新冠疫情期间受伤工人使用远程医疗的趋势和差异。
Trends and Disparities in the Use of Telehealth Among Injured Workers During the COVID-19 Pandemic.
机构信息
Department of Epidemiology, University of Washington, Seattle, Washington (Le), Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington (Fulton-Kehoe, Sears, Franklin), Department of Health Systems and Population Health, University of Washington, Seattle, Washington (Sears), Harborview Injury Prevention and Research Center, Seattle, Washington (Sears), Institute for Work and Health, Toronto, Ontario, Canada (Sears), Department of Medicine, University of Washington School of Medicine, Seattle, Washington (Nkyekyer), Department of Rehabilitation Medicine, University of Washington, Seattle, Washington (Ehde), Washington State Department of Labor and Industries, Tumwater, Washington (Young, Franklin), Department of Neurology, University of Washington, Seattle, Washington (Franklin).
出版信息
J Occup Environ Med. 2022 Apr 1;64(4):e249-e256. doi: 10.1097/JOM.0000000000002520. Epub 2022 Feb 22.
OBJECTIVE
To describe telehealth trends within a population-based workers' compensation system during the COVID-19 pandemic, and to assess telehealth utilization by sociodemographic characteristics.
METHODS
This cross-sectional study used Washington State workers' compensation claims and medical billing data from January 2019 to October 2020.
RESULTS
Telehealth use averaged 1.2% of medical bills pre-pandemic, peaked in April 2020 at 8.8%, and leveled off to around 3.6% from July to October 2020. Telehealth utilization differed significantly by age, sex, number of dependents, injury, industry, and receipt of interpreter services. Workers residing in counties with higher population, lower poverty rates, and greater Internet access had higher telehealth usage.
CONCLUSIONS
There were dramatic shifts in telehealth; usage differed by sociodemographic characteristics. Further studies evaluating disparities in tele-health access among injured workers are needed.
目的
描述 COVID-19 大流行期间基于人群的工人赔偿系统中的远程医疗趋势，并评估按社会人口特征划分的远程医疗使用情况。
方法
本横断面研究使用了华盛顿州工人赔偿索赔和医疗计费数据，时间范围为 2019 年 1 月至 2020 年 10 月。
结果
远程医疗的使用率在大流行前平均占医疗账单的 1.2%，2020 年 4 月达到峰值 8.8%，并在 2020 年 7 月至 10 月期间稳定在 3.6%左右。远程医疗的使用情况在年龄、性别、受抚养人数、受伤情况、行业以及是否使用口译服务等方面存在显著差异。居住在人口较多、贫困率较低、互联网接入程度较高的县的工人，远程医疗的使用率更高。
结论
远程医疗出现了显著转变；使用情况因社会人口特征而异。需要进一步研究评估受伤工人在远程医疗方面的差异。
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