Telehealth Use in the COVID-19 Pandemic: A Retrospective Study of Prenatal Care.
Telehealth Use in the COVID-19 Pandemic: A Retrospective Study of Prenatal Care.
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DOI：
10.3233/shti220127
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发表时间：
2022-06-06
影响因子：
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通讯作者：
Chen Y
中科院分区：
文献类型：
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作者：
Gao C;Osmundson S;Malin BA;Chen Y
远程医疗是面对面护理的另一种医疗服务模式。它利用电子信息和电信技术向病人提供远程临床护理，特别是向那些生活在缺乏充分保健服务的农村地区的病人提供远程临床护理。与受COVID-19大流行影响的其他护理领域一样，远程医疗在产前护理中的普及程度有所增加。本研究报告了远程医疗在美国田纳西州中部一个大型学术医疗中心产前护理中的应用。我们检查了2500多名妇女的电子健康记录，以表征1)参与远程医疗的产前访问量，2)使用远程医疗的产科患者的差异，以及3)远程医疗使用对产科结局的影响，包括分娩期间住院时间、早产、剖宫产率和新生儿出生体重。我们的研究结果表明，远程医疗主要用于妊娠中期和晚期，特别是咨询服务。此外，我们发现某些人口统计数据与较低的远程医疗利用率相关，包括26岁以下的患者，黑人和/或西班牙裔，参加国家资助的健康保险计划，以及居住在城市地区的患者。此外，在产前护理中使用远程医疗的患者与未使用远程医疗的患者之间，早产和剖宫产没有显着差异。
Telehealth is an alternative care delivery model to in-person care. It uses electronic information and telecommunication technologies to provide remote clinical care to patients, especially those living in rural areas that lack sufficient access to health care services. Like other areas of care affected by the COVID-19 pandemic, the prevalence of telehealth has increased in prenatal care. This study reports on telehealth use in prenatal care at a large academic medical center in Middle Tennessee, USA. We examine the electronic health records of over 2500 women to characterize 1) the volume of prenatal visits participating in telehealth, 2) disparities in obstetric patients using telehealth, and 3) the impact of telehealth use on obstetric outcomes, including duration of intrapartum hospital stays, preterm birth, Cesarean rate, and newborn birthweight. Our results show that telehealth mainly was used in the second and third trimesters, especially for consulting services. In addition, we found that certain demographics correlated with lower telehealth utilization, including patients who were under 26 years old, were Black and/or Hispanic, were on a state-sponsored health insurance program, and those who lived in urban areas. Furthermore, no significant differences were found on preterm birth and Cesarean between the patients who used telehealth in their prenatal care and those who did not.