美国对远程医疗的看法:有种族/民族差异吗?
Jennifer E Akpo1, Samuel T Opoku2, Bettye A Apenteng2
1Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia, USA.
概括
非西班牙裔黑人比非西班牙裔白人更看待远程医疗类似于面对面的护理. 了解人口统计数据可以改善远程医疗公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 数字健康数字健康
背景情况:
- 远程医疗为面对面的医疗访问提供了一种安全和有益的替代方案,有可能改善患者的治疗结果.
- 虽然COVID-19大流行加速了远程医疗的采用,但与面对面的护理相比,对远程医疗的种族和种族认知的研究在美国仍然有限.
研究的目的:
- 调查种族/种族之间的关联,以及对远程医疗等同于面对面的护理的看法.
- 确定影响远程医疗认知和接受的人口和上下文因素.
主要方法:
- 利用了来自健康信息国家趋势调查第6轮 (2022年) 的数据,这是一个全国代表性的调查.
- 包括2,384名成年参与者 (年龄≥18岁).
- 采用后勤回归来分析种族/种族之间的关系和感知到的远程医疗等价性,控制混变量.
主要成果:
- 非西班牙裔黑人或非裔美国人比非西班牙裔白人更有可能认为远程医疗类似于面对面的护理 (OR = 2.02).
- 高等教育 (高中毕业生) 和保险状况也与认为远程医疗等同于面对面的护理有显著联系.
- 在特定的远程医疗模式 (视频或音频) 和感知等价性之间没有发现显著的关联.
结论:
- 人口统计因素,特别是种族/种族,在个人对远程医疗的看法上发挥着作用,而不是与面对面的护理相比.
- 研究结果强调了理解这些观念的重要性,以提高远程医疗的接受和利用.
- 解决人口和背景因素对于通过远程医疗促进公平获得医疗保健至关重要.
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