Telemedicine Expansion During the COVID-19 Pandemic and the Potential for Technology-Driven Disparities.
Telemedicine Expansion During the COVID-19 Pandemic and the Potential for Technology-Driven Disparities.
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DOI：
10.1007/s11606-020-06322-y
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发表时间：
2021-01
影响因子：
5.7
通讯作者：
Moise N
中科院分区：
文献类型：
--
作者：
Ye S;Kronish I;Fleck E;Fleischut P;Homma S;Masini D;Moise N
背景：在2019冠状病毒病大流行期间，远程医疗的使用在美国卫生系统中迅速增加。尽管远程医疗被誉为减少医疗保健差距的一种方式，但人们仍然担心，随着远程医疗使用的扩大，缺乏技术或数字健康素养可能会加剧技术驱动的差距。2,3,4由于最近的监管和政策变化允许在视听技术便利的访问之外报销电话远程医疗访问1，因此有一个独特的机会来检查技术驱动的差异，这些差异表现在不同患者群体如何以不同的方式获得远程医疗服务。目的：利用某大型学术医疗中心远程医疗扩展计划的数据，我们试图评估患者接受视听远程医疗就诊还是电话远程医疗就诊的差异。
BACKGROUNDTelemedicine use has rapidly increased across the US health system during the COVID-19 pandemic. 1 Although telemedicine has been heralded as a way to reduce disparities in healthcare, 2 concerns remain that lack of access to technology or digital health literacy can exacerbate technology-driven disparities as telemedicine use expands. 2, 3, 4 As recent regulatory and policy changes allowed reimbursement for telephonic telemedicine visits in addition to visits facilitated by audio-video technology, 1 there is a unique opportunity to examine technology-driven disparities as manifested through how telemedicine services are accessed differently by different patient populations.OBJECTIVEWe sought to assess disparities in whether patients received audio-video telemedicine visits or telephonic ones, using data from a telemedicine expansion initiative at a major academic medical center.
影响因子：
4.7
作者：
Walker, Daniel M.;Hefner, Jennifer L.;McAlearney, Ann Scheck
通讯作者：
McAlearney, Ann Scheck
DOI：
10.1093/jamia/ocaa072
发表时间：
2020-07-01
影响因子：
6.4
作者：
Mann, Devin M.;Chen, Ji;Nov, Oded
通讯作者：
Nov, Oded
影响因子：
26.1
作者：
Lion, K. Casey;Brown, Julie C.;Mangione-Smith, Rita
通讯作者：
Mangione-Smith, Rita