从综合护理系统中获得远程医疗洞察力
Rebecca Flournoy1, Reema Shah, Elizabeth Moisan
1Kaiser Permanente Institute for Health Policy, 1 Kaiser Plaza, Ste 2756, Oakland, CA 94612.
The American journal of managed care
|September 17, 2024
概括
在疫情后,远程医疗的使用仍然很高,为患者提供获得初级保健的机会. 持续的政策支持和改善可访问性对于公平的远程医疗服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 卫生政策 卫生政策
背景情况:
- 由于政策变化,COVID-19大流行刺激了远程医疗的显著扩张.
- 联邦远程医疗灵活性将在2024年底到期.
- 有信息的政策决策需要了解消费者偏好,护理影响和远程医疗的可访问性.
研究的目的:
- 分析消费者远程医疗偏好以及远程医疗对护理获取和质量的影响.
- 评估跨不同患者群体的远程医疗可访问性.
- 为决策者提供关于远程医疗灵活性的基于证据的建议.
主要方法:
- 分析来自大型,综合,以价值为基础的卫生系统的数据.
- 检查远程医疗利用趋势的流行前和流行后的峰值.
- 评估患者对亲临医疗与远程医疗的偏好.
主要成果:
- 远程医疗的使用量已经从大流行时期的高点下降,但仍然高于大流行前的水平.
- 远程医疗似乎取代了,而不是增加了整体患者访问.
- 患者通常更喜欢面对面的护理,但重视远程医疗的选择;视频和电话咨询有助于获得初级保健.
结论:
- 综合,以价值为基础的护理模式可以为各种患者提供远程医疗服务.
- 政策制定者应该维持远程医疗服务的覆盖范围,并鼓励基于价值的支付模式.
- 提高宽带接入,负担能力和保持高数字健康标准对于公平的远程医疗采用至关重要.
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