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E-TREAT: Evaluation of Telemedicine for diabetes care in Latinos

E-TREAT：远程医疗对拉丁裔糖尿病护理的评估

基本信息

批准号：
10733747
负责人：
Miguel Marino
金额：
$ 66.89万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-05 至 2028-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10733747
关键词：
Address Affect COVID-19 pandemic Caring Chronic Care Chronic Disease Communities Community Health Education Community Health Networks Data Data Set Databases Decision Making Diabetes Mellitus Disease Disease Outcome Disparity Drug Prescriptions Economics Education Educational Status Effectiveness Electronic Health Record Ensure Equitable healthcare Equity Evaluation Face Health Insurance Health Services Accessibility Health system Healthcare Healthcare Systems Hypertension Immigration Individual Inequity Internet Knowledge Language Latino Latino Population Link Managed Care Minority Groups Monitor Morbidity - disease rate Neighborhood Health Center Not Hispanic or Latino Outcome Patients Persons Policies Policy Maker Population Prevention Primary Care Quasi-experiment Recommendation Regulation Relaxation Research Design Resources Risk Services Social Distance Technology Telemedicine Telephone Training United States Virus Visit World Health Organization access disparities acronyms care delivery care seeking care systems comorbidity diabetes management disparity reduction health care availability health care delivery health inequalities improved innovation member mortality pandemic disease patient oriented poor communities primary care services primary care visit risk stratification rurality safe patient screening social social factors social health determinants

项目摘要

PROJECT SUMMARY E-TREAT: Evaluation of Telemedicine for diabetes and hypertension care in Latinos Latinos are more likely to have diabetes and hypertension and to face poor outcomes and complications from these diseases. Quality primary care can reduce poor outcomes from these diseases, but primary care services changed drastically in 2020 because of the COVID-19 pandemic. The pandemic shifted many primary care visits from face-to-face visits to telemedicine (telephone and video) visits. It is uncertain how frequently Latino patients with diabetes and hypertension utilized (and continue to utilize) these types of visits, and how this may have affected the services they received for diabetes and hypertension, and how well their diseases were controlled. It is also unknown how various social factors (community economic resources, language barriers, access to broadband internet) might moderate the association of telemedicine on diabetes and hypertension care and control. This study will assess the use of telemedicine (video and telephone visits) vs. in person visits between Latino and non-Hispanic white patients with diabetes and/or hypertension seen at community health centers in the United States over the course of and subsequent to the COVID-19 pandemic. It will also assess the association of telemedicine utilization with the receipt of recommended diabetes and hypertension care services, and assess the potential of social determinants of health to moderate the effectiveness of telemedicine in mitigating disparities in diabetes and hypertension care between Latino populations and non-Hispanic white populations in these patients. Understanding the quality of diabetes and hypertension care delivered via telemedicine among Latinos with diabetes and hypertension and which social determinants of health moderate its effectiveness is critical for healthcare planning and policies around reimbursement and regulations and will have a significant impact on patients, clinicians, policy-makers, and healthcare system leaders and allow for equitable healthcare delivery.

项目摘要 E-TREAT：拉丁美洲糖尿病和高血压护理远程医疗的评估拉丁美洲人更容易患糖尿病和高血压，并面临不良后果和并发症，这些疾病。高质量的初级保健可以减少这些疾病的不良后果，但初级保健由于COVID-19疫情，服务于二零二零年大幅改变。大流行改变了许多主要的从面对面到远程医疗（电话和视频）的护理访问。目前还不清楚患有糖尿病和高血压的拉丁美洲患者利用（并继续利用）这些类型的访问，以及如何这可能影响了他们接受的糖尿病和高血压服务，被控制住了也不知道各种社会因素（社区经济资源、语言障碍，宽带互联网接入）可能会缓和远程医疗对糖尿病的影响，高血压护理和控制。本研究将评估远程医疗（视频和电话访问）与拉丁裔和非西班牙裔白色糖尿病和/或高血压患者之间的就诊人数，于2019冠状病毒病大流行期间及其后，本集团于美国的社区健康中心提供服务。它还将评估远程医疗利用与接受推荐的糖尿病治疗之间的关系，高血压护理服务，并评估健康的社会决定因素的潜力，以缓和远程医疗在减轻拉丁美洲人之间糖尿病和高血压护理差异方面的有效性这些患者中包括西班牙裔人群和非西班牙裔白色人群。了解糖尿病的质量，通过远程医疗在患有糖尿病和高血压的拉丁美洲人中提供高血压护理，健康的决定因素适度其有效性是至关重要的医疗保健规划和政策周围报销和法规，并将对患者，临床医生，政策制定者，医疗保健系统领导者并允许公平的医疗保健服务。