Telehealth Among US Hospitals: Several Factors, Including State Reimbursement And Licensure Policies, Influence Adoption
Telehealth Among US Hospitals: Several Factors, Including State Reimbursement And Licensure Policies, Influence Adoption
复制标题
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
DOI：
10.1377/hlthaff.2013.1054
复制
发表时间：
2014-02-01
期刊：
影响因子：
9.7
通讯作者：
Bates, David W.
中科院分区：
文献类型：
--
作者：
Adler-Milstein, Julia;Kvedar, Joseph;Bates, David W.
人们普遍认为，远程保健在改善获得保健和提高保健价值方面具有巨大潜力。更好地了解为什么一些医院采用远程保健技术而另一些医院没有，这一点至关重要。我们研究了与美国医院采用远程医疗相关的因素。美国医院协会2012年急诊医院年度调查的信息技术补充数据显示，42%的美国医院拥有远程医疗能力。更有可能拥有远程医疗能力的医院是教学医院，那些配备了额外先进医疗技术的医院，那些是大系统的成员，以及那些是非营利性机构。各州采用医院远程保健的比率差别很大，这与各州政策的差异有关。促进私人付款人报销远程保健费用的政策与采用远程保健的可能性较大有关，而要求州外提供者拥有提供远程保健服务的特别许可证的政策则降低了采用远程保健的可能性。我们的研究结果表明，政策制定者可以采取措施，使医院更多地采用远程医疗。
Telehealth is widely believed to hold great potential to improve access to, and increase the value of, health care. Gaining a better understanding of why some hospitals adopt telehealth technologies while others do not is critically important. We examined factors associated with telehealth adoption among US hospitals. Data from the Information Technology Supplement to the American Hospital Association's 2012 annual survey of acute care hospitals show that 42 percent of US hospitals have telehealth capabilities. Hospitals more likely to have telehealth capabilities are teaching hospitals, those equipped with additional advanced medical technology, those that are members of a larger system, and those that are nonprofit institutions. Rates of hospital telehealth adoption by state vary substantially and are associated with differences in state policy. Policies that promote private payer reimbursement for telehealth are associated with greater likelihood of telehealth adoption, while policies that require out-of-state providers to have a special license to provide telehealth services reduce the likelihood of adoption. Our findings suggest steps that policy makers can take to achieve greater adoption of telehealth by hospitals.