在利用门诊远程医疗用于神经治疗的差异
Marisa Patryce McGinley1, Tucker Harvey1, Daniel Ontaneda1
1Cleveland Clinic (MPM, DO, ALW); Department of Quantitative Health Sciences (TH), Cleveland Clinic, OH; and Genentech Inc., (BRC, AP), South San Francisco, CA.
Neurology. Clinical practice
|November 25, 2024
概括
根据患者的人口统计数据,对神经疾病的远程医疗的使用有所不同,在疫情后期,这种差异仍然存在并恶化. 农村患者表现出平等的远程医疗利用,这表明改善远程医疗接入的潜力.
科学领域:
- 神经学 神经学
- 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:
- 对神经病症的远程医疗的利用被描述为识别潜在的差异.
- 分析了从2019年1月到2022年7月的门诊神经病学访问情况.
研究的目的:
- 描述用于神经疾病的门诊远程医疗的利用情况.
- 确定远程医疗获取和使用的潜在差异.
主要方法:
- 分析了来自学术医学医疗保健系统的752,174次门诊神经病学访问 (242,273名患者).
- 远程医疗与面对面访问的比较,跨越大流行前,大流行初期和大流行后的时间框架.
- 一般化的线性混合效应模型用于评估影响远程医疗访问可能性的因素.
主要成果:
- 远程医疗的使用在疫情初期达到顶峰 (p=0.01).
- 老年,黑人,西班牙裔,较低的社会经济地位和非英语优先语言患者的远程医疗使用率较低 (所有p<0.01).
- 女性患者和立即克利夫兰地区以外的患者使用远程医疗的比例较高 (所有p<0.01).
结论:
- 远程医疗使用的显著差异仍然存在,特别是在弱势群体中.
- 虽然农村和城市的患者使用远程医疗的情况相似,这表明了改善接入的潜力,但在疫情后期,差异更加突出.
- 公平的远程医疗接入需要了解障碍,患者偏好和支持立法.
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