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支付相同的费用是否支持远程医疗? 对支付平价法的系统审查
Alina Doina Tanase1,2, Malina Popa3, Bogdan Hoinoiu4,5
1Department of Professional Legislation in Dental Medicine, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
国家支付平价法增加了远程医疗的使用,特别是在行为健康和慢性疾病管理方面. 这些法则在遵守和访问方面显示出适度的改进,尽管影响因专业而异,并因实践限制而减少.
科学领域:
- 卫生政策 卫生政策
- 远程医学研究 远程医学研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 支付平价法律规定,远程医疗和面对面的护理费用均等报销.
- 了解这些法律对远程医疗利用和结果的影响至关重要.
研究的目的:
- 系统地审查美国评估州远程医疗支付平价法律的研究.
- 综合报告对远程医疗利用,模式组合,质量,访问和支出的影响.
主要方法:
- 使用PRISMA 2020指南对开放式实证美国研究进行系统审查.
- 在PubMed/MEDLINE,Scopus和Web of Science中搜索了模拟支付平价的研究.
- 包括使用比较器和免费全文访问的定量/质量研究;由于异质设计,使用了叙事合成.
主要成果:
- 九项研究表明,支付平价与远程医疗使用增加有关,特别是在社区卫生中心 (+13.0个百分点).
- 癌症患者的远程医疗率增加了 (23.3%与19.1%相比),精神健康和SUD护理的比例很高.
- 支付平价改善了对高血压的药物坚持;对支出的影响仍未得到充分研究.
结论:
- 国家支付平价法律一直在增加远程医疗在门诊环境中的使用,特别是在行为健康和慢性疾病管理方面.
- 观察到坚持和感知访问的改善,但影响因专业而异.
- 跨州实践限制削弱了远程医疗的好处,对整体医疗保健支出的影响需要进一步调查.
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