Are state telemedicine parity laws associated with greater use of telemedicine in the emergency department?
Are state telemedicine parity laws associated with greater use of telemedicine in the emergency department?
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DOI：
10.1002/emp2.12359
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发表时间：
2021-03
影响因子：
2.3
通讯作者：
Camargo CA Jr
中科院分区：
文献类型：
--
作者：
Zachrison KS;Boggs KM;Cash RE;Burton KR;Espinola JA;Hayden EM;Sauser JP;Mehrotra A;Camargo CA Jr
远程医疗是改善急诊科（ED）专科护理的一个宝贵工具，各州已经通过了远程医疗平等法，要求保险公司对远程医疗就诊进行报销。我们的目标是确定这些法律和远程医疗在ED中的使用之间是否存在关联。作为2016年和2017年美国国家艾德库存调查的一部分，美国所有5404个ED的董事都接受了远程医疗使用情况的调查。国家分为有任何形式的远程医疗平等法律和没有法律的国家（截至2016年1月）。我们调查了远程医疗平价法和远程医疗控制艾德特征的使用之间的关联;状态作为随机截取。2016年，在50个州和哥伦比亚特区（DC）中，21个州（41%）有远程医疗平等法，而30个州（59%）没有。在4418名艾德远程医疗问题的应答者（82%的应答率）中，2352名（53%）接受了远程医疗。接受远程医疗的ED比例在各州和华盛顿特区之间差异很大，从华盛顿特区的13%到缅因州的89%不等。州远程医疗平等法律的存在或持续时间与2016年艾德接受远程医疗以及2016年至2017年采用远程医疗都没有独立关联。远程医疗平价法与远程医疗在ED中的使用无关。这些结果表明，其他因素正在推动各州远程医疗在艾德中的广泛应用。
Telemedicine is a valuable tool to improve access to specialty care in emergency departments (EDs), and states have passed telemedicine parity laws requiring insurers to reimburse for telemedicine visits. Our objective was to determine if there is an association between such laws and the use of telemedicine in an ED. As part of the 2016 and 2017 National ED Inventory–USA surveys, directors of all 5404 EDs in the United States were surveyed on the use of telemedicine. States were divided into those with any form of telemedicine parity law and those without (as of January 2016). We investigated the association between a telemedicine parity law and the use of telemedicine controlling for ED characteristics; state was included as a random intercept. In 2016, among the 50 states and the District of Columbia (DC), 21 (41%) had a telemedicine parity law, whereas 30 (59%) did not. Among the 4418 ED respondents to the telemedicine question (82% response rate), 2352 (53%) received telemedicine. The proportion of EDs receiving telemedicine varied widely across the states and DC, ranging from 13% in DC to 89% in Maine. Neither the presence nor duration of state telemedicine parity laws were independently associated with ED receipt of telemedicine in 2016 nor the adoption of telemedicine from 2016 to 2017. Telemedicine parity laws were not associated with use of telemedicine in the ED. These results suggest that other factors are driving the wide variation in ED use of telemedicine across states.
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影响因子：
9.7
作者：
Mehrotra, Ateev;Huskamp, Haiden A.;Busch, Alisa B.
通讯作者：
Busch, Alisa B.
DOI：
10.1001/jama.2016.2186
发表时间：
2016-05-10
期刊：
JAMA
影响因子：
--
作者：
Mehrotra A;Jena AB;Busch AB;Souza J;Uscher-Pines L;Landon BE
通讯作者：
Landon BE
影响因子：
6.2
作者：
Sullivan, Ashley F.;Richman, Ilana B.;Camargo, Carlos A., Jr.
通讯作者：
Camargo, Carlos A., Jr.
影响因子：
4.7
作者：
Zachrison, Kori S.;Boggs, Krislyn M.;Camargo, Carlos A.
通讯作者：
Camargo, Carlos A.
美国医院的远程医疗： 影响采用率的几个因素，包括各州的报销和许可政策
影响因子：
9.7
作者：
Adler-Milstein, Julia;Kvedar, Joseph;Bates, David W.
通讯作者：
Bates, David W.