Association of Telehealth Encounters With Lung Cancer Screening Consultation in the U.S.: Preliminary Results

Zhigang Xie PhD, BMed, MPA , Sericea Stallings-Smith DrPH, MPH , Beomyoung Cho PhD, MPH , Jennifer Wells BA , Young-Rock Hong PhD, MPH
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Abstract

Introduction

To promote lung cancer screening among the eligible population, a crucial step involves a shared decision-making discussion between the patient and primary care provider regarding lung cancer screening services. Little is known whether telehealth visits can be deemed comparable with in-person visits for lung cancer screening consultations.

Methods

This study used data from the 2022 Health Information National Trends Survey 6. Multivariable logistic regression models were employed to examine differences in lung cancer screening consultations between telehealth users and nonusers, adjusting for selected covariates.

Results

Overall, 41.2% had used telehealth at least 1 time in the past 12 months, and 9.9% had lung cancer screening consultations with their healthcare providers at least 1 time. There was no statistically significant difference in the odds of lung cancer screening consultations with healthcare providers between telehealth users and nonusers (AOR=0.91; 95% CI=0.36, 2.29). Of telehealth users, the odds of lung cancer screening consultations among exclusive phone call users (AOR=1.20; 95% CI=0.23, 6.17) and both video and phone call users (AOR=0.82; 95% CI=0.11, 5.98) were not statistically different from that among exclusive video call users.

Conclusions

Despite the overall low rate of patient–provider lung cancer screening consultations in eligible individuals, this study suggests that telehealth and in-person encounters seem to be comparable for lung cancer screening consultations.
美国远程医疗协会与肺癌筛查会诊:初步结果
为了在符合条件的人群中促进肺癌筛查,关键的一步是患者和初级保健提供者之间就肺癌筛查服务进行共同决策讨论。很少有人知道远程医疗访问是否可以与肺癌筛查咨询的现场访问相比较。方法采用《2022年健康信息全国趋势调查》的数据。采用多变量逻辑回归模型来检验远程医疗用户和非用户之间肺癌筛查咨询的差异,并对选定的协变量进行调整。结果41.2%的受访人员在过去12个月内至少进行过1次远程医疗,9.9%的受访人员至少进行过1次肺癌筛查咨询。远程医疗用户和非远程医疗用户在向医疗服务提供者进行肺癌筛查咨询的几率上无统计学意义差异(AOR=0.91;95% ci =0.36, 2.29)。在远程医疗用户中,专门电话用户肺癌筛查咨询的几率(AOR=1.20;95% CI=0.23, 6.17),视频和电话用户(AOR=0.82;95% CI=0.11, 5.98),与视频通话专属用户无统计学差异。尽管在符合条件的个体中,患者-提供者肺癌筛查咨询的总体比率较低,但本研究表明,对于肺癌筛查咨询,远程医疗和面对面就诊似乎是相当的。
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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来源期刊
AJPM focus
AJPM focus Health, Public Health and Health Policy
CiteScore
0.50
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0.00%
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