在COVID-19期间西班牙裔人群中使用远程医疗:回顾性观察性研究
Di Shang1, Cynthia Williams2, Hera Culiqi1
1University of North Florida, Jacksonville, FL, United States.
JMIR medical informatics
|July 25, 2024
概括
西班牙裔社区的远程医疗使用受到年龄,收入和健康行为的影响. 提高获得保险,初级保健和资源的机会对于公平的数字健康采用至关重要.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 医疗保健服务研究 医疗服务研究
背景情况:
- 西班牙裔社区在美国医疗保健系统中面临着严重的不平等.
- 转向数字健康平台的转变需要对其对西班牙裔人口的影响进行评估.
研究的目的:
- 调查与西班牙裔社区远程医疗利用率低相关的人口,社会经济和行为因素.
- 确定影响西班牙裔患者采用数字卫生服务的关键决定因素.
主要方法:
- 使用大规模消费者和索赔数据 (2020年3月 - 2021年4月) 进行回顾性观察研究设计.
- 分析了3,478,287名独特的西班牙裔患者,通过多重后勤回归来确定与远程医疗使用相关的因素.
主要成果:
- 远程医疗的使用率在年轻成年人 (18-44岁) 中更高,收入较高的患者,以及那些有初级保健医生或高医疗参与的人群中更高.
- 吸烟和饮酒等不健康的行为与远程医疗使用率较低有关.
- 在不同年龄组中观察到远程医疗使用的性别差异,年轻男性使用率更高.
结论:
- 西班牙裔社区的远程医疗采用是多因素的,受年龄,性别,教育,社会经济地位,医疗保健参与和健康行为的影响.
- 建议采用涉及医疗保健提供者,保险公司和社区服务的跨学科策略,以促进远程医疗的使用.
- 建议包括加强获得医疗保险的机会,改善获得初级保健的机会,并为远程医疗支持分配资源.
关键词:
西班牙裔西班牙裔.西班牙裔美国人.信息和通信技术 (ICT) 是一种信息技术.西班牙语 西班牙语 西班牙语 西班牙语 西班牙语 西班牙语访问 访问 访问 访问可访问性可访问性人口统计学 人口统计学人口统计数据 人口统计数据数字沟的原因是数字沟.在线医疗服务 (e-health)电子健康 电子健康股权资本 股权资本获得医疗保健的机会卫生公平性健康公平性这种不平等的不平等.不公平的不平等性信息和通信技术信息和通信技术这是一个观察性的观察.在社会经济方面.社会经济学 社会经济学远程医疗服务是远程医疗服务.远程医疗远程医疗使用使用使用使用使用使用使用使用.使用利用利用利用利用利用利用利用利用利用
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