获得初级保健的数字化:是否存在公平性和效率的权衡?
Daniela Rodrigues1, Noemi Kreif2, Ara Darzi1
1Department of Surgery & Cancer, NIHR North West London Patient Safety Research Collaboration, Institute of Global Health Innovation, Imperial College London, London, UK.
Health economics
|July 17, 2025
概括
在线获得初级保健可以改善医疗保健服务,而不损害老年人或较低的社会经济群体. 这种数字健康解决方案增强了患者的互动,并减少了医院访问.
科学领域:
- 数字健康数字健康
- 医疗保健管理的管理
- 健康 公平 卫生 公平
背景情况:
- 在线平台越来越多地用于英国国家卫生服务的初级保健请求.
- 人们担心对弱势群体 (包括老年人和来自较低社会经济背景的人群) 获得医疗保健的潜在不利影响.
研究的目的:
- 调查在线初级保健服务对不同人口群体健康平等的影响.
- 分析在线平台实施与医疗保健互动之间的关联,包括同步咨询和计划外医院护理.
主要方法:
- 一个准实验性的研究设计,检查了2019年至2020年间在线平台的分阶段实施.
- 分析了伦敦西北部289家初级保健诊所的数据,涵盖超过250万名患者.
- 评估对年龄和社会经济地位的差异影响,以获得初级保健服务.
主要成果:
- 没有证据表明在线接入路线在初级保健互动中加剧了与年龄或社会经济地位相关的不平等.
- 在线平台的实施后,观察到初级保健互动的总体增加.
- 在某些情况下,不规划的医院护理略有减少,而在其他情况下没有增加.
结论:
- 在初级保健中采用在线接入路线不会对老年人或较低社会经济群体的医疗保健提供产生负面影响.
- 数字健康工具可以提高整体医疗保健服务的提供,并可能减少住院患者.
- 在线平台是提高初级保健可访问性和效率的宝贵工具,而不会损害公平.
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