在安全网人口中进行肺癌查的虚拟医疗保健接触:来自COVID-19大流行病的观察
Mary E Gwin1, Urooj Wahid2, Sheena Bhalla1,3
1Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
JCO clinical cancer informatics
|March 7, 2025
概括
虚拟医疗保健访问与面对面的访问一样有效,用于肺癌查的遵守. 在安全网卫生系统中的患者在虚拟或面对面接触后,低剂量计算机断层扫描 (LDCT) 的完成率相似.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
背景情况:
- 由于COVID-19大流行加速了远程医疗的采用,因此需要对其在各种医疗保健环境中的有效性进行评估.
- 了解虚拟护理对患者执法的影响至关重要,尤其是在为弱势群体服务的安全网系统中.
研究的目的:
- 评估是否遵守肺癌查在虚拟和面对面的医疗保健接触之间有所不同.
- 评估城市安全网系统中不同类型的访问后,低剂量计算机断层扫描 (LDCT) 完成率.
主要方法:
- 对2020年3月至2023年2月的肺癌查LDCT订单的回顾性分析.
- 从电子医疗记录收集的患者人口统计数据,访问类型 (虚拟 vs. 面对面) 和LDCT完成.
- 用奇方位测试和相互作用分析来评估关联.
主要成果:
- 总共有1887名患者被纳入;18%的LDCT订单来自虚拟访问.
- 没有发现患者特征与访问类型或LDCT完成之间有显著的关联.
- 在面对面 (95%) 和虚拟 (97%) 接触中,LDCT完成率高且相似 (P = .13).
结论:
- 虚拟健康接触是订购安全网人口肺癌查的可行选择.
- 通过虚拟护理,患者遵守推的查随访并不会受到损害.
- 远程医疗可以有效地支持多样化和服务不足的社区的癌症查计划.
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