评估美国医疗保健服务不足社区对数字服务的访问:一项跨部门研究
Diego F Cuadros1, Claudia M Moreno2, F DeWolfe Miller3
1Digital Epidemiology Laboratory, Digital Futures, University of Cincinnati, Cincinnati.
Mayo Clinic proceedings. Digital health
|April 10, 2025
概括
美国脆弱的社区往往缺乏宽带接入,造成数字沙漠. 这种缺乏互联网接入可能会加剧服务不足的人群的健康差异.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 地理空间分析的研究.
背景情况:
- 弱势群体面临着重大的社会和医疗保健挑战.
- 接入宽带互联网对于获得基本服务越来越重要.
研究的目的:
- 评估宽带接入与美国社会/医疗保健脆弱性之间的空间关联.
- 确定互联网接入的地理差异及其与健康结果的关系.
主要方法:
- 利用来自3108个连续的美国县的县级数据.
- 采用空间双变量和多变量分析来评估宽带接入和脆弱性指数.
- 通过使用一般化的线性混合效应模型,在确定的地理空间集群中比较了健康和社会指数率.
主要成果:
- 确定了具有高度社会脆弱性,健康获取障碍和资源有限的卫生系统的独特弱势社区.
- 发现这些漏洞指数与宽带接入之间存在负面的地理空间关联.
- 检测到美国南部的一个集群,宽带接入低,社会/健康指标差.
结论:
- 许多服务不足的社区都处于"数字沙漠"中,只有有限的高速互联网.
- 数字障碍可能会阻碍数字医疗服务的扩展.
- 这些差异可能会加剧弱势群体现有的健康不平等.
相关概念视频
Introduction To Health Care Delivery System
2.5K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.5K
Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Specialized Care Centers and Settings-II
682
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
682
Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
Health Information Technology and Healthcare Information System
763
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
763


