与退伍军人的数字需求相关的社会人口和临床特征
Lauren E Russell1, Portia Y Cornell2,3,4, Christopher W Halladay2
1Office of Health Equity, Veterans Health Administration, Washington, DC.
JAMA network open
|November 15, 2024
概括
许多退伍军人面临数字访问障碍,影响远程医疗. 常规查可以识别这些需求,帮助将退伍军人与资源联系起来,并减少医疗保健不平等.
科学领域:
- 数字健康 公平数字健康 公平
- 远程医疗 访问 远程医疗 访问
- 健康的社会决定因素
背景情况:
- 远程医疗提供了扩大医疗保健的机会,但可能会受到数字需求的阻碍.
- 了解数字接入障碍对于公平的医疗保健服务至关重要.
研究的目的:
- 调查与退伍军人的数字需求相关的社会人口统计学和临床因素.
- 为了确定退伍军人人口中数字接入的差异.
主要方法:
- 一项质量改进研究分析了评估情况和为需求提供资源 (ACORN) 倡议的数据.
- 退伍军人接受了社会风险和需求的选,包括特定的数字访问指标.
- 分析了来自各种VA设置的6419名退伍军人的数据.
主要成果:
- 超过42%的退伍军人报告至少有一个数字需求.
- 年长的退伍军人 (≥80岁) 和黑人或非裔美国退伍军人显示,缺乏设备或可靠的互联网的比例更高.
- 痴呆症和物质使用障碍等疾病与增加的数字需求和对远程医疗援助的请求有关.
结论:
- 在退伍军人中,数字需求存在显著差异.
- 对于数字访问障碍的常规查至关重要.
- 解决这些需求可以有助于减轻远程医疗获取和利用方面的不平等.
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