Similarities and Differences Between Rural and Urban Telemedicine Utilization.

Q3 Medicine

Perspectives in health information management / AHIMA, American Health Information Management Association Pub Date : 2020-12-07 eCollection Date: 2021-01-01

Lincoln R Sheets, Emmanuelle Wallach, Saif Khairat, Rachel Mutrux, Karen Edison, Mirna Becevic

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Abstract

Telemedicine has traditionally been used in rural areas, but the recent development of mHealth solutions has led to a growth in urban telemedicine services. The aim of this study was to determine whether urban and rural patients in a large academic medical center use telemedicine to access different healthcare specialties at different rates. This retrospective cohort study examined all telemedicine visits dated 2008-2017 at a large academic medical center. Visits were classified by clinical specialty. Teledermatology, child telepsychiatry, and adult telepsychiatry made up 97 percent of telemedicine visits. Rural patients were more likely to have multiple telehealth visits. A significant difference was observed between rural and urban use of telemedicine, both in terms of specialties and demographics. This suggests that health systems should consider adjusting resources and training to meet the different needs of these two populations. In particular, telemedicine may offer help for the nationwide maldistribution of adolescent psychiatry providers.

本刊更多论文

城乡远程医疗利用的异同。

远程医疗传统上用于农村地区，但最近移动医疗解决方案的发展导致了城市远程医疗服务的增长。本研究的目的是确定大型学术医疗中心的城市和农村患者是否使用远程医疗以不同的比率访问不同的医疗保健专业。这项回顾性队列研究调查了一家大型学术医疗中心2008-2017年的所有远程医疗就诊。就诊按临床专科分类。远程皮肤科、儿童远程精神病学和成人远程精神病学占远程医疗就诊的97%。农村患者更有可能进行多次远程医疗访问。在专科和人口统计方面，农村和城市远程医疗的使用存在显著差异。这表明卫生系统应考虑调整资源和培训，以满足这两类人群的不同需求。特别是，远程医疗可以为全国范围内青少年精神病学提供者的分布不均提供帮助。

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

Perspectives in health information management / AHIMA, American Health Information Management Association Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Perspectives in Health Information Management is a scholarly, peer-reviewed research journal whose mission is to advance health information management practice and to encourage interdisciplinary collaboration between HIM professionals and others in disciplines supporting the advancement of the management of health information. The primary focus is to promote the linkage of practice, education, and research and to provide contributions to the understanding or improvement of health information management processes and outcomes.