Health Services Research Management and Policy, University of Florida, Gainesville, Florida, USA
University of North Florida Brooks College of Health, Jacksonville, Florida, USA.
BMJ Open. 2024 Nov 3;14(10):e086418. doi: 10.1136/bmjopen-2024-086418.
To characterise telehealth use, reasons for using or not using telehealth and the factors associated with telehealth use among US adults with diabetes.
A cross-sectional study.
Data were sourced from the 2022 Health Information National Trends Survey.
US adults aged 18 years or older with self-reported diagnosis of diabetes (both type 1 and type 2).
Past 12-month utilisation of telehealth services, modality (eg, video, voice only), overall perception of quality of care, perceived trust in healthcare system and patient-centred communication score.
In an analysis of 1116 US adults with diabetes, representing 33.6 million individuals, 48.1% reported telehealth use in the past year. Telehealth users were likely to be younger, women, with higher income, and urban dwellers. Older adults (≥65 years) were less likely to use telehealth compared with those aged 18-49 years (OR 0.43, 95% CI 0.20 to 0.90). Higher income and more frequent healthcare visits were predictors of telehealth usage, with no significant differences across race, education or location. Across respondents with telehealth usage, 39.3% reported having video-only, 35.0% having phone (voice)-only and 25.7% having both modalities. The main motivations included provider recommendation, convenience, COVID-19 avoidance and guidance on in-person care needs. Non-users cited preferences for in-person visits, privacy concerns and technology challenges. Patient-reported quality-of-care outcomes were comparable between telehealth users and non-users, with no significant differences observed by telehealth modality or area of residence (metro status).
Around half of US adults with diabetes used telehealth services in the past year. Patient-reported care quality was similar for telehealth and in-person visits. However, further efforts are needed to address key barriers to telehealth adoption, including privacy concern, technology difficulties, and care coordination issues.
描述美国成年糖尿病患者的远程医疗使用情况、使用或不使用远程医疗的原因以及与远程医疗使用相关的因素。
一项横断面研究。
数据来自 2022 年健康信息国家趋势调查。
年龄在 18 岁及以上、自我报告患有糖尿病（1 型和 2 型）的美国成年人。
过去 12 个月使用远程医疗服务的情况、模式（例如，视频、仅语音）、整体护理质量感知、对医疗保健系统的信任度和以患者为中心的沟通评分。
在对 1116 名美国成年糖尿病患者（代表 3360 万人）的分析中，48.1%的人在过去一年中使用过远程医疗。远程医疗用户更年轻、女性、收入更高、居住在城市。与 18-49 岁的人相比，年龄较大（≥65 岁）的人不太可能使用远程医疗（OR 0.43，95%CI 0.20 至 0.90）。较高的收入和更频繁的医疗保健就诊是使用远程医疗的预测因素，不同种族、教育程度或居住地之间没有显著差异。在使用远程医疗的受访者中，39.3%的人仅使用视频，35.0%的人仅使用电话（语音），25.7%的人同时使用两种模式。主要动机包括提供者推荐、方便、避免 COVID-19 和对面对面护理需求的指导。非使用者提到了对面对面就诊的偏好、隐私问题和技术挑战。远程医疗用户和非用户的患者报告的护理质量结果相当，没有观察到远程医疗模式或居住地（大都市地位）的显著差异。
大约一半的美国成年糖尿病患者在过去一年中使用了远程医疗服务。患者报告的护理质量与远程医疗和面对面就诊相似。然而，需要进一步努力解决远程医疗采用的关键障碍，包括隐私问题、技术困难和护理协调问题。
