在远程医疗和亲自护理后的插件费用和后续访问.
Bingyu Zhang1,2, Lu Li1,2, Yiwen Lu1,2
1Center for Health AI and Synthesis of Evidence (CHASE), University of Pennsylvania, Philadelphia.
JAMA network open
|February 9, 2026
概括
远程医疗访问显著降低了医疗保健成本和跟踪预约的数量,而不是面对面的访问. 这项研究发现,远程医疗对于许多常见疾病来说是一个具有成本效益的替代方案.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 相对有效性研究研究比较
- 卫生经济学 卫生经济学
背景情况:
- 在COVID-19大流行期间,远程医疗的使用激增,成为标准的医疗保健提供方法.
- 远程医疗对卫生系统报销和利用的财务影响在很大程度上仍未得到量化.
研究的目的:
- 为了比较远程医疗和面对面的指数访问之间的30天病例费用和随后的访问频率.
- 评估远程医疗在现实世界的学术卫生系统环境中的财务影响和利用模式.
主要方法:
- 一个目标试验仿真研究,使用从1月1日至2024年4月30日的门诊访问数据.
- 倾向性得分匹配用于调整人口统计,临床,社会经济和上下文因素.
- 分析的重点是10个大量的临床条件,通常通过远程医疗来管理.
主要成果:
- 远程医疗接触的平均30天病例费用 (96.60美元) 与面对面接触 (509.21美元) 相比显著降低.
- 远程医疗访问与每次30天的随访次数减少23%有关.
- 对于精神和行为障碍,远程医疗和特定疾病的面对面访问之间,情节费用是可比的.
结论:
- 远程医疗提供了一个较低成本的替代品,在不增加后续访问的必要性在人身护理.
- 这些发现支持将远程医疗整合为医疗保健提供的一种经济可行和高效的组成部分.
- 进一步的研究可能会探索各种临床环境中的长期成本效益和患者报告的结果.
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