Accessibility of Telehealth Services During the COVID-19 Pandemic: A Cross-Sectional Survey of Medicare Beneficiaries.
Accessibility of Telehealth Services During the COVID-19 Pandemic: A Cross-Sectional Survey of Medicare Beneficiaries.
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COVID-19 大流行期间远程医疗服务的可及性：医疗保险受益人的横断面调查。
DOI：
10.5888/pcd18.210056
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发表时间：
2021-07-01
影响因子：
5.5
通讯作者：
Park C
中科院分区：
文献类型：
--
作者：
Ng BP;Park C
远程保健在护理的连续性中发挥了作用，特别是在新冠肺炎大流行期间对老年人的护理。我们的目标是检查与新冠肺炎大流行期间老年人远程医疗服务可获得性相关的因素。我们分析了具有全国代表性的医疗保险当前受益人调查新冠肺炎快速反应补充问卷，调查对象为65岁及以上的受益人。两个加权多变量Logistic回归模型被用来检验通常提供远程医疗的提供者之间的关联：1)在新冠肺炎大流行期间提供远程医疗；2)取代定期预约。我们检查了包括社会人口统计特征、共病以及数字接入和识字在内的因素。在受益者(n=6,172，加权n=3,240万)中，81.2%的人报告他们通常的提供者在新冠肺炎大流行期间提供远程医疗服务。在提供远程医疗服务的人中，56.8%的人报告说，他们通常的提供者提供远程医疗服务，以取代定期预约。按性别、居住地区(大都市与非大都市)、收入水平和美国人口普查地区观察到远程医疗服务的可获得性差异。报告有互联网接入(与未接入)(OR，1.75，P<；.001)以及报告以前曾通过互联网参加过视频、语音或电话会议(OR，VS，2.18，P<；.001)的受益人更有可能报告有远程医疗服务。非西班牙裔黑人受益人(对白人)(OR，1.57，P=.007)和有合并症(例如，2或3例合并症，OR，1.25，95%P=.044)的受益人更有可能让他们通常的提供者提供远程医疗服务，以取代定期预约。尽管远程保健的可及性有所增加，但不平等现象引起了人们的关注。应考虑开展教育宣传和培训，例如安装和推出在线网络会议平台，以改善新冠肺炎大流行后弱势人群获得远程保健的机会。
Telehealth plays a role in the continuum of care, especially for older adults during the COVID-19 pandemic. Our objective was to examine factors associated with the accessibility of telehealth services during the COVID-19 pandemic among older adults. We analyzed the nationally representative Medicare Current Beneficiary Survey COVID-19 Rapid Response Supplement Questionnaire of beneficiaries aged 65 years or older. Two weighted multivariable logistic regression models were used to examine associations between usual providers who offered telehealth 1) during the COVID-19 pandemic and 2) to replace a regularly scheduled appointment. We examined factors including sociodemographic characteristics, comorbidities, and digital access and literacy. Of the beneficiaries (n = 6,172, weighted n = 32.4 million), 81.2% reported that their usual providers offered telehealth during the COVID-19 pandemic. Among those offered telehealth services, 56.8% reported that their usual providers offered telehealth to replace a regularly scheduled appointment. Disparities in accessibility of telehealth services by sex, residing area (metropolitan vs nonmetropolitan), income level, and US Census region were observed. Beneficiaries who reported having internet access (vs no access) (OR, 1.75, P < .001) and who reported ever having participated in video, voice, or conference calls over the internet before (vs not) (OR, 2.18, P < .001) were more likely to report having access to telehealth. Non-Hispanic Black beneficiaries (versus White) (OR, 1.57, P = .007) and beneficiaries with comorbidities (vs none) (eg, 2 or 3 comorbidities, OR, 1.25, 95% P = .044) were more likely to have their usual provider offer telehealth to replace a regularly scheduled appointment. Although accessibility of telehealth has increased, inequities raise concern. Educational outreach and training, such as installing and launching an online web conferencing platform, should be considered for improving accessibility of telehealth to vulnerable populations beyond the COVID-19 pandemic.
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DOI：
10.15585/mmwr.mm6942e1
发表时间：
2020-10-23
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Gold JAW;Rossen LM;Ahmad FB;Sutton P;Li Z;Salvatore PP;Coyle JP;DeCuir J;Baack BN;Durant TM;Dominguez KL;Henley SJ;Annor FB;Fuld J;Dee DL;Bhattarai A;Jackson BR
通讯作者：
Jackson BR
影响因子：
3.3
作者：
Powell, Tia;Bellin, Eran;Ehrlich, Amy R.
通讯作者：
Ehrlich, Amy R.
影响因子：
6.1
作者：
Kichloo, Asim;Albosta, Michael;Chugh, Savneek
通讯作者：
Chugh, Savneek
影响因子：
7.8
作者：
Darrat, Ilaaf;Tam, Samantha;Williams, Amy M.
通讯作者：
Williams, Amy M.
2020年6月24日至30日，美国大流行期间，成年人在成年人中与人卫生有关的人口特征，经验和信念。
DOI：
10.15585/mmwr.mm6941a3
发表时间：
2020-10-16
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Czeisler MÉ;Garcia-Williams AG;Molinari NA;Gharpure R;Li Y;Barrett CE;Robbins R;Facer-Childs ER;Barger LK;Czeisler CA;Rajaratnam SMW;Howard ME
通讯作者：
Howard ME