Factors Impacting Video Telehealth Appointment Completion During COVID-19 Pandemic Among People Living with HIV in a Community-Based Health System.

Factors Impacting Video Telehealth Appointment Completion During COVID-19 Pandemic Among People Living with HIV in a Community-Based Health System.
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DOI:
10.1007/s10461-021-03394-7
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发表时间:
2022-03
期刊:
影响因子:
4.4
通讯作者:
Joshi H
Joshi H
中科院分区:
医学2区
文献类型:
--
作者:
Ennis N;Armas L;Butame S;Joshi H

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随着COVID-19对弱势群体的威胁持续存在,缓解协议已经增加了远程医疗平台的使用,这是具有音频功能的安全双向视频平台。当前研究的目的是检查与成功完成艾滋病毒护理视频远程医疗预约相关的因素。我们利用随机效应逻辑模型来评估患者接触的特征,预测完成远程医疗访问。结果显示,黑人(AOR = 0.30, 95% CI 0.23-0.40, p < 0.01)、异性恋(AOR = 0.40, 95% CI 0.29-0.55, p < 0.01)、西班牙裔/拉丁裔(AOR = 0.67, 95% CI 0.48-0.95)、拥有公共保险(如Ryan White基金、Medicare/Medicaid)等因素(AOR = 0.30, p < 0.01)。25, 95% CI 0.19-0.33, p <。001),并且具有可检测的病毒载量(AOR =。(049, 95% CI, 0.31-0.76)与完成远程医疗预约负相关。结果表明,需要加大努力解决数字鸿沟,以增加获得视频远程保健的机会。在线版本包含补充材料,可在10.1007/s10461-021-03394-7获得。
As the threat of COVID-19 on vulnerable populations continues, mitigation protocols have escalated the use of telehealth platforms, secure 2-way video platforms with audio capabilities. The goal of the current study was to examine factors associated with successful completion of video telehealth appointments in HIV care. We utilized a random effects logistic model to assess characteristics of patient encounters that predicted completed telehealth visits. Results show that factors such as identifying as black (AOR = 0.30, 95% CI 0.23–0.40, p < 0.01), identifying as heterosexual (AOR = 0.40, 95% CI, 0.29–0.55, p < 0.01), identifying as Hispanic/Latinx (AOR = 0.67, 95% CI, 0.48–0.95), having public insurance (e.g., Ryan White funding, Medicare/Medicaid) (AOR = .25, 95% CI 0.19–0.33, p < .001), and having detectable viral load (AOR = .049, 95% CI, 0.31–0.76) are negatively associated with completion of telehealth appointments. Results suggest that greater efforts to address the digital divide are needed to increase access to video telehealth. The online version contains supplementary material available at 10.1007/s10461-021-03394-7.
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