Persistence of Unequal Access to Classical Hematology Telemedicine Visits by Race and Other Demographics During the COVID-19 Pandemic.
Persistence of Unequal Access to Classical Hematology Telemedicine Visits by Race and Other Demographics During the COVID-19 Pandemic.
复制标题
COVID-19 大流行期间，按种族和其他人口统计数据来看，经典血液学远程医疗就诊的机会持续存在不平等。
DOI：
10.1089/tmj.2022.0505
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Langer,ArielleL
中科院分区：
文献类型：
--
作者：
Osei,MiriamA;Merz,LaurenE;Ren,Siyang;Neuberg,DonnaS;Achebe,Maureen;Rodriguez,JorgeA;Langer,ArielleL
背景：获得远程医疗服务的机会不平等加剧了健康不平等，这一点在 COVID-19 大流行开始时就很明显。我们试图探讨在 COVID-19 高峰期之后，经典血液科内就诊是否仍然存在不平等。方法：使用调整优势比 (aOR) 分析 2020 年 3 月至 2021 年 12 月期间按虚拟就诊类型（仅电话 [TO] 或仅视频 [VO]）的患者人口统计数据。结果：在 8,207 名患者中，18.4% 进行了 TO 就诊，28.4% 进行了 VO 就诊。少数黑人（21.8%；aOR 0.5 [0.4–0.62]）、西班牙裔或拉丁裔（18.8%；0.45 [0.34–0.59]）、西班牙语（7.6%；0.32 [0.19–0.54]）、高中生（21.2%；0.64 [0.52–0.78]）和年龄更大(24.2%) 的患者使用 VO 治疗，而白人 (30.6%)、英语国家 (29.5%)、大学生 (31%)、研究生 (34.9%) 和年轻患者 (35.4%) 患者则使用 VO 治疗。 结论：历史上经历过健康不平等的群体在疫情高峰期间和之后接受 VO 治疗的次数较少。因此，需要继续努力促进数字包容性，以促进视频访问公平。
Background:Unequal access to telemedicine services exacerbates health inequities and was evident at the start of the COVID-19 pandemic. We sought to explore whether unequal access persisted within a classical hematology division beyond the peak of COVID-19.Methods:Patient demographics by virtual visit type (telephone only [TO] or video only [VO]) between March 2020 and December 2021 were analyzed using adjusted odds ratio (aOR).Results:Of 8,207 patients, 18.4% had TO and 28.4% had VO visits. Fewer Black (21.8%; aOR 0.5 [0.4–0.62]), Hispanic or Latino (18.8%; 0.45 [0.34–0.59]), Spanish-speaking (7.6%; 0.32 [0.19–0.54]), high school (21.2%; 0.64 [0.52–0.78]), and older (24.2%) patients used VO compared with White (30.6%), English-speaking (29.5%), college (31%), postgraduate (34.9%), and younger (35.4%) patients.Conclusions:Groups that historically experience health inequities had fewer VO visits during and beyond the pandemic peak. Thus, there is a need to continue digital inclusion efforts to promote video access equity.