在COVID-19期间,老年人使用远程医疗:对利用模式的叙事文献评论
Meghan N Breckling1, Leah Tobey-Moore2, Allie Parsons3
1Departments of Pharmacy Practice and Psychiatry, Center for Implementation Science, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Telemedicine reports
|December 4, 2025
概括
在COVID-19大流行期间,老年人中远程医疗的使用显著下降,揭示了获取差异. 需要有针对性的战略来改善对这一群体的公平获取.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 数字健康 公平数字健康 公平
背景情况:
- 随着COVID-19的流行,远程医疗的普及加速了.
- 人们对弱势群体,特别是老年人,获得公平的机会表示担忧.
研究的目的:
- 在COVID-19大流行期间,审查美国老年人中远程医疗使用模式.
- 识别在获取和利用方面的差异.
主要方法:
- 55篇文章 (2020-2024) 的叙事文学评论.
- 分析电子健康记录和医疗索赔数据.
- 通过访问方式,地理位置,年龄和专业来探索变化的变化.
主要成果:
- 大多数研究 (23) 报告说,与年轻人相比,老年人远程医疗的使用率较低.
- 十一项研究表明使用率更高,而12项研究发现没有差异或不确的结果.
- 研究主要集中在电话/视频访问和电子健康记录上,主要是在美国东北部和西部.
结论:
- 在大流行期间观察到老年人远程医疗接入的持续差异.
- 需要进一步的研究来了解促成因素,并制定有针对性的干预措施.
- 建议采取包括财政支持,宽带扩展和数字素养计划在内的政策举措,以促进公平.
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