远程医疗的经济学:一个概述
Kritee Gujral1,2,3,4, Samantha Illarmo1, Josephine C Jacobs1,2,5
1Health Economics Resource Center, VA Palo Alto Health Care System, Menlo Park, California, USA.
概括
远程医疗为获得医疗保健提供了潜在的机会,但需要经济研究来了解其长期影响和成本效益. 需要进一步的研究来评估它对不同人群的价值.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 从历史上看,远程医疗的采用受到法规和技术的限制.
- COVID-19大流行加速了远程医疗的使用,引发了关于其可持续性的经济问题.
- 现有的关于远程医疗经济影响的研究是分散的.
研究的目的:
- 从经济学的角度来看,审查现有的远程医疗文献.
- 确定关于远程医疗采用,成本,有效性和公平性的研究缺口.
- 为未来关于远程医疗的经济研究提供指导.
主要方法:
- 关于远程医疗的医学和经济文献的叙事综述.
- 分析影响远程医疗采用的需求侧和供应侧因素.
- 检查远程医疗对医疗保健利用,成本,有效性和公平性的影响.
主要成果:
- 关于远程医疗影响的证据在护理类型,方式和交付模式中稀少.
- 患者和临床医生对货币成本做出反应,但时间成本需要进一步研究.
- 远程医疗可能会增加门诊使用,但其对住院/急诊护理和生产成本的影响尚不清楚.
- 缺乏高质量的比较有效性研究和对服务不足人群的公平性研究.
结论:
- 需要对远程医疗的更强有力的经济文献.
- 未来的研究应该关注成本效益,模式的比较有效性,以及对医疗保健公平性的影响.
- 了解经济因素对于优化远程医疗在医疗保健中的未来作用至关重要.
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