COVID-19 大流行期间单家学术医疗中心按年龄和种族划分的远程医疗使用情况：回顾性队列研究。
Telehealth Use by Age and Race at a Single Academic Medical Center During the COVID-19 Pandemic: Retrospective Cohort Study.
机构信息
Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, United States.
Harvard Medical Faculty Physicians, Beth Israel Deaconess Medical Center, Boston, MA, United States.
出版信息
J Med Internet Res. 2021 May 20;23(5):e23905. doi: 10.2196/23905.
BACKGROUND
During the COVID-19 pandemic, many ambulatory clinics transitioned to telehealth, but it remains unknown how this may have exacerbated inequitable access to care.
OBJECTIVE
Given the potential barriers faced by different populations, we investigated whether telehealth use is consistent and equitable across age, race, and gender.
METHODS
Our retrospective cohort study of outpatient visits was conducted between March 2 and June 10, 2020, compared with the same time period in 2019, at a single academic health center in Boston, Massachusetts. Visits were divided into in-person visits and telehealth visits and then compared by racial designation, gender, and age.
RESULTS
At our academic medical center, using a retrospective cohort analysis of ambulatory care delivered between March 2 and June 10, 2020, we found that over half (57.6%) of all visits were telehealth visits, and both Black and White patients accessed telehealth more than Asian patients.
CONCLUSIONS
Our findings indicate that the rapid implementation of telehealth does not follow prior patterns of health care disparities.
背景
在 COVID-19 大流行期间，许多门诊诊所转向了远程医疗，但仍不清楚这是否加剧了医疗服务获取的不平等。
目的
鉴于不同人群可能面临的障碍，我们研究了远程医疗的使用在年龄、种族和性别方面是否一致和公平。
方法
我们的回顾性队列研究于 2020 年 3 月 2 日至 6 月 10 日在马萨诸塞州波士顿的一家学术医疗中心进行，与 2019 年同期进行的研究相比，该研究比较了门诊就诊。就诊分为面对面就诊和远程医疗就诊，然后按种族、性别和年龄进行比较。
结果
在我们的学术医疗中心，通过对 2020 年 3 月 2 日至 6 月 10 日期间提供的门诊护理进行回顾性队列分析，我们发现超过一半（57.6%）的就诊是远程医疗就诊，黑人和白人患者比亚裔患者更多地使用远程医疗。
结论
我们的研究结果表明，远程医疗的快速实施并没有遵循之前医疗保健差异的模式。
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