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美国性传播感染提供者 2021 年远程医疗使用情况描述。

A Description of Telehealth Use Among Sexually Transmitted Infection Providers in the United States, 2021.

机构信息

From the Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

出版信息

Sex Transm Dis. 2023 Aug 1;50(8):518-522. doi: 10.1097/OLQ.0000000000001826. Epub 2023 May 3.

Abstract

BACKGROUND

Telehealth offers one approach to improving access to sexually transmitted infection (STI) prevention and care services. Therefore, we described recent telehealth use among those providing STI-related care and identified opportunities for improving STI service delivery.

MATERIALS AND METHODS

Using the DocStyles Web-based, panel survey conducted by Porter Novelli from September 14 to November 10, 2021, 1500 healthcare providers were asked about their current telehealth usage, demographics, and practice characteristics, and compared STI providers (≥10% of time spent on STI care and prevention) to non-STI providers.

RESULTS

Among those whose practice consisted of at least 10% STI visits (n = 597), 81.7% used telehealth compared with 75.7% for those whose practice consisted of less than 10% STI visits (n = 903). Among the providers with at least 10% STI visits in their practice, telehealth use was highest among obstetrics and gynecology specialists, those practicing in suburban areas, and those practicing in the South. Among providers whose practice consisted of at least 10% STI visits and who used telehealth (n = 488), the majority were female and obstetrics and gynecology specialists practicing in suburban areas of the South. After controlling for age, gender, provider specialty, and geographic location of their practice, providers whose practice consisted of at least 10% STI visits had increased odds (odds ratio, 1.51; 95% confidence interval, 1.16-1.97) of using telehealth compared with providers whose visits consisted of less than 10% STI visits.

CONCLUSIONS

Given the widespread use of telehealth, efforts to optimize delivery of STI care and prevention via telehealth are important to improve access to services and address STIs in the United States.

摘要

背景

远程医疗提供了一种改善性传播感染(STI)预防和护理服务可及性的方法。因此,我们描述了最近提供 STI 相关护理的人员对远程医疗的使用情况,并确定了改善 STI 服务提供的机会。

材料和方法

使用 DocStyles 基于网络的、由 Porter Novelli 于 2021 年 9 月 14 日至 11 月 10 日进行的小组调查,询问了 1500 名医疗保健提供者当前的远程医疗使用情况、人口统计学和实践特征,并将 STI 提供者(≥10%的时间用于 STI 护理和预防)与非 STI 提供者进行了比较。

结果

在实践中至少有 10%的就诊是 STI 的参与者中(n=597),81.7%使用了远程医疗,而实践中 STI 就诊少于 10%的参与者中(n=903),这一比例为 75.7%。在实践中至少有 10%的 STI 就诊的提供者中,远程医疗的使用率最高的是妇产科专家,其次是在郊区行医的人,以及在南部行医的人。在实践中至少有 10%的 STI 就诊且使用远程医疗的提供者中(n=488),大多数是女性,以及在南部郊区行医的妇产科专家。在控制了年龄、性别、提供者专业和实践地点等因素后,实践中至少有 10%的 STI 就诊的提供者使用远程医疗的可能性是实践中 STI 就诊少于 10%的提供者的 1.51 倍(优势比,1.51;95%置信区间,1.16-1.97)。

结论

鉴于远程医疗的广泛使用,努力通过远程医疗优化 STI 护理和预防的提供对于改善服务的可及性和解决美国的 STI 问题非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d972/10524588/10f59493604e/nihms-1896430-f0001.jpg

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