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美国远程医疗会诊与肺癌筛查咨询的关联:初步结果

Association of Telehealth Encounters With Lung Cancer Screening Consultation in the U.S.: Preliminary Results.

作者信息

Xie Zhigang, Stallings-Smith Sericea, Cho Beomyoung, Wells Jennifer, Hong Young-Rock

机构信息

Department of Public Health, University of North Florida, Jacksonville, Florida.

Department of Public Health, College of Education, Health, and Human Sciences, The University of Tennessee, Knoxville, Tennessee.

出版信息

AJPM Focus. 2025 Apr 14;4(4):100349. doi: 10.1016/j.focus.2025.100349. eCollection 2025 Aug.

Abstract

INTRODUCTION

To promote lung cancer screening among the eligible population, a crucial step involves a shared decision-making discussion between the patient and primary care provider regarding lung cancer screening services. Little is known whether telehealth visits can be deemed comparable with in-person visits for lung cancer screening consultations.

METHODS

This study used data from the 2022 Health Information National Trends Survey 6. Multivariable logistic regression models were employed to examine differences in lung cancer screening consultations between telehealth users and nonusers, adjusting for selected covariates.

RESULTS

Overall, 41.2% had used telehealth at least 1 time in the past 12 months, and 9.9% had lung cancer screening consultations with their healthcare providers at least 1 time. There was no statistically significant difference in the odds of lung cancer screening consultations with healthcare providers between telehealth users and nonusers (AOR=0.91; 95% CI=0.36, 2.29). Of telehealth users, the odds of lung cancer screening consultations among exclusive phone call users (AOR=1.20; 95% CI=0.23, 6.17) and both video and phone call users (AOR=0.82; 95% CI=0.11, 5.98) were not statistically different from that among exclusive video call users.

CONCLUSIONS

Despite the overall low rate of patient-provider lung cancer screening consultations in eligible individuals, this study suggests that telehealth and in-person encounters seem to be comparable for lung cancer screening consultations.

摘要

引言

为了在符合条件的人群中推广肺癌筛查,关键的一步是患者与初级保健提供者就肺癌筛查服务进行共同决策讨论。对于远程医疗就诊是否可被视为与面对面就诊在肺癌筛查咨询方面具有可比性,目前知之甚少。

方法

本研究使用了2022年全国健康信息趋势调查6的数据。采用多变量逻辑回归模型来检查远程医疗使用者和非使用者在肺癌筛查咨询方面的差异,并对选定的协变量进行调整。

结果

总体而言,41.2%的人在过去12个月中至少使用过1次远程医疗,9.9%的人至少与医疗服务提供者进行过1次肺癌筛查咨询。远程医疗使用者和非使用者与医疗服务提供者进行肺癌筛查咨询的几率没有统计学上的显著差异(调整后的比值比[AOR]=0.91;95%置信区间[CI]=0.36,2.29)。在远程医疗使用者中,仅使用电话的用户(AOR=1.20;95%CI=0.23,6.17)以及同时使用视频和电话的用户(AOR=0.82;95%CI=0.11,5.98)与仅使用视频通话的用户进行肺癌筛查咨询的几率在统计学上没有差异。

结论

尽管符合条件的个体中患者与提供者之间进行肺癌筛查咨询的总体比例较低,但本研究表明,远程医疗和面对面就诊在肺癌筛查咨询方面似乎具有可比性。

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