Department of Medicine, University of Virginia, Charlottesville, VA, USA.
Department of Pediatrics, University of Virginia, Center for Telehealth, Charlottesville, VA, USA.
Clin Chest Med. 2023 Sep;44(3):651-660. doi: 10.1016/j.ccm.2023.03.017. Epub 2023 May 9.
Expansion of telehealth services has the potential to attenuate health inequities in pulmonary medicine, by improving access to care and health outcomes in patients with lung disease. These telehealth services include remote patient monitoring, synchronous telemedicine, and remote pulmonary rehabilitation. Currently, patients who are White, well-educated, wealthy, and from urban areas are the most likely to benefit from telehealth services. Without clear policy decisions and planning to overcome the "Digital Divide," telehealth services will only exacerbate existing disparities within the pulmonary disease. We describe the benefits and limitations of these new technologies and their impact on improving equity in pulmonary medicine.
远程医疗服务的扩展有可能通过改善肺病患者的医疗服务可及性和健康结果来减轻肺病领域的健康不公平现象。这些远程医疗服务包括远程患者监测、同步远程医疗和远程肺康复。目前，白人、受过良好教育、富有和来自城市地区的患者最有可能受益于远程医疗服务。如果没有明确的政策决策和规划来克服“数字鸿沟”，远程医疗服务只会加剧肺病领域现有的差距。我们描述了这些新技术的好处和局限性，以及它们对改善肺病领域公平性的影响。
