社区级互联网连接和使用母亲远程医疗服务
Joshua M Weinstein1,2, Burcu Bozkurt1,2, Monisa Aijaz1,2
1Department of Health Policy and Management, University of North Carolina, Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
概括
社区互联网接入的增加与更高的母体远程医疗服务使用率有关,特别是那些使用率较低的服务. 这凸显了数字公平在获得孕产妇医疗保健方面的重要性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- COVID-19大流行加速了远程医疗的采用,提供了一种减少孕产妇医疗保健差异的方法.
- 稳定的互联网对于远程医疗至关重要,但缺乏连接性对母亲远程医疗访问构成重大障碍.
研究的目的:
- 调查社区互联网普及率与母亲使用远程医疗服务之间的联系.
- 评估这种关联在不同水平的母体远程医疗使用中如何变化.
主要方法:
- 采用商业保险产妇健康患者2019年美国数据进行的横截面研究.
- 个人远程医疗利用数据汇总到地理区域级 (n=404).
主要成果:
- 家庭互联网连接和母亲远程医疗利用在第10和第25个数量级之间发现了统计学上显著的积极关联.
- 更高的社区互联网连接与增加的母亲远程医疗使用相关,特别是在低利用群体中.
结论:
- 社区互联网连接与母亲使用远程医疗正相关.
- 这种关联的程度在母亲远程医疗利用频谱中不同.
- 决策者必须在制定远程医疗保健政策时考虑数字接入.
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