体来看医疗保健的次数比白人更少.
结论:
- 少数群体最初更高的远程医疗使用量是由地理因素和更高的流行病时代使用量解释的.
- 在控制了混因素后,种族和少数民族群体使用远程医疗比白人更少.
- 调查结果表明,尽管远程医疗的扩张,但医疗保健的获取和利用方面的根本差异仍然存在.
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