改善贫困地区老年人远程医疗的可用性:一个4M框架方法
Soohyoung Rain Lee1, Andrea Maxi1, Laurie Kim2
1Wurzweiler School of Social Work, Yeshiva University, New York, NY, USA.
医生在远程医疗方面的培训可以改善少数群体患者的获取,从而有可能减少差距. 虽然远程医疗并没有降低整体住院次数,但专注于患者需求和药物的特定培训模型显示出有前途.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗教育 医学教育
- 数字健康数字健康
背景情况:
- 远程医疗对农村和服务不足的人口至关重要.
- 技术解决方案主导着远程医疗可访问性的努力.
- 医生培训对远程医疗差异的影响还没有得到充分研究.
研究的目的:
- 评估由训练有素的医生提供的一种适合老年人的远程医疗模型.
- 评估该模型对医疗保健可访问性和结果的影响.
- 调查远程医疗使用的种族和民族差异.
主要方法:
- 在内华达州对214名老年患者 (60岁以上) 的回顾性分析.
- 从训练有素的医生与非训练有素的医生提供远程医疗服务的比较.
- 训练有素的医生使用了基于4M的远程医疗模型 (药物,思维,移动性,重要的是什么).
主要成果:
- 西班牙裔和亚洲裔患者的远程医疗暴露率低于白人患者.
- 总体而言,远程医疗的使用并没有显著减少医院或急诊室的访问.
- 基于4M的特定远程医疗组件 (什么重要,药物) 减少了医院/ED访问.
结论:
- 为医疗保健提供者提供远程医疗教育可以提高少数群体患者的访问.
- 有针对性的远程医疗干预可以减少不必要的急诊室访问.
- 解决远程医疗的差异需要关注技术之外的领域.
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