Greenup Edwin Phillip, Best Daniel
Clinical Excellence Queensland, Queensland Health, Brisbane, Australia.
Public Health Pract (Oxf). 2024 Aug 23;8:100542. doi: 10.1016/j.puhip.2024.100542. eCollection 2024 Dec.
Telehealth and patient travel cost subsidisation are two strategies used to reduce the effects of healthcare access inequity. Despite this shared goal, these programs are usually run independently, and their effects are infrequently compared in evaluation. Understanding how these programs are used helps ensure services are delivered efficiently.
Counts of telehealth outpatient service events (TH) (n = 250171) and patient travel subsidy scheme claims (PTSS) (n = 270933) for the 2022-23 financial year were captured. Comparisons of PTSS and TH activity were made by postcode, rurality (The Accessibility/Remoteness Index of Australia (ARIA)) and health jurisdiction (Hospital and Health Service (HHS)).
Correlation analysis conducted on PTSS and TH activity revealed a statistically significant, moderate positive correlation (r = 0.449, p < 0.01). TH (coefficient = 0.650, p < 0.001) and rurality (coefficient = 26.208, p = 0.686) also retained their significance.
This study established that increases in TH activity is correlated with increases in PTSS, with both programs reporting greater activity as rurality increases.
远程医疗和患者差旅费补贴是用于减少医疗服务可及性不平等影响的两种策略。尽管有这一共同目标，但这些项目通常是独立运行的，而且在评估中很少比较它们的效果。了解这些项目的使用方式有助于确保服务的高效提供。
记录了2022 - 2023财政年度的远程医疗门诊服务事件（TH）（n = 250171）和患者差旅费补贴计划申请（PTSS）（n = 270933）的数量。按邮政编码、农村地区（澳大利亚可及性/偏远指数（ARIA））和卫生辖区（医院及卫生服务机构（HHS））对PTSS和TH活动进行了比较。
对PTSS和TH活动进行的相关性分析显示，存在统计学上显著的中度正相关（r = 0.449，p < 0.01）。TH（系数 = 0.650，p < 0.001）和农村地区（系数 = 26.208，p = 0.686）也保持了其显著性。
本研究表明，TH活动的增加与PTSS的增加相关，随着农村地区增加，两个项目的活动都有所增加。
