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关于远程医疗与医疗保健支出

On telemedicine and healthcare spending.

作者信息

Guettabi Mouhcine, Arnold Rabecca I, Ferucci Elizabeth D

机构信息

Department of Economics and Finance, University of North Carolina Wilmington, Wilmington, NC, USA.

Alaska Native Tribal Health Consortium, Research Services Department, Division of Community Health Services, Anchorage, AK, USA.

出版信息

Int J Circumpolar Health. 2025 Dec;84(1):2489195. doi: 10.1080/22423982.2025.2489195. Epub 2025 Apr 15.

DOI:10.1080/22423982.2025.2489195
PMID:40231748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12001838/
Abstract

The use of telemedicine has increased substantially worldwide prompting questions about its effect on health outcomes, utilisation rates, and healthcare costs. Using de-identified data from the Alaska Tribal Health System (ATHS) and Medicaid, we evaluate how spending patterns changed for a group of telemedicine users relative to a matched sample of non-users. We find that individuals tend to incur lower healthcare spending relative to the control group after first exposure to telemedicine. Our pre- ferred estimates show a 1.14% decrease for the Medicaid sample and a 0.7% decrease in the ATHS sample.

摘要

远程医疗的使用在全球范围内大幅增加,引发了关于其对健康结果、利用率和医疗成本影响的问题。利用阿拉斯加部落卫生系统(ATHS)和医疗补助计划的匿名数据,我们评估了一组远程医疗用户相对于匹配的非用户样本的支出模式是如何变化的。我们发现,与对照组相比,个人在首次接触远程医疗后往往会产生较低的医疗支出。我们的首选估计显示,医疗补助计划样本减少了1.14%,ATHS样本减少了0.7%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/d73c988724e0/ZICH_A_2489195_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/453ed647cecf/ZICH_A_2489195_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/9567a38cd0ef/ZICH_A_2489195_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/c26737af4afc/ZICH_A_2489195_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/7d9dd3f13942/ZICH_A_2489195_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/d73c988724e0/ZICH_A_2489195_F0005_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/453ed647cecf/ZICH_A_2489195_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/9567a38cd0ef/ZICH_A_2489195_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/c26737af4afc/ZICH_A_2489195_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/7d9dd3f13942/ZICH_A_2489195_F0004_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ab6/12001838/d73c988724e0/ZICH_A_2489195_F0005_OC.jpg

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本文引用的文献

1
Determinants of the Cost-Effectiveness of Telemedicine: Systematic Screening and Quantitative Analysis of the Literature.远程医疗成本效益的决定因素:文献的系统筛选与定量分析
Telemed J E Health. 2023 Jul;29(7):1078-1087. doi: 10.1089/tmj.2022.0161. Epub 2022 Dec 9.
2
The Health Plan Environment In California Contributed To Differential Use Of Telehealth During The COVID-19 Pandemic.加利福尼亚州的医保环境促成了 COVID-19 大流行期间远程医疗的差异化使用。
Health Aff (Millwood). 2022 Dec;41(12):1812-1820. doi: 10.1377/hlthaff.2022.00464.
3
Medicare Beneficiaries In Disadvantaged Neighborhoods Increased Telemedicine Use During The COVID-19 Pandemic.
在 COVID-19 大流行期间,贫困社区的医疗保险受益人增加了远程医疗的使用。
Health Aff (Millwood). 2022 May;41(5):635-642. doi: 10.1377/hlthaff.2021.01706.
4
Telehealth Use Among Older Adults During COVID-19: Associations With Sociodemographic and Health Characteristics, Technology Device Ownership, and Technology Learning.老年人在 COVID-19 期间使用远程医疗:与社会人口学和健康特征、技术设备拥有情况和技术学习的关联。
J Appl Gerontol. 2022 Mar;41(3):600-609. doi: 10.1177/07334648211047347. Epub 2021 Oct 5.
5
A Primary Care Telehealth Pilot Program to Improve Access: Associations with Patients' Health Care Utilization and Costs.一项旨在改善医疗可及性的基层医疗远程医疗试点项目:与患者医疗保健利用及成本的关联
Telemed J E Health. 2022 May;28(5):643-653. doi: 10.1089/tmj.2021.0284. Epub 2021 Sep 24.
6
Factors Associated with Telemedicine Use for Chronic Disease Specialty Care in the Alaska Tribal Health System, 2015-2019.2015 - 2019年阿拉斯加部落卫生系统中与慢性病专科护理远程医疗使用相关的因素
Telemed J E Health. 2022 May;28(5):682-689. doi: 10.1089/tmj.2021.0131. Epub 2021 Sep 9.
7
Who Is (and Is Not) Receiving Telemedicine Care During the COVID-19 Pandemic.谁(以及谁没有)在 COVID-19 大流行期间接受远程医疗护理。
Am J Prev Med. 2021 Sep;61(3):434-438. doi: 10.1016/j.amepre.2021.01.030. Epub 2021 Mar 6.
8
Variation In Telemedicine Use And Outpatient Care During The COVID-19 Pandemic In The United States.美国 COVID-19 大流行期间远程医疗使用和门诊护理的变化。
Health Aff (Millwood). 2021 Feb;40(2):349-358. doi: 10.1377/hlthaff.2020.01786.
9
Views of Patients and Providers on the Use of Telemedicine for Chronic Disease Specialty Care in the Alaska Native Population.阿拉斯加原住民患者和医疗服务提供者对远程医疗用于慢性病专科护理的看法。
Telemed J E Health. 2021 Jan;27(1):82-89. doi: 10.1089/tmj.2019.0284. Epub 2020 Apr 13.
10
Addressing cost and time barriers in chronic disease management through telemedicine: an exploratory research in select low- and middle-income countries.通过远程医疗解决慢性病管理中的成本和时间障碍:对部分低收入和中等收入国家的探索性研究。
Ther Adv Chronic Dis. 2019 Dec 4;10:2040622319891587. doi: 10.1177/2040622319891587. eCollection 2019.