Prevalence and Characteristics of Telehealth Utilization in the United States.
Prevalence and Characteristics of Telehealth Utilization in the United States.
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美国远程医疗利用的患病率和特征。
DOI：
10.1001/jamanetworkopen.2020.22302
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发表时间：
2020-10-01
影响因子：
13.8
通讯作者：
Uscher-Pines L
中科院分区：
文献类型：
--
作者：
Fischer SH;Ray KN;Mehrotra A;Bloom EL;Uscher-Pines L
在美国，远程医疗使用的流行度是多少？人口统计学特征是什么？这项对2555名美国成年受访者进行的调查研究发现，只有大约4%的参与者参加过视频会议访问。虽然49%的受访者表示有兴趣在未来使用视频会议，但那些年龄较大、被认为是黑人或教育水平较低的人表示不太愿意使用视频会议。这项研究的结果表明，可能需要进一步努力，以提高美国人口使用和获得视频会议访问的机会。这项对在线小组参与者的调查研究按性别、年龄、种族/民族、收入和教育水平对参与者参与远程医疗服务以获得远程临床医生的医疗服务的意愿进行了调查。远程保健服务使患者能够与位于偏远地区的临床医生进行交流，这种服务日益普及；然而，远程保健使用的普遍程度，包括视频会议访问，仍不清楚。衡量整个美国人口对远程医疗模式的使用和意愿。这项调查研究在2019年2月至2019年4月期间进行，询问了参与者使用不同远程医疗模式的情况、不使用视频会议访问的原因以及使用视频会议访问的意愿。不断向小组成员提出问题，并在收到2555份答复后结束，当时邀请了3932名小组成员，答复率为65.0%。人口特征(即年龄、性别、种族、城乡户口、教育水平和收入)。自我报告特定远程医疗模式的使用情况、不使用的原因以及未来使用视频会议的意愿。共有2555人完成了调查，平均年龄(SD)为57.2岁(14.2岁)；1453名受访者(加权百分比，51.9%)为女性，2043名(加权百分比，73.4%)为白人。总体而言，1343名受访者(加权百分比，50.8%)报告使用非电话远程医疗模式，其中873名受访者(加权百分比，31.9%)用于患者门户网站，受访者(加权百分比，4.2%)用于视频会议访问。虽然1309名受访者(加权百分比，49.2%)总体回答他们愿意或非常愿意使用视频会议访问，但黑人(OR，0.58；95%CI，0.38-0.91)、65岁以上(OR，0.51；95%CI，0.40-0.66)或受教育程度较低(高中或以下：OR，0.37；95%CI，0.25-0.56)的受访者表示不太愿意使用视频会议访问。尽管政策的重点是视频会议访问，但这项调查研究的结果表明，在2020年前，其他形式的远程保健更占主导地位。视频会议访问可能需要有针对性的努力，以接触到年龄较大或受教育程度较低的患者群体，而支持其他形式的远程医疗的支付者政策可能适合于加强访问。
What is the prevalence of telehealth use in the US, and what demographic characteristics are associated with it? This survey study of 2555 US adult respondents in an internet-based representative panel about use of telehealth found that only approximately 4% of participants had engaged in videoconferencing visits. While 49% of respondents expressed interest in using videoconferencing in the future, those who were older, identified as Black individuals, or reported lower levels of education expressed less willingness to use videoconferencing. The findings of this study suggest further efforts may be needed to enhance use of and access to videoconferencing visits among the US population. This survey study of participants in an online panel examined willingness to participate in telehealth services to access health services with remote clinicians among participants categorized by sex, age, race/ethnicity, income, and education level. Telehealth services, which allow patients to communicate with a remotely located clinician, are increasingly available; however, prevalence of telehealth use, including videoconferencing visits, remains unclear. To measure the use of and willingness to use telehealth modalities across the US population. This survey study, conducted between February 2019 and April 2019, asked participants about their use of different telehealth modalities, reasons for not using videoconferencing visits, and willingness to use videoconferencing visits. Questions were continuously posed to panel members and closed after 2555 responses were obtained, at which point 3932 panel members had been invited, for a 65.0% response rate. Demographic characteristics (ie, age, sex, race, rural/urban residency, education level, and income). Self-reported use of specific telehealth modalities, reasons for nonuse, and willingness to use videoconferencing in the future. A total of 2555 individuals completed the survey with a mean (SD) age of 57.2 (14.2) years; 1453 respondents (weighted percentage, 51.9%) were women, and 2043 (weighted percentage, 73.4%) were White individuals. Overall, 1343 respondents (weighted percentage, 50.8%) reported use of a nontelephone telehealth modality, ranging from 873 respondents (weighted percentage, 31.9%) for patient portals and 89 respondents (weighted percentage, 4.2%) for videoconferencing visits. Although 1309 respondents (weighted percentage, 49.2%) overall answered that they were willing or very willing to use videoconferencing visits, respondents who were Black individuals (OR, 0.58; 95% CI, 0.38-0.91), aged older than 65 years (OR, 0.51; 95% CI, 0.40-0.66), or had less education (high school or less vs advanced degrees: OR, 0.37; 95% CI, 0.25-0.56) were less likely to express willingness. Despite the focused policy attention on videoconferencing visits, the results of this survey study suggest that other forms of telehealth were more dominant prior to 2020. Targeted efforts may be necessary for videoconferencing visits to reach patient groups who are older or have less education, and payer policies supporting other forms of telemedicine may be appropriate to enhance access.
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DOI：
10.1073/pnas.1320488111
发表时间：
2014-04-15
影响因子：
11.1
作者：
Barcellos, Silvia Helena;Wuppermann, Amelie C.;Goldman, Dana
通讯作者：
Goldman, Dana
影响因子：
9.7
作者：
Kvedar, Joseph;Coye, Molly Joel;Everett, Wendy
通讯作者：
Everett, Wendy
影响因子：
5.4
作者：
Hays, Ron D.;Liu, Honghu;Kapteyn, Arie
通讯作者：
Kapteyn, Arie
影响因子：
9.7
作者：
Carman, Katherine G.;Eibner, Christine;Paddock, Susan M.
通讯作者：
Paddock, Susan M.
影响因子：
2.8
作者：
Welch BM;Harvey J;O'Connell NS;McElligott JT
通讯作者：
McElligott JT