在医疗保险受益者和提供者中,初级保健远程医疗利用模式在变化
Yunxi Zhang1, Lincy S Lal2, Saurabh Chandra1
1University of Mississippi Medical Center, Jackson, MS, USA.
Journal of primary care & community health
|April 12, 2025
概括
在COVID-19大流行期间,远程医疗的使用激增,转向年轻,白人受益者,并改善了护理准入. 解决数字沟对于未来的远程医疗健康公平至关重要.
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
- 健康 公平 卫生 公平
背景情况:
- 随着COVID-19的流行,远程医疗的普及显著加快.
- 远程医疗使用的持续差异仍然令人担忧.
- 了解患者和提供者因素是公平的远程医疗整合的关键.
研究的目的:
- 检查初级保健患者的社会人口统计特征.
- 分析疫情前和期间的远程医疗利用模式.
- 评估医疗保健提供者采用远程医疗的情况.
主要方法:
- 密西西比州医疗保险受益人的回顾性队列研究 (2019-2021年).
- 对获得初级保健和使用远程医疗的分析.
- 流行病前和流行病期间的比较.
主要成果:
- 在疫情期间,远程医疗的使用从1364人大幅增加到73,994名受益者.
- 使用转移到年轻人,白人,女性受益者和ESRD或残疾人.
- 远程医疗用户的并发病率和社会脆弱性较高,但数字沟得分较低.
- 远程医疗与增加的初级保健访问,获取和连续性相关.
- 39%的初级保健医生采用了远程医疗;神经精神病学和精神病学显示出最高的比例 (55%和38%).
结论:
- 远程医疗在流行病后的初级保健中发挥着越来越重要的作用.
- 未来的远程医疗整合需要解决数字沟.
- 推进健康公平必须是远程医疗服务的优先事项.
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