医疗保险受益者和糖尿病预防计划之间的数字沟
Boon Peng Ng1, Georgianne Tiu Hawkins2, McKayla Massey3
1College of Nursing, University of Central Florida, Orlando, Florida; Disability, Aging and Technology Cluster, University of Central Florida, Orlando, Florida.
American journal of preventive medicine
|June 23, 2024
概括
大约30%的医疗保险受益者有资格参加虚拟糖尿病预防计划,但缺乏完全的数字化访问. 解决这些数字差距对于公平的招生和2型糖尿病预防工作至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 健康差异 在健康上的差异
背景情况:
- 医疗保险糖尿病预防计划 (MDPP) 的虚拟交付取决于受益人对计算机和互联网的访问.
- 数字访问是成功参与计划和健康结果的关键决定因素.
研究的目的:
- 检查2型糖尿病风险的医疗保险受益人中数字接入 (计算机和互联网) 的普遍性.
- 确定与不同级别的数字访问相关的社会人口统计学和并发症因素.
主要方法:
- 使用了2020年医疗保险当前受益者调查公共使用文件.
- 创建了一个数字访问的三级变量:计算机和互联网,计算机或互联网,或没有.
- 采用了调查加权的多项逻辑模型来分析与社会人口统计学和并发症的关联.
主要成果:
- 70.8%的符合条件的受益人同时拥有计算机和互联网接入;14.9%的人没有这两者.
- 与非西班牙裔白人相比,西班牙裔和非西班牙裔黑人受益者不太可能获得完全的数字访问.
- 较低的教育程度和收入与减少的计算机和互联网接入显著相关.
结论:
- 近30%的潜在的MDPP资格受益人,大约600万个人,缺乏完全的数字化访问.
- 在2型糖尿病风险较高的受益者之间存在显著的数字差异.
- 需要有针对性的干预措施来弥合数字沟,并确保平等地获得像MDPP这样的虚拟预防性健康计划.
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