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探讨远程医疗在 COVID-19 期间为弱势患者群体提供公平医疗保健方面的作用。

Exploring the role of telehealth in providing equitable healthcare to the vulnerable patient population during COVID-19.

机构信息

HonorHealth, Internal Medicine.

Clinical Assistant Professor, University of Arizona-Phoenix.

出版信息

J Telemed Telecare. 2024 Jul;30(6):1047-1050. doi: 10.1177/1357633X221113711. Epub 2022 Jul 14.

Abstract

The COVID 19 pandemic resulted in widespread telehealth implementation. Existent health disparities were widened, with under-represented minorities (URM) disproportionately affected by COVID. In this study, we assess the role of telehealth in improving access to care in the URMs and vulnerable populations. We noted a statistically significant increase in the number of visits in Hispanic or Latino patients (15.2% increase,  < 0.01) and Black patients (19% increase,  < 0.01). Based on payer type, there was a statistically significant increase in the number of visits in the Medicare (10.2%, p = 0.0001) and Medicaid (16.2%,  < 0.01) groups. We also noted increased access to care with telehealth in patients who were 65 and older (10.6%, p = 0.004). This highlights the importance of telehealth in increasing access to care and promoting health equity in the URM and vulnerable patient populations.

摘要

COVID-19 大流行导致远程医疗广泛实施。现有的健康差距扩大了,代表性不足的少数族裔(URM) disproportionately 受到 COVID 的影响。在这项研究中,我们评估了远程医疗在改善 URM 和弱势群体获得医疗服务方面的作用。我们注意到西班牙裔或拉丁裔患者(增加 15.2%,  < 0.01)和黑人患者(增加 19%,  < 0.01)就诊人数的统计学显著增加。根据付款人类型,医疗保险(增加 10.2%,p = 0.0001)和医疗补助(增加 16.2%,  < 0.01)群体的就诊人数也有统计学显著增加。我们还注意到,65 岁及以上患者通过远程医疗获得医疗服务的机会增加(增加 10.6%,p = 0.004)。这突出表明远程医疗在增加 URM 和弱势患者群体获得医疗服务和促进健康公平方面的重要性。

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