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错过 COVID-19 期间的预约:远程医疗对有药物滥用障碍的无家可归者的影响。

Missed appointments during COVID-19: The impact of telehealth for persons experiencing homelessness with substance use disorders.

机构信息

Denver Health and Hospital Authority, Denver, CO, USA; Public Health Institute at Denver Health, Denver, CO, USA.

Denver Health and Hospital Authority, Denver, CO, USA; Public Health Institute at Denver Health, Denver, CO, USA; University of Colorado Anschutz, Aurora, CO, USA.

出版信息

Asian J Psychiatr. 2022 Mar;69:102987. doi: 10.1016/j.ajp.2021.102987. Epub 2021 Dec 25.

DOI:10.1016/j.ajp.2021.102987
PMID:34979474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9761744/
Abstract

We examined the impact of telehealth on appointment retention among individuals with substance use disorder (SUD) by housing status. We evaluated appointment status using multivariate logistic regression with primary predictor variables of visit modality, patient's housing status and interaction between these two variables. Between March 1 and September 30, 2020, there were 18,206 encounters among 1,626 clients with SUD. For telehealth encounters, the probability of an appointment no-show was significantly higher for persons experiencing homelessness compared to stably housed (37% versus 25%, p < 0.001). Housing status influences the effectiveness of telehealth as a modality of healthcare delivery for individuals with SUD.

摘要

我们研究了基于住房状况的远程医疗对物质使用障碍(SUD)患者预约保留的影响。我们使用多元逻辑回归评估了预约情况,主要预测变量为就诊方式、患者的住房状况以及这两个变量之间的交互作用。2020 年 3 月 1 日至 9 月 30 日期间,1626 名 SUD 患者共进行了 18206 次就诊。对于远程医疗就诊,与稳定住房者相比,无家可归者的预约不出现率显著更高(37%比 25%,p<0.001)。住房状况影响远程医疗作为 SUD 患者医疗服务提供方式的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b74/9761744/e2b97bf4b3d4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b74/9761744/e2b97bf4b3d4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b74/9761744/e2b97bf4b3d4/gr1_lrg.jpg

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