韩国临时远程医疗政策和慢性疾病管理:使用国家索赔数据进行回顾性分析
Ji Ye Kang1, Weon Jung1, Hyun Ji Kim1
1Department of Emergency Medicine, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Republic of Korea.
JMIR public health and surveillance
|November 20, 2024
概括
在韩国,远程医疗的使用改善了药物服药,并减少了高血压和糖尿病患者的住院治疗. 然而,该政策对慢性阻塞性肺病和常见精神疾病的有效性有限.
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
- 慢性疾病管理 慢性疾病管理
背景情况:
- 慢性疾病的远程医疗正在越来越多地被研究,但关于全国采用的有效性和安全性的证据有限.
- 在全球范围内,COVID-19大流行加速了临时远程医疗政策的实施.
- 韩国推出了一项全国性的远程医疗政策,需要对其对慢性疾病护理的影响进行评估.
研究的目的:
- 分析韩国COVID-19大流行期间临时远程医疗政策对慢性疾病的影响.
- 通过使用国家索赔数据,评估远程医疗对医疗保健利用,药物坚持和住院率的影响.
主要方法:
- 使用了两年的国家医疗保险索赔数据:政策实施前一年和政策实施后一年 (2020年2月至2021年2月).
- 将使用远程医疗至少一次的患者与从未使用过远程医疗的对照组进行了比较.
- 分析结果包括药物占有率 (MPR) 和高血压,糖尿病 (DM),慢性阻塞性肺病 (COPD) 和常见精神障碍的入院率 (一般病房,急诊室,重症监护室).
主要成果:
- 患有高血压和DM的患者表现出增加的MPR,但没有显著增加住院患者.
- 患有DM和高血压的非远程医疗使用者经历了更高的一般病房,急诊室和重症监护室入院率.
- 对于患有COPD或常见精神障碍的患者来说,远程医疗的观察到的好处并不明显.
结论:
- 暂时的远程医疗政策有效地提高了药物服药量,并减少了高血压和DM患者的住院治疗.
- 该政策的有效性在COPD和常见精神障碍患者中是有限的,这表明需要考虑具体情况.
- 需要进一步的研究来探索远程医疗政策的长期影响和针对特定疾病特征量身定制的多种结果措施.
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