一个骨科远程医疗计划在巴西的影响和医疗利用模式
Fabio Seiji Mazzi Yamaguchi1, Vitor Matheus Silva2, Hector Fugihara Kroes2
1. Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas, Instituto de Ortopedia e Traumatologia (HCFMUSP), Sao Paulo, SP, Brazil.
巴西的远程医疗接入受到社会脆弱性和地理位置的影响. 高脆弱地区的患者面临更大的旅行负担,突出了医疗保健获取方面的差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 远程医疗有可能减少医疗保健接入障碍.
- 社会脆弱性和地理位置可以显著影响医疗保健利用率.
研究的目的:
- 调查居住地,社会脆弱性和远程医疗接入之间的关系.
- 分析巴西圣保罗的骨科患者的旅行负担和可访问性挑战.
主要方法:
- 在475名使用远程医疗的骨科患者中进行了横截面的比较研究.
- 对社会人口统计,经济和地理数据的分析,按社会脆弱性指数 (IVS) 分组.
主要成果:
- 远程医疗咨询平均节省了211公里的旅程和44美元.
- 更高的IVS患者经历了更长的旅行,更低的教育程度,以及更多的缺席工作约会.
- 远程医疗的差异反映了现有的社会经济和地理不平等.
结论:
- 空间和社会经济脆弱性在很大程度上影响了远程医疗的获取.
- 旅行负担和工作不安全不成比例地影响弱势群体.
- 社会支持可以减轻老年人接触障碍.
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