Telemedicine, COVID-19, and disparities: Policy implications
Telemedicine, COVID-19, and disparities: Policy implications
复制标题
DOI：
10.1016/j.hlpt.2020.08.001
复制
发表时间：
2020-09-01
影响因子：
6
通讯作者：
Bates, David W.
中科院分区：
文献类型：
--
作者：
Ortega, Gezzer;Rodriguez, Jorge A.;Bates, David W.
虽然远程医疗在应对COVID-19大流行中的迅速扩张凸显了卫生系统快速适应新复杂性的惊人能力，但也引发了对如何公平实施这些新模式的重要关切。随着医疗保健系统变得越来越虚拟，它有可能扩大边缘化人群之间的差距，这些人群在基线时健康状况较差，获得有效使用远程医疗所需资源的机会有限。在这篇文章中，我们回顾了最近的政策变化，并概述了重要的建议，政府和卫生保健系统可以采用，以改善远程医疗的访问和定制这些技术的使用，以最好地满足服务不足的患者的需求。我们建议，现在就将保健公平纳入远程医疗的实施，将有助于确保所有人都能从今后的使用中受益，而且这将日益成为提供护理的一部分。(C)2020由Elsevier Ltd代表研究生医学奖学金发表。
While the rapid expansion of telemedicine in response to the COVID-19 pandemic highlights the impressive ability of health systems to adapt quickly to new complexities, it also raises important concerns about how to implement these novel modalities equitably. As the healthcare system becomes increasingly virtual, it risks widening disparities among marginalized populations who have worse health outcomes at baseline and limited access to the resources necessary for the effective use of telemedicine. In this article, we review recent policy changes and outline important recommendations that governments and health care systems can adopt to improve access to telemedicine and to tailor the use of these technologies to best meet the needs of underserved patients. We suggest that by making health equity integral to the implementation of telemedicine now, it will help to ensure that all can benefit from its use going forward and that this will be increasingly integral to care delivery. (C) 2020 Published by Elsevier Ltd on behalf of Fellowship of Postgraduate Medicine.