在医疗保险患者中使用远程生理监测:种族,种族差异
Felippe Marcondes1, Mitchell Tang2, Jennifer S Haas3
1Felippe Marcondes (fmarcondes@mgh.harvard.edu), Massachusetts General Hospital, Boston, Massachusetts.
Health affairs (Project Hope)
|August 4, 2025
概括
远程生理监测 (RPM) 的使用在2018-2022年期间在黑人和西班牙裔医疗保险患者中激增. 与白人患者相比,这些群体的RPM利用率明显高,即使考虑到各种因素.
科学领域:
- 健康 公平 卫生 公平
- 数字健康数字健康
- 医疗保险政策 医疗保险政策
背景情况:
- 远程生理监测 (RPM) 的采用已经增长.
- 了解RPM接入的差异对于公平的医疗保健至关重要.
- 医疗保险患者人口统计数据是健康公平研究的重点.
研究的目的:
- 分析医疗保险受益人中远程生理监测 (RPM) 索赔的趋势.
- 调查RPM使用中的种族和民族差异.
- 为了比较黑人,西班牙裔和白人医疗保险患者之间的RPM使用率.
主要方法:
- 从2018年到2022年对医疗保险索赔数据的分析.
- 计算不同种族和种族群体的RPM索赔增加.
- 根据患者年龄,性别和临床因素进行统计调整.
主要成果:
- 在2018年至2022年期间,RPM索赔的大幅增加被观察到.
- 黑人医疗保险患者的RPM索赔增加了25.253%.
- 西班牙裔医疗保险患者的RPM索赔增加了5,051%.
- 在2022年,黑人和西班牙裔患者的RPM使用率分别高出88%和84%,与白人患者相比,经过调整后.
结论:
- 在医疗保险患者的远程生理监测 (RPM) 使用中仍然存在显著的种族和民族差异.
- 尽管总体增长,但黑人和西班牙裔医疗保险受益者在2022年使用RPM的比例高于白人受益者.
- 需要进一步的研究来了解这些差异的驱动因素,并确保公平地获得RPM技术.
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