在农村人口中使用远程医疗和预防服务
Daniel Cullen1, April M Falconi2, Carrie Levin2
1Elevance Health, 220 Virginia Ave, Indianapolis, IN 46204.
The American journal of managed care
|January 27, 2026
概括
农村远程医疗的使用显著增加了预防性护理访问. 这种关联对于某些健康状况,性别和地区来说更强烈,突出的是远程医疗.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 远程医疗的采用迅速增加,特别是在农村地区,需要了解其对医疗保健利用的影响.
- 预防性护理对于管理慢性疾病和改善贫困人口的整体健康状况至关重要.
研究的目的:
- 调查远程医疗使用与农村地区居民接受预防护理服务之间的关联.
- 分析远程医疗的使用如何影响获得推的预防性查和服务的可能性.
主要方法:
- 采用了回顾性队列研究设计,利用2019年1月至2023年12月的行政索赔数据.
- 倾向性得分匹配和多变量逻辑回归分析用于比较农村远程医疗用户与匹配的非用户.
- 该研究分析了超过200万个人的大量样本,检查了2020年和2021-2023年间的远程医疗使用情况.
主要成果:
- 2020年远程医疗的使用与2021年完成预防护理的可能性增加了两倍 (AOR,2.01).
- 从2021年到2023年继续使用远程医疗也显示出与2023年更高的预防性护理完成的显著关联 (AOR,1.88).
- 即使考虑到大流行期间远程医疗使用的初始激增,这些发现仍然是一致的.
结论:
- 农村人口使用远程医疗与使用预防护理服务的增加有关.
- 这种关联的强度受到个人因素的影响,例如潜在的健康状况,性别和地理区域.
- 调查结果表明,远程医疗可以在提高农村环境中的预防性护理获取和遵守方面发挥重要作用.
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