社会经济因素与远程皮肤病学使用的关联
Benjamin Zhu1, Edwin Dovigi2, Joseph English2
1School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
概括
远程皮肤病治疗的使用增加,改善了少数民族的获取机会. 然而,教育差异仍然存在,需要有针对性的干预措施,以确保平等获得皮肤病护理.
科学领域:
- 皮肤病学 皮肤病学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 皮肤病护理获得的显著差异影响到种族少数群体和没有保险的人群.
- 在COVID-19大流行期间,远程皮肤病学的扩张为解决这些接入差距提供了机会,尽管在使用方面存在的国家差异需要进一步研究.
研究的目的:
- 分析不同患者群体中远程皮肤病学使用的全国差异.
- 确定与远程皮肤病学利用和相关医疗保健支出相关的社会人口统计因素.
主要方法:
- 一个重复的横截面分析,使用来自2020-2022医疗支出小组调查的数据.
- 采用多变量逻辑回归和两部分模型来评估远程皮肤病学使用和支出模式.
主要成果:
- 与前几年相比,2021年远程皮肤病治疗的使用量显著增加.
- 与白人患者相比,黑人,西班牙裔和其他少数群体患者的远程皮肤病治疗使用率增加.
- 拥有学士学位的患者也显示出使用远程皮肤病学的可能性更高,而医疗补助与减少自付费用有关.
结论:
- 远程皮肤病学已经扩大,并显示了少数种族群体在获得皮肤病护理方面的好处.
- 教育成就似乎是影响远程皮肤病的采用的一个因素,强调需要采取干预措施来解决持续存在的进入障碍.
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