智能手机还不够:远程医疗与数字沟
James Labadorf1,2, Matthew Nichols3, Tayana Williams2
1School of Medicine, Department of Otolaryngology - Head and Neck Surgery Case Western Reserve University Cleveland USA.
远程医疗服务是不平等的. 年轻患者和黑人患者更有可能错过预约. 在远程医疗方面依赖手机增加了无人出现,扩大了医疗保健的数字差距.
科学领域:
- 医疗服务研究
- 数字健康公平
- 远程医疗
背景情况:
- 远程医疗为慢性疾病和心理健康管理提供了更好的机会.
- 数字连接和资源不平等造成了远程医疗接入的差距,
- 远程医疗的全球范围需要对其公平应用进行审查.
研究的目的:
- 分析远程医疗预约结果的人口差异 (参加,取消,没有出现).
- 识别导致远程医疗不出现和取消的因素.
- 了解数字沟对医疗保健的影响.
主要方法:
- 分析了2022年1月至2023年6月的473,716次远程医疗接触.
- 将比赛分为参加,取消和不参加的类别.
- 以多变量线性回归计算相对风险的年龄,性别和种族.
主要成果:
- 在不同的人口群体中观察到取消和没有出现的风险的显著差异.
- 年龄在20至39岁的患者和黑人患者的取消和没有出现的相对风险较高.
- 远程医疗没有出现与依赖蜂数据计划,智能手机所有权和缺乏电脑接入有关.
结论:
- 数字沟对边缘化群体造成了不成比例的影响,
- 只有使用手机远程医疗的患者更容易错过预约.
- 进一步的研究对于确保全球公平的数字医疗服务至关重要.
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