社会脆弱性,更低的宽带互联网接入和农村地区与美国远程医疗使用率较低有关. 县县县县县县县县
Mollie R Cummins1,2,3, Bob Wong1, Neng Wan4
1College of Nursing, University of Utah, Salt Lake City, UT 84112-5880 United States.
JAMIA open
|July 28, 2025
概括
农村和宽带接入显著影响远程医疗的使用,而不是社会脆弱性. 城市地区的远程医疗率较高,但基于社会因素和互联网接入的变化更大.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 农村卫生 农村卫生
背景情况:
- 远程医疗的采用正在增加,但在获取和使用方面的差异仍然存在.
- 了解社会决定因素,基础设施和数字健康的相互作用对于公平的医疗保健服务至关重要.
研究的目的:
- 分析社会脆弱性,宽带接入,农村和远程医疗在美国的利用之间的关系.
- 确定影响社区层面远程医疗使用的关键因素.
主要方法:
- 对近800万次美国远程医疗会话 (2022) 的回顾性观察研究.
- 连接远程医疗数据与社会脆弱性指数 (SVI) 和城乡分类.
- 利用多项式回归和数据可视化来检查县级使用率.
主要成果:
- 在社会/社会经济脆弱性和远程医疗使用之间观察到负面的非线性关联.
- 与农村县相比,城市县的远程医疗使用率较高.
- 远程医疗使用的变化在城市地区更大,受社会脆弱性和宽带接入的影响.
结论:
- 农村和宽带接入是远程医疗使用的主要驱动因素,往往超过了社会脆弱性.
- 农村和城市环境之间存在远程医疗使用的细微差别,受社会因素和互联网连接的影响.
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