Rural Family Physicians Are Twice as Likely to Use Telehealth as Urban Family Physicians
Rural Family Physicians Are Twice as Likely to Use Telehealth as Urban Family Physicians
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DOI：
10.1089/tmj.2017.0161
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发表时间：
2018-04-01
影响因子：
4.7
通讯作者：
Bazemore, Andrew
中科院分区：
文献类型：
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作者：
Jetty, Anuradha;Moore, Miranda A.;Bazemore, Andrew
背景：远程医疗有可能减少健康不平等和改善农村人口的健康结果，通过增加获得医生，专家，减少旅行时间为patients.Introduction：虽然农村远程医疗服务已扩大在几个专业领域，很少有人知道的态度，信仰，并采取远程医疗使用在美国农村初级保健。本研究的特点农村和城市的家庭医生（FP）之间的差异，他们的看法远程医疗的使用，并进一步adoption.Materials和方法的障碍：全国代表性的随机抽样调查的5,000 FPs. Results：在31.3%的受访者谁完成了调查，83%的执业城市地区和17%的农村地区。农村家庭医生使用远程保健的可能性是城市家庭医生的两倍（22%对10%）。Logistic回归显示，农村FP报告远程医疗使用的几率更大，可以将患者与专家联系起来并照顾患者。农村FP不太可能将责任问题视为使用远程health.Discussion的障碍：远程医疗允许农村患者在不离开社区的情况下看到专家，并允许农村FP利用专家的专业知识，扩大他们的执业范围，并减少农村医生所经历的孤立感。努力提高对远程保健服务现行支付政策的认识，解决现行报销政策和国家法规的局限性，为远程医疗报销和技术投资创造新的途径对于增加初级保健医生对远程医疗的使用至关重要服务
Background:Telehealth has the potential to reduce health inequities and improve health outcomes among rural populations through increased access to physicians, specialists, and reduced travel time for patients.Introduction:Although rural telehealth services have expanded in several specialized areas, little is known about the attitudes, beliefs, and uptake of telehealth use in rural American primary care. This study characterizes the differences between rural and urban family physicians (FPs), their perceptions of telehealth use, and barriers to further adoption.Materials and Methods:Nationally representative randomly sampled survey of 5,000FPs.Results:Among the 31.3% of survey recipients who completed the survey, 83% practiced in urban areas and 17% in rural locations. Rural FPs were twice as likely to use telehealth as urban FPs (22% vs. 10%). Logistic regressions showed rural FPs had greater odds of reporting telehealth use to connect their patients to specialists and to care for their patients. Rural FPs were less likely to identify liability concerns as a barrier to using telehealth.Discussion:Telemedicine allows rural patients to see specialists without leaving their communities and permits rural FPs to take advantage of specialist expertise, expand their scope of practice, and reduce the feeling of isolation experienced by rural physicians.Conclusion:Efforts to raise awareness of current payment policies for telehealth services, addressing the limitations of current reimbursement policies and state regulations, and creating new avenues for telehealth reimbursement and technological investments are critical to increasing primary care physician use of telehealth services.