Improving Access to Care: Telemedicine Across Medical Domains.

IF 21.4 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
William Barbosa, Kina Zhou, Emma Waddell, Taylor Myers, E Ray Dorsey
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引用次数: 70

Abstract

Over the past 20 years, the use of telemedicine has increased exponentially. Its fundamental aim is to improve access to care. In this review, we assess the extent to which telemedicine has fulfilled this promise across medical domains. Additionally, we assess whether telemedicine has improved related health outcomes. Finally, we determine who has benefited from this novel form of health care delivery. A review of the literature indicates that (a) telemedicine has improved access to care for a wide range of clinical conditions ranging from stroke to pregnancy; (b) telemedicine in select circumstances has demonstrated improved health outcomes; and (c) telemedicine has addressed geographical, but less so social, barriers to care. For telemedicine to fulfill its promise, additional evidence needs to be gathered on health outcomes and cost savings, the digital divide needs to be bridged, and policy changes that support telemedicine reimbursement need to be enacted.

改善医疗服务:跨医疗领域的远程医疗。
在过去的20年里,远程医疗的使用呈指数增长。其基本目标是改善获得护理的机会。在这篇综述中,我们评估了远程医疗在多大程度上实现了跨医学领域的这一承诺。此外,我们评估远程医疗是否改善了相关的健康结果。最后,我们确定谁从这种新型的卫生保健服务中受益。对文献的回顾表明:(A)远程医疗改善了从中风到怀孕等各种临床病症的护理机会;(b)在某些情况下,远程医疗已证明改善了健康结果;(c)远程医疗解决了医疗服务的地理障碍,但较少涉及社会障碍。为使远程医疗实现其承诺,需要收集更多关于健康结果和成本节约的证据,需要弥合数字鸿沟,并需要制定支持远程医疗报销的政策变化。
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来源期刊
Annual Review of Public Health
Annual Review of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
26.60
自引率
1.40%
发文量
36
审稿时长
>12 weeks
期刊介绍: The Annual Review of Public Health has been a trusted publication in the field since its inception in 1980. It provides comprehensive coverage of important advancements in various areas of public health, such as epidemiology, biostatistics, environmental health, occupational health, social environment and behavior, health services, as well as public health practice and policy. In an effort to make the valuable research and information more accessible, the current volume has undergone a transformation. Previously, access to the articles was restricted, but now they are available to everyone through the Annual Reviews' Subscribe to Open program. This open access approach ensures that the knowledge and insights shared in these articles can reach a wider audience. Additionally, all the published articles are licensed under a CC BY license, allowing users to freely use, distribute, and build upon the content, while giving appropriate credit to the original authors.
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