2022年数字医疗保健使用的差异
Michael Wakeman1, Dennis W Buckman2, Sherine El-Toukhy1
1Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Rockville, Maryland.
JAMA network open
|April 17, 2025
概括
在美国成年人中,数字医疗保健的使用,包括远程医疗,远程医疗和远程监控,各不相同. 一些服务不足的群体报告了更高的使用率,突出了解决数字医疗接入差异的必要性.
科学领域:
- 数字健康数字健康
- 健康差异 在健康上的差异
- 社会脆弱性 社会脆弱性
背景情况:
- 随着COVID-19的流行,数字医疗保健服务的采用加速了.
- 然而,在使用远程医疗,远程医疗和远程监控方面的差异仍未得到充分研究.
- 了解这些差异对于公平获得医疗保健至关重要.
研究的目的:
- 调查个人特征与数字医疗保健使用之间的关系.
- 为了确定这些协会是否根据县级的社会脆弱性而有所不同.
主要方法:
- 美国成年人居住在社会脆弱性不同的国家 (少数群体健康社会脆弱性指数 - MHSVI) 的横截面在线调查.
- 从2022年2月到8月收集的数据.
- 分析涉及多变量后勤回归,以检查社会人口统计学,健康和技术因素与数字卫生服务使用之间的关联,按MHSVI分层.
主要成果:
- 总体而言,50.59%的人使用远程医疗,29.56%的人使用远程医疗,15.69%的人使用远程监控.
- 英语不熟练和先前的面对面访问与更高的远程医疗使用有关.
- 相反,没有初级保健医生与较低的数字健康使用有关.
- 个人特征与数字健康使用之间的关联因县级社会脆弱性而异,一些服务不足的群体使用率更高.
结论:
- 数字医疗保健的使用受个人特征的影响,并受到县级社会脆弱性的调节.
- 某些服务不足的人群显示,自报的数字卫生服务使用率更高.
- 解决数字医疗保健方面的差异对于改善弱势群体获得医疗保健的机会至关重要.
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