Utilization and patient experiences of telehealth among Medicaid expansion enrollees.

Health affairs scholar Pub Date : 2025-03-21 eCollection Date: 2025-05-01 DOI:10.1093/haschl/qxaf060
Terrence Liu, Nicholas Box, Matthias Kirch, Denise Anthony, John Z Ayanian, Minal R Patel, Sarah J Clark, Susan D Goold
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Abstract

Telehealth can promote access to health care, especially among individuals enrolled in Medicaid. However, we currently lack data on patient experiences of telehealth from low-income individuals. Using data collected in 2021 and 2022 from a statewide survey of enrollees in the Heathy Michigan Plan, Michigan's Medicaid expansion program, we conducted an analysis to study patients' experiences of using telehealth. Approximately one-third of enrollees reported a telehealth visit within the past year. Individuals reporting barriers to primary care were more likely to have had a telehealth visit compared with those reporting no barriers to primary care. Among those who had a telehealth visit, most individuals reported that telehealth provided care they could not or would not otherwise receive (63.3%; 95% CI: 58.9%-67.5%) and were satisfied with telehealth adequately addressing their health concerns (92.1%; 95% CI: 89.4%-94.1%). Our findings that telehealth was largely accepted among Medicaid enrollees can help inform policy that shapes its future implementation.

医疗补助扩大登记人员远程医疗的利用和患者经验。
远程医疗可以促进获得医疗保健,特别是在参加医疗补助计划的个人中。然而,我们目前缺乏来自低收入个体的远程医疗患者体验的数据。我们利用2021年和2022年在全州范围内对“健康密歇根计划”(密歇根州的医疗补助扩张计划)参保者进行的调查收集的数据,进行了一项分析,研究了患者使用远程医疗的经历。大约三分之一的参保人在过去一年中报告了一次远程医疗访问。与报告在初级保健方面没有障碍的人相比,报告在初级保健方面有障碍的人更有可能进行远程保健访问。在进行过远程医疗访问的人中,大多数人报告说,远程医疗提供了他们无法或不愿以其他方式获得的护理(63.3%;95% CI: 58.9%-67.5%),并对远程医疗充分解决他们的健康问题感到满意(92.1%;95% ci: 89.4%-94.1%)。我们的研究结果表明,远程医疗在医疗补助计划的参保人中得到了很大程度的接受,这有助于为制定未来实施的政策提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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