公共卫生 公共卫生
Jenna Rajczyk1, James Burke1, Jeffrey Wing1
1Ohio State University, Columbus, OH, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
2020年远程医疗的扩张可能会增加在宽带接入地区的阿尔茨海默病和相关痴呆症 (ADRD) 诊断. 这表明远程医疗可以提高医疗保险受益人的ADRD诊断率.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人口老龄化增加了被诊断不足的阿尔茨海默病和相关痴呆症 (ADRD) 的风险.
- 诊断服务的有限可用性导致ADRD诊断不足.
- 远程医疗的扩张,依赖于宽带接入,有可能改善ADRD诊断服务的可访问性.
研究的目的:
- 调查2020年医疗保险和医疗补助服务中心 (CMS) 远程医疗扩张对县级ADRD诊断患病率的影响.
- 检查与宽带可用性相关的收费服务 (FFS) 受益者之间的这种影响.
主要方法:
- 使用县级生态差异差异 (DID) 设计,比较扩张前 (2016-2017) 和扩张后 (2021-2022) 时期.
- 使用CMS数据估计ADRD患病率,并根据联邦通信委员会标准定义宽带存在.
- 负二项回归模型评估了远程医疗扩张对宽带可访问县的ADRD患病率的影响,其中农村地区是潜在的变化因素.
主要成果:
- 在两个时期之间,ADRD的患病率从11.06%降至7.15%.
- 宽带可用性从70.35%增加到91.96%的县.
- 扩张后,宽带县的ADRD患病率比没有ADRD县的ADRD患病率高出2.48%,相对于扩张前的时期.
结论:
- 初步调查结果表明,CMS远程医疗的扩张可能会对宽带地区的ADRD诊断患病率产生积极影响.
- 对ADRD检测的改进可能与宽带配备的县的远程医疗接入有关.
- ADRD患病率的总体下降需要进一步调查,可能与COVID-19大流行有关.
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