Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities.
Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities.
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DOI：
10.1177/23743735231151546
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发表时间：
2023
影响因子：
1.5
通讯作者：
Cook, Paul F.
中科院分区：
文献类型：
--
作者：
Barton, Amy J.;Amura, Claudia R.;Willems, Emileigh L.;Medina, Rosario;Centi, Sophia;Hernandez, Teri;Reed, Sean M.;Cook, Paul F.
本研究的目的是描述患者和提供者参与COVID-19大流行爆发时突然实施远程医疗的情况。在科罗拉多，对来自3个护士主导的护理模式（联邦合格的健康中心、护士助产实践和护士-家庭伙伴关系计划）的患者和提供者进行了调查。收集了患者对远程医疗的态度调查和提供者对远程医疗的看法的数据。主要居住在农村或边境社区的患者应答者（n = 308）为女性、白色和西班牙裔。城市地区患者使用远程保健的频率高于农村或边境地区（P < .001）。农村/边境患者的态度评分显着低于城市患者在5个领域的评估。远程保健方式因地点而异（P < .023），城市提供者更经常使用视频通话，农村/边境提供者使用电话通话。我们的数据突出了农村地区远程医疗服务和态度的差异。这些研究结果可能有助于未来的政策，同时解决障碍，远程保健的访问和交付。
The purpose of this study was to characterize the patient and provider engagement in the sudden telehealth implementation that occurred with the onset of the COVID-19 pandemic. Patients and providers from 3 nurse-led models of care (federally qualified health centers, nurse midwifery practices, and the Nurse-Family partnership program) in Colorado were surveyed. Data from the Patient Attitude toward Telehealth survey and Provider Perceptions about Telehealth were collected. Patient respondents (n = 308) who resided primarily in rural or frontier communities were female, white, and Hispanic. Patients in urban areas used telehealth more frequently than in rural or frontier areas (P < .001). Rural/Frontier patients had significantly lower attitude scores than urban patients across each of 5 domains assessed. Telehealth modality differed across location (P < .023), with video calls, used more frequently by urban providers, and phone calls used by rural/frontier providers. Our data highlight differences in telehealth access and attitudes across rurality. These findings may contribute to future policy while addressing barriers to telehealth access and delivery.
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