在美国测量和比较远程医疗利用趋势. 医院 医院 医院 医院
Kevin Wiley1, Jada Johnson1, Jillian Harvey1
1Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina, USA.
概括
医院远程医疗报告因所有权和地区而异. 影响精确远程医疗利用量测量的关键因素包括资源,报告要求和为更好的医疗保健提供提供标准化定义.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 精确地测量远程医疗的利用率对于了解远程医疗对医疗保健提供的影响至关重要.
- 现有的医院远程医疗使用数据可能是不完整的,因为报告挑战.
研究的目的:
- 确定与医院报告远程医疗利用相关的组织和财务因素.
- 探索障碍和促进全面远程医疗利用数据收集的障碍和促进因素.
主要方法:
- 采用了一种解释性的顺序混合方法设计.
- 对医疗保险成本报告和美国医院协会年度调查数据 (2017-2021) 的定量分析.
- 与医疗保健利益相关者进行定性半结构面试,以将研究结果置于背景.
主要成果:
- 位于南部和西部地区的营利性所有制医院更有可能报告远程医疗的使用情况.
- 确定了影响报告的六个关键领域:资源可用性,组织问题,调查设计,供应商文档,报告要求和定义标准化.
结论:
- 解决已识别的障碍对于精确测量远程医疗利用率至关重要.
- 提高数据的完整性对于通过远程医疗改善医疗保健服务至关重要.
- 未来的研究应该集中在可靠的数据采集方法和报告激励措施的影响上.
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