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虚拟医疗中的电话、视频、公平性与可及性

Telephone, video, equity and access in virtual care.

作者信息

Thomas-Jacques Tyla, Jamieson Trevor, Shaw James

机构信息

Institute for Health System Solutions and Virtual Care, Women's College Hospital, University of Toronto, Toronto, Canada.

Department of Medicine, Unity Health Toronto, Toronto, Canada.

出版信息

NPJ Digit Med. 2021 Nov 18;4(1):159. doi: 10.1038/s41746-021-00528-y.

Abstract

Current public health measures catalyzed a large shift to virtual care, resulting in a great uptake in telephone and video-enabled care. While pre-pandemic public healthcare funding rarely covered the telephone as a reimbursable care delivery model, it has proven a crucial offering for many populations. As the new standard of virtual service delivery is being solidified, simple technological solutions that provide access to care must continue to be supported. This paper explores an important consequence of relying on complex technologies as the new standard of virtual care: the risk of exacerbating health disparities by enabling a deeper digital divide for marginalized populations.

摘要

当前的公共卫生措施促使医疗服务大幅转向虚拟医疗,使得电话和视频医疗服务的使用量大幅增加。在疫情之前,公共医疗保健资金很少将电话作为可报销的医疗服务模式,但事实证明,这对许多人群来说是一项至关重要的服务。随着虚拟服务提供的新标准逐渐确立,必须继续支持那些能够提供医疗服务的简单技术解决方案。本文探讨了将复杂技术作为虚拟医疗新标准所带来的一个重要后果:即通过加剧边缘化人群的数字鸿沟,从而加剧健康差距的风险。

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本文引用的文献

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Outpatient Virtual Visits and the "Right" Amount of Telehealth Going Forward.门诊虚拟就诊与未来远程医疗的“恰当”规模
Telemed J E Health. 2021 Dec;27(12):1372-1378. doi: 10.1089/tmj.2020.0468. Epub 2021 Mar 31.
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Paying for Telemedicine After the Pandemic.疫情后的远程医疗付费
JAMA. 2021 Feb 2;325(5):431-432. doi: 10.1001/jama.2020.25706.
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Telemedicine, COVID-19, and disparities: Policy implications.远程医疗、新冠疫情与差距:政策影响
Health Policy Technol. 2020 Sep;9(3):368-371. doi: 10.1016/j.hlpt.2020.08.001. Epub 2020 Aug 15.

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