在儿科专科护理中公平使用虚拟护理的评估
Robin D Deliva1,2, Kyle Tsang3, Parham Manafzadehtabriz1
1Virtual Care Support, Hospital for Sick Children, Toronto, Canada.
概括
随着距离的增长,虚拟护理的获取增加,但在种族集中地区下降. 这项研究突出了大流行后远程医疗利用的差异.
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
- 健行护理服务提供者
背景情况:
- 远程医疗和虚拟护理是已建立的医疗保健提供方法.
- 在虚拟护理模式中可能存在潜在的意外障碍.
- 疫情后的门诊护理提供需要对公平获取的评估.
研究的目的:
- 评估流行后的门诊护理提供情况.
- 确定边缘化地区在虚拟访问中是否代表性不足.
- 为了比较人口统计和社会经济因素的虚拟和实体访问利用率.
主要方法:
- 对396,624次门诊诊所的回顾性分析 (2022年1月至2023年12月).
- 使用患者人口统计和安大略省边缘化指数进行虚拟和实体访问的比较.
- 根据年龄,性别和地理位置调整后的物流回归分析.
主要成果:
- 在偏远地区的儿童和越来越多的年龄组中观察到更高的虚拟护理利用率.
- 住宅不稳定性,物质剥夺和依赖性对虚拟护理访问的影响最小.
- 与较不集中的人口地区相比,高民族度地区的虚拟访问数量显著减少 (OR:0.65).
结论:
- 对于居住在较远的地区的人来说,虚拟护理的使用率更高.
- 在民族集中地区,虚拟护理的获取率较低,这表明潜在的差异.
- 需要进一步的研究来解决语言,技术素养和文化信仰等障碍.
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