Disparities in telehealth use: How should the supportive care community respond?

Disparities in telehealth use: How should the supportive care community respond?
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DOI:
10.1007/s00520-021-06629-4
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发表时间:
2022-03
期刊:
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
影响因子:
--
通讯作者:
Chan RJ
Chan RJ
中科院分区:
其他
文献类型:
--
作者:
Dixit N;Van Sebille Y;Crawford GB;Ginex PK;Ortega PF;Chan RJ

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在COVID-19大流行的背景下,远程医疗的使用有所增加。然而,在远程医疗使用方面存在着基于年龄、收入、种族/民族、健康状况差、数字素养和英语水平有限的差异。在患者、卫生系统、远程保健门户和政策层面,远程保健的使用存在多层次的障碍。为了确保远程保健服务的公平性,并利用这些服务最大限度地扩大保健服务的覆盖面,需要协同努力设计远程保健工具和工作流程。它应包括报销远程保健使用所需的工作人员培训、患者教育和技术支持。此外,需要对远程保健服务的使用进行持续监测和相应修改,以促进远程保健的公平性。
Telehealth use has increased in the setting of the COVID-19 pandemic. However, there are disparities in telehealth use based on age, income, race/ethnicity, low health, digital literacy, and limited English proficiency. There are multilevel barriers to telehealth use at the patient, health systems, telehealth portal, and policy levels. To ensure equity in telehealth services and to leverage these services to maximize the reach of health care services, concerted efforts are needed to design telehealth tools and workflows. It should include reimbursement for staff training, patient education, and technical support needed for telehealth use. Furthermore, ongoing monitoring and responsive modifications in the use of telehealth services are needed to promote telehealth equity.
DOI: 10.1002/pon.4650
发表时间: 2018-04-01
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影响因子: 3.6
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