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阿肯色州居民的社会人口学因素与远程患者监测兴趣之间的关联

Associations Between Sociodemographic Factors and Interest in Remote Patient Monitoring Among Arkansas Residents.

作者信息

Andersen Jennifer A, Bogulski Cari A, Eswaran Surabhee, Willis Don E, Acharya Mahip, Li Ji, Marciniak Byron, Edem Dinesh, Selig James P, McElfish Pearl A

机构信息

College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, Arkansas, USA.

College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

出版信息

Telemed J E Health. 2025 Jan;31(1):66-74. doi: 10.1089/tmj.2023.0557. Epub 2024 Aug 23.

Abstract

Remote patient monitoring (RPM) has the power to transform health care delivery, as it allows for the digital transmission of individual health data to health care professionals, providing the most up-to-date information to be able to make medical decisions. Although RPM use has grown exponentially during the pandemic, there is limited information on the association between sociodemographic characteristics and interest in RPM use in underserved areas of the United States after the onset of the pandemic. We conducted a survey via random digit dialing of 2201 adults living in Arkansas in March of 2022. Weighted estimates were generated using rank ratio estimation to approximate the 2019 American Community Survey 1-year Arkansas estimates for race/ethnicity, age, and gender. We fit a partial proportional odds model using weighted generalized ordered logistic regression to examine adjusted odds ratios (ORs) for interest in RPM. Predictors included sociodemographic characteristics, nativity, health care access, and self-rated health. Results indicate respondents who were age 60 or older had lower odds of interest in RPM than those between the ages 18-39 (OR = 0.61). Hispanic adults had lower odds of reporting interest in RPM (OR = 0.68), and non-Hispanic adults of other races/ethnicities had lower odds of reporting any interest at all (OR = 0.67) or interest greater than a little (OR = 0.67) in RPM compared with non-Hispanic White respondents. However, respondents who had previously used telehealth had greater odds of reporting higher levels of interest in RPM than those who had not previously used it (OR = 1.93). Interest in RPM use is associated with several sociodemographic factors. Future work is needed to understand and address RPM reluctance and to increase interest in RPM among marginalized and underserved populations who may need these services.

摘要

远程患者监测(RPM)有能力改变医疗保健服务的提供方式,因为它允许将个人健康数据数字传输给医疗保健专业人员,提供最新信息以便做出医疗决策。尽管在疫情期间RPM的使用呈指数级增长,但关于疫情爆发后美国服务不足地区社会人口特征与RPM使用兴趣之间的关联信息有限。我们于2022年3月通过随机数字拨号对居住在阿肯色州的2201名成年人进行了一项调查。使用秩比估计生成加权估计值,以近似2019年美国社区调查中阿肯色州1年的种族/族裔、年龄和性别的估计值。我们使用加权广义有序逻辑回归拟合了一个部分比例优势模型,以检验对RPM兴趣的调整优势比(OR)。预测因素包括社会人口特征、出生地、医疗保健可及性和自我评估健康状况。结果表明,60岁及以上的受访者对RPM感兴趣的几率低于18 - 39岁的受访者(OR = 0.61)。西班牙裔成年人对RPM表示感兴趣的几率较低(OR = 0.68),与非西班牙裔白人受访者相比,其他种族/族裔的非西班牙裔成年人对RPM表示任何兴趣(OR = 0.67)或兴趣大于一点(OR = 0.67)的几率较低。然而,与之前未使用过远程医疗的受访者相比,之前使用过远程医疗的受访者对RPM表示更高水平兴趣的几率更大(OR = 1.93)。对RPM使用的兴趣与几个社会人口因素相关。未来需要开展工作,以了解和解决对RPM的抵触情绪,并提高可能需要这些服务的边缘化和服务不足人群对RPM的兴趣。

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