Gustavson Allison M, Lewinski Allison A, Fitzsimmons-Craft Ellen E, Coronado Gloria D, Linke Sarah E, O'Malley Denalee M, Adams Alyce S, Glasgow Russell E, Klesges Lisa M
Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, United States.
Department of Medicine, University of Minnesota, Minneapolis, MN, United States.
Interact J Med Res. 2023 May 15;12:e40358. doi: 10.2196/40358.
During the COVID-19 pandemic, the rapid scaling of telehealth limited the extent to which proactive planning for equitable implementation was possible. The deployment of telehealth will persist in the postpandemic era, given patient preferences, advances in technologies, growing acceptance of telehealth, and the potential to overcome barriers to serve populations with limited access to high-quality in-person care. However, aspects and unintended consequences of telehealth may leave some groups underserved or unserved, and corrective implementation plans that address equitable access will be needed. The purposes of this paper are to (1) describe equitable implementation in telehealth and (2) integrate an equity lens into actionable equitable implementation.
在新冠疫情期间，远程医疗的迅速扩展限制了进行公平实施的前瞻性规划的可能性。鉴于患者的偏好、技术进步、对远程医疗的接受度不断提高以及克服障碍为获得高质量面对面护理机会有限的人群提供服务的潜力，远程医疗的部署将在后疫情时代持续存在。然而，远程医疗的一些方面和意外后果可能会使一些群体得不到充分服务或根本得不到服务，因此需要制定解决公平获取问题的纠正实施计划。本文的目的是：（1）描述远程医疗中的公平实施；（2）将公平视角纳入可操作的公平实施中。
