Pediatr Ann. 2022 Aug;51(8):e311-e315. doi: 10.3928/19382359-20220606-04. Epub 2022 Aug 1.
Social determinants of health contribute to inequalities in access to care and inferior outcomes in pediatric populations. Before the coronavirus disease 2019 (COVID-19) pandemic, telemedicine was shown to be an effective tool to bridge the gap between health care providers and rural or underserved populations. The pandemic has rapidly changed the current landscape of health care. Telemedicine has played a critical role in health care delivery between providers and patients because of the need for social distancing. That being said, it has become apparent that SDOH have affected access to telemedicine for communities that already suffer from inequities in health care access. Solutions directed toward addressing issues such as lack of broadband access, digital literacy and language barriers, and obstacles within the health care system are crucial to ensure telemedicine access is equitable for all patients and does not contribute toward worsening health care disparities. .
健康的社会决定因素导致儿科人群在获得医疗服务方面存在不平等,治疗结果也较差。在 2019 冠状病毒病(COVID-19)大流行之前,远程医疗已被证明是弥合医疗服务提供者与农村或服务不足人群之间差距的有效工具。大流行迅速改变了当前的医疗保健格局。由于需要保持社交距离,远程医疗在提供者和患者之间的医疗服务中发挥了关键作用。话虽如此,但显然已经明显的是,对于那些已经在医疗保健获取方面存在不平等的社区来说,社会决定因素已经影响了他们对远程医疗的获取。解决宽带接入不足、数字素养和语言障碍以及医疗保健系统内障碍等问题的方案对于确保远程医疗对所有患者都是公平的,并防止医疗保健差距进一步扩大至关重要。