爱尔兰一般实践中的远程咨询:谁错过了?
Ellen McHugh1, Sheelah Connolly1,2
1Economic and Social Research Institute, Dublin, Ireland.
概括
爱尔兰一般实践中的远程咨询在COVID-19后显著下降. 女性性别,私人保险和长期条件等因素与更高的远程咨询使用量有关,而年龄较大与使用率较低有关.
科学领域:
- 数字健康数字健康
- 一般的做法一般的做法
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19的流行,医疗保健中远程咨询的采用加速了.
- 了解远程咨询使用的趋势和特征对于医疗保健政策至关重要.
- "健康爱尔兰"调查提供了爱尔兰全国代表性的健康数据.
研究的目的:
- 检查与爱尔兰远程全科医生 (GP) 咨询相关的特征.
- 分析COVID-19流行期间和之后远程咨询使用的趋势.
- 确定影响远程咨询普及的人口和社会经济因素.
主要方法:
- 对"健康爱尔兰"调查的三个波段 (2020/2021,2021/2022,2022/2023) 的分析.
- 包括15岁以上的个人,他们在前4周内咨询了全科医生.
- 后勤回归用于评估远程咨询与年龄,性别,保险和社会经济地位等变量之间的关联.
主要成果:
- 远程咨询从2020/2021年的39%大幅下降到2022/2023年的10%.
- 女性性别,私人医疗保险和长期健康状况与远程咨询有积极联系.
- 较老年人群与远程咨询的可能性有负面关联.
结论:
- 在大流行期间远程GP咨询的高患病率在大流行后没有持续.
- 医疗保健政策制定者必须解决数字健康利用的性别,年龄和保险差异.
- 进一步调查使用远程咨询减少的原因是有必要的.
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