初级保健的变化 远程医疗 跨慢性疾病的交付方法
Jacqueline M Ferguson1,2, Liberty Greene1,2, James Van Campen1
1Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California.
JAMA network open
|March 26, 2025
概括
慢性疾病会影响远程医疗的使用,有些疾病更喜欢视频或电话咨询. 这项研究强调了特定的诊断如何影响退伍军人的护理方式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 临床信息学 临床信息学
背景情况:
- 社会人口结构因素影响远程医疗的参与.
- 具体的慢性疾病与远程医疗模式 (面对面,电话,视频) 之间的关联仍然不清楚.
研究的目的:
- 识别与接受面对面,电话或视频照顾的可能性较高或较低相关的慢性疾病.
- 了解临床条件如何影响选择远程医疗模式.
主要方法:
- 采用全国退伍军人健康管理局电子健康记录 (2022年4月至2023年3月) 的横截面研究.
- 使用ICD-10代码识别了39种慢性疾病.
- 分析了面对面,通过电话或视频接触的概率,并根据社会人口统计学和并发症进行调整.
主要成果:
- 对近400万美国退伍军人进行了分析,分析了超过710万例门诊接触.
- 面对面访问占主导地位 (83.2%),其次是电话 (11.1%) 和视频 (5.8%).
- 痴呆症,艾滋病毒/艾滋病,压力和帕金森病显示,基于视频的护理使用率更高. 心力衰竭,艾滋病毒/艾滋病和运动障碍更有可能通过远程医疗来管理.
结论:
- 一个人的慢性疾病与他们接受面对面或远程医疗保健的可能性有关.
- 诸如体检,诊断或病情尖度的需要等因素可能驱动模式选择.
- 根据病情分析远程医疗百分比,可以优化虚拟和面对面护理的组合.
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