Carol K. Kane (
Kurt Gillis is a principal economist in the Division of Economic and Health Policy Research at the American Medical Association.
Health Aff (Millwood). 2018 Dec;37(12):1923-1930. doi: 10.1377/hlthaff.2018.05077.
Using data from the American Medical Association's 2016 Physician Practice Benchmark Survey, we provide the first nationally representative estimates of physicians' use of telemedicine. In 2016, 15.4 percent of physicians worked in practices that used telemedicine for a wide spectrum of patient interactions, including e-visits as well as diagnoses made by radiologists who used telemedicine to store and forward data. In the same year, 11.2 percent of physicians worked in practices that used telemedicine for interactions between physicians and health care professionals. We found that in addition to specialty, larger practice size was an important correlate of telemedicine use. This suggests that despite regulatory and legislative changes to encourage the use of telemedicine, the financial burden of implementing it may be a continuing barrier for small practices.
利用美国医学协会 2016 年医师实践基准调查的数据,我们首次提供了全美范围内医生使用远程医疗的代表性数据。2016 年,15.4%的医生在使用远程医疗的实践中工作,这些实践涵盖了广泛的患者交互,包括电子就诊以及放射科医生通过远程医疗存储和转发数据进行诊断。同年,11.2%的医生在使用远程医疗进行医生和医疗保健专业人员之间互动的实践中工作。我们发现,除了专业之外,更大的实践规模也是远程医疗使用的一个重要相关因素。这表明,尽管监管和立法改革鼓励使用远程医疗,但实施远程医疗的财务负担可能仍是小诊所的持续障碍。