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

项目总结 E-Treat：拉丁美洲人对远程医疗治疗糖尿病和高血压的评估 拉丁裔更有可能患有糖尿病和高血压，并面临不良结局和并发症 这些疾病。高质量的初级保健可以减少这些疾病的不良结局，但初级保健 由于新冠肺炎疫情，2020年的服务业发生了翻天覆地的变化。这场大流行改变了许多主要的 护理访问从面对面访问到远程医疗(电话和视频)访问。目前还不确定多久一次 患有糖尿病和高血压的拉丁裔患者利用(并继续利用)这些类型的就诊，以及如何 这可能影响了他们接受的糖尿病和高血压治疗服务，以及他们的疾病有多好 都被控制了。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与糖尿病和 高血压的护理和控制。这项研究将评估远程医疗(视频和电话访问)的使用情况与 拉美裔和非西班牙裔白人糖尿病和/或高血压患者之间的人员互访 在新冠肺炎大流行的过程中和之后，美国的社区卫生中心。 它还将评估远程医疗使用与收到推荐糖尿病和 高血压护理服务，并评估社会健康决定因素的潜力，以缓解 远程医疗在减少拉美裔糖尿病和高血压护理方面的差异方面的效果 这些患者中的人群和非西班牙裔白人人群。了解糖尿病的质量和 通过远程医疗在患有糖尿病和高血压的拉丁裔人中提供高血压护理，以及 健康的决定因素缓和其有效性对卫生保健规划和政策至关重要 补偿和法规，并将对患者、临床医生、政策制定者和 医疗保健系统的领导者，并允许公平的医疗保健提供。

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.