在非大都会诊所人口中,远程医疗的使用和障碍
Jack Nadaud1, Andrew Wofford2, Courtney Lucca2
1The University of Tennessee Health Science Center College of Medicine, Knoxville.
Urology
|May 18, 2025
概括
农村患者面临着远程医疗的重大技术和社会经济障碍,尽管他们同样愿意使用它. 改善这些地区的互联网基础设施对于公平获得医疗保健至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
- 农村健康差异 农村健康差异
背景情况:
- 农村人口体验到更大的健康挑战的社会决定因素.
- 在COVID-19大流行期间,远程医疗的扩张提供了减少医疗保健差异的潜力.
- 技术和基础设施的局限性造成了农村患者远程医疗接入的障碍.
研究的目的:
- 调查农村人口使用远程医疗的社会经济和技术障碍.
- 为了比较非大都会和大都会诊所患者之间的远程医疗接入障碍.
- 了解不同患者群体的人口统计和远程医疗利用之间的关系.
主要方法:
- 从2023年11月到2024年3月,对211名泌尿外科诊所患者 (非大都会和大都会) 进行了调查.
- 该调查评估了患者的人口统计,先前使用远程医疗,技术访问和参与远程医疗的意愿.
- 统计分析比较了大都会和非大都会患者队列之间的障碍和人口统计数据.
主要成果:
- 与大都市患者相比,非大都市患者报告的收入,教育和私人保险费率较低 (P <.05).
- 农村患者对手机,智能手机,可靠的服务,带有网络摄像头的计算机和个人Wi-Fi的访问较少.
- 尽管技术差异很大,但农村和城市患者使用远程医疗的意愿相似.
结论:
- 非大都会诊所的患者面临着与社会经济因素相关的远程医疗接入的更大的技术障碍.
- 远程医疗有可能克服地理障碍,但需要改善农村互联网基础设施.
- 开发多学科的虚拟医疗中心可以提高缺少服务的人群的远程医疗可访问性.
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