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在ADRD的老年人中,使用远程医疗来获得心理健康提供者的机会
Qiuyuan Qin1, Aaron Bloschichak1, Helena Temkin-Greener1
1Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.
Journal of the American Medical Directors Association
|February 3, 2026
概括
远程医疗可以改善弱势群体的心理健康 (MH) 护理机会. 黑人,双重资格和农村居民更有可能使用与新供应商的远程MH访问.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 心理健康护理 获取 获取
背景情况:
- 在COVID-19大流行期间,远程心理健康 (tele-MH) 服务扩展.
- 了解远程医疗采用的差异对于公平的护理至关重要.
- 之前的研究表明,基于种族,社会经济地位和地理位置,医疗保健获得的差异很大.
研究的目的:
- 调查是否与新提供者的远程心理健康 (tele-MH) 访问因种族,种族,医疗保险-医疗补助双重资格和农村地区而有所不同.
- 确定在患有阿尔茨海默病和相关痴呆症的医疗保险受益人中使用远程医疗保健服务的潜在差异.
主要方法:
- 使用2019年和2021年医疗保险索赔数据进行了回顾性研究.
- 包括社区居住的Medicare服务费受益者,患有阿尔茨海默病和相关痴呆症.
- 后勤回归模型分析了与新供应商进行远程医疗访问的可能性,控制个人和社区特征.
主要成果:
- 在99,329名参与者中,53.6%在2021年与新提供商进行了远程医疗保健.
- 黑人个人 (OR,1.158),医疗保险和医疗补助双重资格者 (OR,1.066) 和农村居民 (OR,1.215) 使用远程医疗保健访问新供应商的可能性明显更高.
- 考虑到个人和社区层面的因素,这些关联仍然存在.
结论:
- 远程医疗,特别是远程医疗,可以增强弱势群体获得心理健康护理的机会.
- 通过远程医疗服务 (tele-MH) 促进与新的心理健康提供者的联系,可以帮助弥补接入差距.
- 调查结果表明,远程MH可以成为改善心理健康服务提供健康公平的有价值工具.
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