Ghosh Arkadipta, Jacobs Ethan, Greener Elizabeth, Evans Alyssa, Lee Mark, Wang Rui, Mink Pamela, Burian Michael
Health Unit, Mathematica, Princeton, NJ 08540, United States.
Health Unit, Mathematica, Cambridge, MA 02139, United States.
Health Aff Sch. 2024 Aug 16;2(8):qxae100. doi: 10.1093/haschl/qxae100. eCollection 2024 Aug.
During the COVID-19 pandemic, the federal government and many state governments instituted expanded coverage for telehealth (TH) services and since have maintained it. Using data from the Minnesota All Payer Claims Database and publicly available data sources, we examined TH use among commercially insured and Medicare Advantage (MA) patients in Minnesota. In 2022, 30.4% of commercially insured patients and 24.4% of MA patients used TH services. Living in a metropolitan area, an area with a high proportion of Black, Indigenous, and People of Color residents, having greater disease burden, and being younger were associated with a greater likelihood of using TH. Living in an area with limited broadband access reduced the likelihood of TH use. Two patient subgroups more likely to use TH-younger patients in metropolitan areas and high-risk patients with depression-received a similar proportion of ambulatory visits via TH.
在新冠疫情期间，联邦政府和许多州政府扩大了对远程医疗（TH）服务的覆盖范围，此后一直维持这一政策。利用明尼苏达州全支付方索赔数据库的数据和公开数据源，我们研究了明尼苏达州商业保险患者和医疗保险优势（MA）患者对远程医疗的使用情况。2022年，30.4%的商业保险患者和24.4%的MA患者使用了远程医疗服务。居住在大都市地区、黑人、原住民和有色人种居民比例较高的地区、疾病负担较重以及年龄较轻与使用远程医疗的可能性较大相关。生活在宽带接入有限的地区会降低使用远程医疗的可能性。两个更有可能使用远程医疗的患者亚组——大都市地区的年轻患者和患有抑郁症的高危患者——通过远程医疗进行的门诊就诊比例相似。
