疫情前可预防的住院治疗与安全网设置中的远程医疗使用增加有关
Chinedum O Ojinnaka1, Sandra Yuh2, Lora Nordstrom2
1College of Health Solutions, Arizona State University, Phoenix, AZ, USA.
Digital health
|August 7, 2024
概括
之前有可预防住院 (PPH) 的患者在COVID-19大流行期间更有可能使用远程医疗. 需要有针对性的干预措施,以确保所有人均获得公平的远程医疗.
科学领域:
- 医疗保健的获取和利用
- 远程医疗和公共卫生
背景情况:
- 随着COVID-19的流行,远程医疗的普及加速了.
- 远程医疗可以改善弱势群体的医疗保健服务,包括那些有可预防住院病史的人群.
研究的目的:
- 分析大流行前可预防性住院 (PPHs) 与COVID-19大流行期间远程医疗使用之间的关联.
- 调查PPH患者在远程医疗使用中的种族/民族和主要语言差异.
主要方法:
- 使用医疗补助行政索赔数据进行回顾性队列研究 (01/2018-06/2022).
- 来自亚利桑那州联邦合格卫生中心的患者的分析.
- 使用了双变量和多变量通用估计方程.
主要成果:
- 在远程医疗使用和PPH之间发现了统计学上显著的关联 (OR: 1.85;CI: 1.74,1.96),即使经过对并发症严重程度进行调整.
- 在非西班牙裔白人和亚洲/太平洋岛民 (使用率最低) 之间观察到预测远程医疗使用概率的差异为7个百分点.
结论:
- 远程医疗是优化在有可预防住院病史的人群中医疗保健使用的一个有价值的工具.
- 解决少数群体使用远程医疗的障碍对于防止扩大健康差距至关重要.
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