Telehealth, Rural America, and the Digital Divide
Telehealth, Rural America, and the Digital Divide
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DOI：
10.1097/jac.0000000000000348
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发表时间：
2020-10-01
影响因子：
2.3
通讯作者：
Antono, Brian
中科院分区：
文献类型：
--
作者：
Mishori, Ranit;Antono, Brian
冠状病毒大流行似乎在一夜之间推动了几乎整个世界的远程操作：教育，电子商务，文化活动，立法事务等等。医学也迅速转向远程保健服务，特别是在初级保健方面。这一举措受到许多人的称赞：它使医疗保健专业人员能够继续“看到”他们的患者，以管理慢性和急性疾病（Gray等人，2020年）。它能够在没有直接接触的情况下评估冠状病毒症状（Augenstein，2020）。它允许临床医生继续监测受COVID-19影响的居家隔离患者（OSF HealthCare，2020）。有趣的是，“未出现”率下降，它提供了一个机会，检查老年人和其他弱势患者（Cubanski，2020）谁独自生活。虽然一些研究表明，病人更喜欢亲自护理，电话和视频访问的价值，并认为一个舒适的互动模式（拉里A。绿色中心，2020年）。美国政府很快放松了一些限制，
THE CORONAVIRUS pandemic pushed nearly the entire world, seemingly overnight, to operate remotely: education, ecommerce, cultural events, legislative affairs, and more. Medicine as well pivoted rapidly to telehealth services, especially in primary care. This move was lauded by many: it enabled health care professionals to continue to “see” their patients for management of both chronic and acute conditions (Gray et al., 2020). It enabled the evaluation of coronavirus symptoms without direct contact (Augenstein, 2020). It allowed clinicians to continue to monitor COVID-19–affected patients who were on home isolation (OSF HealthCare, 2020). Anecdotally,“no-show” rates dropped and it provided an opportunity to check in on elderly and other vulnerable patients (Cubanski, 2020) who live alone. While some studies showed that patients preferred in-person care, phone and video visits were valued and considered a comfortable mode of interaction (The Larry A. Green Center, 2020). The US government was quick to loosen some restrictions—thought to be only