允许的远程医疗国家许可政策与远程医疗利用的增加有关
Priyanka Vakkalanka1,2, Tracy Young1, Knute D Carter3
1Department of Emergency Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
概括
国家许可政策会影响远程医疗的使用. 在COVID-19期间,放松的政策增加了州内远程医疗 (IS-TH),但州外远程医疗 (OOS-TH) 减少了,这表明持续存在的州际护理障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 远程医疗远程医疗
背景情况:
- 国家专业执照是远程医疗采用的关键障碍.
- 国家实施政策变化,以减少许可负担.
- 了解政策对远程医疗利用的影响至关重要.
研究的目的:
- 评估国家医疗执照政策与门诊远程医疗利用之间的关联.
- 分析医疗保险受益者在2018-2022年间使用远程医疗的趋势.
- 区分政策对州内远程医疗和州外远程医疗的影响.
主要方法:
- 准实验性研究使用5%的医疗保险服务费受益者 (2018-2022) 样本.
- 评估国家政策:州际医疗许可协议 (IMLC) 和COVID-19政策放宽.
- 分析了门诊接触,测量了州内 (IS-TH) 和州外 (OOS-TH) 远程医疗.
主要成果:
- 在COVID-19之前:IMLC与较高的OOS-TH相关 (aOR:2.24) 但不是IS-TH (aOR:0.98).
- COVID-19时代:IMLC和宽松的政策增加了IS-TH (aORs:1.09,1.11). 现在我们可以看到一个新的趋势.
- COVID-19时代:IMLC和宽松的政策降低了OOS-TH (aORs:0.74,0.83).
结论:
- 宽松的州许可政策通常会增加远程医疗的使用.
- 影响因远程医疗类型 (IS-TH vs. OOS-TH) 和时间段 (COVID-19之前与期间) 不同.
- 虽然各州的政策改善了远程医疗的准入,但远程医疗的州际障碍仍然存在.
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