美国初级保健远程医疗就诊及其与医疗服务提供者关于结直肠癌筛查讨论的关联
Primary Care Telehealth Visits and Its Association with Provider Discussion on Colorectal Cancer Screening in the United States.
作者信息
Atarere Joseph, Chido-Amajuoyi Onyema, Mensah Boniface, Onyeaka Henry, Adewunmi Comfort, Umoren Mfoniso, Mele Ange Ahoussougbemey, Kanth Priyanka
机构信息
Department of Medicine, MedStar Health, Baltimore, Maryland, USA.
Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
出版信息
Telemed J E Health. 2024 May;30(5):1325-1329. doi: 10.1089/tmj.2023.0605. Epub 2024 Jan 24.
Background:Provider discussions about colorectal cancer (CRC) screening are the single most important predictor for CRC screening uptake.
Methods:Using cross-sectional data from the 2022 Health Information National Trends Survey, we evaluated the relationship between telehealth use and provider discussion about CRC screening with a multivariable logistic regression model.
Results:Of adults aged 45-75 years, 20.3% used telehealth services in the past year of which 69.5% had discussed CRC screening with their providers. There was no difference in provider discussion about CRC screening between telehealth users and nonusers (OR 1.26; 95% confidence interval 0.83-1.90).
Conclusion:Telehealth is an important adjunct in health care delivery, enhancing patient-provider discussions about CRC screening.
背景
医疗服务提供者关于结直肠癌（CRC）筛查的讨论是结直肠癌筛查接受情况的唯一最重要预测因素。
方法
利用2022年全国健康信息趋势调查的横断面数据，我们使用多变量逻辑回归模型评估了远程医疗使用与医疗服务提供者关于结直肠癌筛查讨论之间的关系。
结果
在45-75岁的成年人中，20.3%在过去一年中使用了远程医疗服务，其中69.5%与他们的医疗服务提供者讨论过结直肠癌筛查。远程医疗使用者和非使用者之间在医疗服务提供者关于结直肠癌筛查的讨论方面没有差异（比值比1.26；95%置信区间0.83-1.90）。
结论
远程医疗是医疗保健服务中的一项重要辅助手段，可加强医患之间关于结直肠癌筛查的讨论。
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