Post-Pandemic Telehealth Policy for Primary Care: An Equity Perspective
Post-Pandemic Telehealth Policy for Primary Care: An Equity Perspective
复制标题
DOI：
10.3122/jabfm.2022.03.210509
复制
发表时间：
2022-05-01
影响因子：
2.9
通讯作者：
Hayes-Bautista, David E.
中科院分区：
文献类型：
--
作者：
Anaya, Yohualli Balderas-Medina;Mota, Andrea Banuelos;Hayes-Bautista, David E.
到目前为止，国家远程保健政策的重点是扩大服务、专业和发源地的可及性。然而，远程保健政策可以通过提供系统层面的变革来促进公平，这些变革是减少阻碍历史上被边缘化、低收入和英语水平有限的人口获得远程保健的结构性决定因素所必需的。作者为各州和CMS提出了政策解决方案，以帮助解决远程医疗的这些结构性决定因素。基于以下核心组成部分的远程保健“生态系统”将确保公平获得护理：使用技术，包括经济上处于边缘地位的患者，获得技术和宽带以完成虚拟访问，以及在患者发展其数字和远程保健技能时为他们提供具体支持。
National telehealth policy thus far has focused on broadening access to service, specialties, and originating sites. Yet telehealth policy can further equity by providing system-level change needed to reduce structural determinants that hamper telehealth access in historically marginalized, low income, and limited English-speaking populations. The authors propose policy solutions for states and CMS to help address these structural determinants of telehealth care. A telehealth "ecosystem" grounded in the following core components would ensure equitable access to care: use of technology inclusive of economically marginalized patients, access to the technology and broadband for completing virtual visits, and concrete support for patients as they develop their digital and telehealth skills.