在商业保险妇女怀孕和产后使用远程医疗的模式
Adit Doza1, Lijing Ouyang1, Donatus U Ekwueme2
1Division of Reproductive Health, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.
Journal of women's health (2002)
|September 22, 2025
概括
从2019-2021年开始,孕妇和产后妇女的远程医疗使用量急剧增加,特别是在心理健康服务方面. 使用增加了分娩前,农村用户访问这些重要远程护理选项的数量减少.
科学领域:
- 孕产妇健康 孕产妇健康
- 数字健康数字健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 远程医疗的采用迅速发展,特别是在怀孕期间和分娩后的商业保险妇女中.
- 了解远程医疗利用模式和差异对于优化孕产妇医疗保健提供至关重要.
研究的目的:
- 评估商业保险妇女在2019年至2021年期间怀孕和分娩后的远程医疗使用趋势.
- 根据农村/城市状态,研究远程医疗使用的差异.
- 确定在产前期最常使用的远程医疗服务.
主要方法:
- 使用Merative MarketScan商业数据库,对15-49岁的妇女进行活产 (2019-2021年).
- 分析了产前10个月和产后12个月的连续保险入学情况.
- 按远程医疗用户 (TU) 与非远程医疗用户 (NTU) 分类的分层患者特征,并对服务类型分析了主要诊断类别 (MDC).
主要成果:
- 从2019年到2021年,远程医疗访问显著增加,预交付使用量显著增加 (2.8%至46.1%).
- 与非用户相比,远程医疗用户报告的糖尿病,高血压和抑郁症的发病率更高.
- 远程医疗用户的比例较低,居住在农村地区,这表明潜在的访问差异. 心理健康服务占产后远程医疗访问的50%以上.
结论:
- 心理健康服务的远程医疗的增加表明,孕妇和产后妇女的获取能力改善或需求增加.
- 需要进一步的研究,以探索更多的远程医疗使用对孕产妇和分娩结果的影响.
- 调查结果强调,需要解决围产期护理的远程医疗接入可能存在的城乡差异.
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