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重新连接患者:为什么远程医疗政策解决方案必须考虑日益加深的数字鸿沟。

Reconnecting the Patient: Why Telehealth Policy Solutions Must Consider the Deepening Digital Divide.

机构信息

Cleveland State University College of Law.

出版信息

J Law Health. 2022;36(1):1-33.

Abstract

This Article attempts to untangle the complicated web of providing telehealth to those populations it is potentially capable of further alienating from access to healthcare including: 1) race/minority populations, 2) aging adults, 3) individuals with disabilities, 4) non-English speakers, 5) individuals living in rural areas, 6) socioeconomic class, and 7) children, in order to advance the argument that telehealth can be successful in providing healthcare access to these populations. Rather than suggesting that telehealth simply "cannot work" for these populations, instead this Article considers how telehealth can and must meet the needs of these individuals through technology, access, and policy developments. First, this Article explains how telehealth is defined and how the definition has and can continue to influence policy development. Next, this Article explores the issues surrounding the "digital divide" and how this relates to telehealth use. Then this Article discusses how access to technology impacts particular populations. This Article then considers legislation and policy developments both at the federal and state level that have emerged thus far that could help overcome challenges of accessibility, affordability, and usability. Finally, this Article offers policy recommendations for ensuring that the delivery of telehealth can be accessible to those populations with potentially less access to technology to ensure telehealth's successful availability and use for these populations can continue beyond Covid-19.

摘要

本文试图理清向那些可能因无法获得医疗保健而进一步被疏远的人群提供远程医疗的复杂问题,包括:1)种族/少数民族人口,2)老年人,3)残疾人士,4)非英语使用者,5)居住在农村地区的个人,6)社会经济阶层,以及 7)儿童,以论证远程医疗可以成功地为这些人群提供医疗保健。本文不是主张远程医疗对这些人群“根本无法奏效”,而是考虑远程医疗如何以及必须通过技术、访问和政策发展来满足这些个人的需求。首先,本文解释了远程医疗的定义,以及该定义如何影响政策的制定,并将继续影响政策的制定。接下来,本文探讨了围绕“数字鸿沟”的问题,以及这与远程医疗的使用有何关系。然后,本文讨论了技术访问如何影响特定人群。本文接着讨论了迄今为止在联邦和州两级出现的立法和政策发展,这些发展可能有助于克服可及性、负担能力和可用性方面的挑战。最后,本文提出了一些政策建议,以确保那些技术获取渠道较少的人群能够获得远程医疗服务,从而确保远程医疗在新冠疫情之后能够继续为这些人群提供便利和使用。

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