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在患有精神/行为健康障碍的儿童中使用远程医疗
Glory Okwori1, Sylvester Orimaye2
1Georgia Health Policy Center, Georgia State University, Atlanta, Georgia, USA.
被诊断出有行为健康状况的儿童更有可能使用远程医疗服务. 远程医疗接入的差距仍然存在,特别是对于农村儿童,而大流行并没有显著增加其使用.
科学领域:
- 儿科 儿科 儿科
- 心理健康服务 心理健康服务
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童经常在预防和干预方面遇到服务缺口.
- 远程医疗是提供心理和行为健康服务的一个有希望的模式.
- COVID-19大流行加速了远程医疗的采用,创造了研究其使用的机会.
研究的目的:
- 检查儿童行为健康服务使用的全国性模式.
- 调查诊断出患有精神疾病的儿童使用远程医疗的情况.
- 为了确定影响远程医疗使用的因素,在疫情之前和期间.
主要方法:
- 利用了2021年和2022年国家儿童健康调查的数据.
- 心理健康状况和远程医疗使用的计算加权流行率估计.
- 采用波桑回归来分析人口统计和远程医疗利用之间的关联.
主要成果:
- 患有已确诊疾病 (焦虑,抑郁,多动症) 的儿童使用远程医疗的可能性显著增加.
- 远程医疗的使用主要不是由COVID-19大流行驱动的.
- 农村,语言障碍和缺乏护理协调,显著减少了远程医疗的使用.
结论:
- 在远程医疗接入方面存在重大差距,影响农村人口和有特殊需求的人群.
- COVID-19大流行并没有显著影响行为健康的整体远程医疗采用.
- 有针对性的政策和干预措施对于维持和优化儿童行为健康服务的远程医疗至关重要.
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