通过使用远程医疗,改善中国14亿人获得心血管保健的机会
Xiaohang Liu1, Wei Chen1, Yu Qiu2
1Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
NPJ digital medicine
|December 23, 2024
概括
中国的远程医疗 (tHealth) 服务在2016-2020年间改善了心血管疾病 (CVD) 护理的准入. 尽管存在差异,tHealth显示了资源稀缺地区的潜力,强调技术采用.
科学领域:
- 心血管医学 心血管医学
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 心血管疾病 (CVD) 在中国是一个重大的健康挑战,由地理障碍和有限的医疗保健机会加剧.
- 远程医疗 (tHealth) 提供了一个可扩展的解决方案,以弥补心血管保健服务中的这些差距.
- 了解tHealth的演变和利用对于优化其影响至关重要.
研究的目的:
- 概述2016年至2020年中国心血管保健的tHealth服务的发展和利用趋势.
- 评估不同地区和社会经济层面的医疗保健服务的可访问性和覆盖范围.
- 探索tHealth对改善心血管保健的影响,特别是在服务不足的地区.
主要方法:
- 在2016年至2020年期间,分析了中国大陆的操作,面向患者的tHealth应用程序数据.
- 追踪第三级医院的医疗可及性增长率.
- 检查患者咨询模式,包括省际咨询及其与区域财富和心血管疾病负担的相关性.
主要成果:
- 高等医院的医疗服务可用性从2016年的45.8%增长到每年10.7%的增长率.
- 更富裕的地区表现出更高的医疗覆盖率,独立于心脏病发病率.
- 通过tHealth进行的省际咨询显著增加,从2016年的34%增加到2020年的67%,主要是从较不富裕地区到更富裕地区.
- 高血压,冠状动脉疾病和心律失常是最常见的管理条件.
结论:
- 在中国,医疗服务显然提高了对心血管保健的准入.
- 远程医疗的采用不均,更富裕的地区受益更多,突出需要公平分配.
- 广泛采用技术和发展基础设施对于最大限度地发挥医疗保健在改善护理准入方面的潜力至关重要,尤其是在欠发达地区.
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