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

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 远程医疗在缩小拉丁裔之间糖尿病和高血压护理差异方面的有效性 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.