在COVID-19后的老年人中获得和使用远程医疗:对认知功能的异质影响
Yijung K Kim1, Sae Hwang Han2, Kavya Sanghavi3
1Health Economics and Aging Research Institute, MedStar Health Research Institute, Columbia, Maryland, USA.
概括
老年人使用远程医疗与认知效益有关,特别是那些认知功能较低的人. 稳定的数字接入突显了促进老年人互联网技能和远程医疗的早期干预的需要.
科学领域:
- 老年学
- 医疗服务研究
- 认知科学
背景情况:
- 医疗保险在COVID-19后的远程医疗豁免提供了对老年人数字健康参与的见解.
- 对人口老龄化中的远程医疗使用和认知功能进行纵向分析至关重要.
研究的目的:
- 对70岁以上的医疗保险受益人远程医疗接入/使用与认知功能之间的纵向关系进行研究.
- 调查远程医疗对认知的影响是否在认知性能水平上有所不同.
主要方法:
- 对3116名医疗保险受益者 (70岁以上) 的纵向队列研究 (2021-2023年).
- 远程医疗接入/使用的分类:无设备接入,基本互联网,更广泛的互联网使用,远程医疗使用.
- 具有固定效应的无条件定量回归来分析跨认知分布的关联.
主要成果:
- 缺乏互联网设备与认知能力下降相关;远程医疗使用与更好的认知功能相关.
- 远程医疗使用的认知效益主要在认知性能分布的下端 (第10个百分位) 显示.
- 数字访问和使用模式基本稳定,数字参与的上升流动性有限.
结论:
- 稳定的数字参与模式强调了促进老年人上网和数字素养的早期干预的必要性.
- 有针对性的干预措施对于面临认知障碍的老年人来说是必不可少的,
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