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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.

项目总结