Variation In Telemedicine Use And Outpatient Care During The COVID-19 Pandemic In The United States.
Variation In Telemedicine Use And Outpatient Care During The COVID-19 Pandemic In The United States.
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DOI：
10.1377/hlthaff.2020.01786
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Barnett ML
中科院分区：
文献类型：
--
作者：
Patel SY;Mehrotra A;Huskamp HA;Uscher-Pines L;Ganguli I;Barnett ML
COVID-19 刺激了远程医疗的迅速崛起，但尚不清楚在大流行期间，远程医疗的使用情况如何因临床和患者因素而变化。我们在 2020 年 1 月至 6 月期间，在包含 1,670 万商业保险和 Medicare Advantage 参保者的数据库中，研究了不同患者人口统计数据、专科和病情的门诊总就诊和远程医疗使用情况的变化。在大流行期间，所有就诊的 30.1% 是通过远程医疗提供的，与大流行前相比，每周就诊次数增加了 23 倍。远程医疗使用率在少数族裔居民较多的社区中最高（居住在白人种族比例最低和最高四分位县的登记者分别为 34.3% 和 26.5%）。在各专业中，大流行期间使用远程医疗的比例从 68% 的内分泌科医生到 9% 的眼科医生不等。在常见情况下，大流行期间通过远程医疗提供的就诊百分比从抑郁症的 53% 到青光眼的 3% 不等。在大流行期间，常见疾病的远程医疗使用率较高与每周总就诊次数减少较小有关。
COVID-19 spurred a rapid rise in telemedicine, but it is unclear how use has varied by clinical and patient factors during the pandemic. We examined the variation in total outpatient visits and telemedicine use across patient demographics, specialties, and conditions in a database of 16.7 million commercially insured and Medicare Advantage enrollees from January to June 2020. During the pandemic, 30.1% of all visits were provided via telemedicine, and the weekly number of visits increase 23-fold compared to the pre-pandemic period. Telemedicine use was highest in communities with more minority residents (34.3% vs. 26.5% for enrollees residing in counties with lowest vs. highest quartiles of white race). Across specialties, the use of any telemedicine during the pandemic ranged from 68% of endocrinologists to 9% of ophthalmologists. Across common conditions, the percentage of visits provided during the pandemic via telemedicine ranged from 53% for depression to 3% for glaucoma. Higher rates of telemedicine use for common conditions were associated with smaller decreases in total weekly visits during the pandemic.
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