远程医疗与面对面访问后的成像利用差异
YoonKyung Chung1, Lauren P Nicola2, Gregory N Nicola3
1Principal Economic and Health Services Researcher, Harvey L. Neiman Health Policy Institute, Reston, Virginia.
Journal of the American College of Radiology : JACR
|July 17, 2025
概括
远程医疗访问显示,与面对面访问相比,诊断成像使用率较低. 这表明远程医疗可能不会增加成像,这需要进一步研究是否合适.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 放射学 放射学是一门学科.
- 数字健康数字健康
背景情况:
- 随着COVID-19的流行,远程医疗的普及加速了.
- 远程医疗对诊断成像利用的影响尚不清楚.
研究的目的:
- 为了评估在远程医疗和面对面访问后诊断成像利用的差异.
- 在虚拟和面对面的咨询后,评估国家层面的成像趋势.
主要方法:
- 使用非识别的国家保险数据进行回顾性病例控制研究 (2021年).
- 匹配远程医疗和面对面的访问.
- 权重多变量线性模型用于比较7,14和30天内访问后成像率和计数.
主要成果:
- 与面对面访问相比,远程医疗访问的7天成像利用率下降了2.4个百分点 (29.7%的相对下降).
- 这种使用率下降的趋势在14天和30天继续存在.
- 观察到远程医疗访问的成像研究数量略有增加 (0.02,1.5%的相对差异).
结论:
- 远程医疗与与面对面访问相比,诊断成像利用率降低有关.
- 远程医疗可能不是图像增长的重要驱动因素.
- 需要进一步的研究来评估在远程医疗接触期间订购的成像的适当性.
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