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加利福尼亚州为低收入患者服务的健康中心的远程医疗就诊:互联护理加速计划(2022 - 2024年)的最终结果

Telehealth Visits in Health Centers Serving Low-Income Patients in California: Final Results from the Connected Care Accelerator Initiative (2022-2024).

作者信息

Uscher-Pines Lori, Sousa Jessica L, McCullough Colleen M, Dong Shirley, Kapinos Kandice A

出版信息

Rand Health Q. 2025 Mar 17;12(2):3. eCollection 2025 Mar.

Abstract

Federally Qualified Health Centers (FQHCs) are outpatient health centers that provide primary care and limited specialty-care services to nearly 30 million low-income patients. Prior to the coronavirus disease 2019 (COVID-19) pandemic, FQHCs rarely delivered audio-only or video telehealth visits. However, with both temporary and permanent policy changes to facilitate telehealth use at the state and federal levels, telehealth has become an important modality of care. In 2023, approximately 9 percent of FQHC visits in the United States and 20 percent of FQHC visits in California occurred via video or audio-only visits delivered into patients' homes. In this study, the authors summarize data on the use of in-person, audio-only, and video health visits during September 2022 to August 2024, a period that included the end of the COVID-19 public health emergency in May 2023 and beyond. These data were collected to evaluate the impact of the Connected Care Accelerator program, which is an effort launched by the California Health Care Foundation in July 2020 to support health centers in implementing telehealth for low-income patients in California. This study is the final in a series of studies that were published from 2021 to 2024.

摘要

联邦合格医疗中心(FQHCs)是门诊医疗中心,为近3000万低收入患者提供初级保健和有限的专科护理服务。在2019冠状病毒病(COVID-19)大流行之前,FQHCs很少提供纯音频或视频远程医疗就诊服务。然而,随着州和联邦层面为促进远程医疗使用而进行的临时和永久性政策变化,远程医疗已成为一种重要的护理方式。2023年,美国约9%的FQHC就诊以及加利福尼亚州20%的FQHC就诊是通过向患者家中提供的纯视频或音频就诊进行的。在本研究中,作者总结了2022年9月至2024年8月期间面对面、纯音频和视频健康就诊的使用数据,这一时期包括2023年5月及以后COVID-19公共卫生紧急事件的结束。收集这些数据是为了评估“互联护理加速器”项目的影响,该项目是加利福尼亚医疗保健基金会于2020年7月发起的一项努力,旨在支持医疗中心为加利福尼亚州的低收入患者实施远程医疗。本研究是2021年至2024年发表的一系列研究中的最后一项。

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