新冠肺炎对初级保健可及性的影响以及远程医疗对慢性病患者的作用

IF 3.4 3区 医学 Q1 HEALTH POLICY & SERVICES
Christian Boxley , Ram Dixit , Katharine Adams , Ryan Anderson , Raj M. Ratwani , Ethan Booker
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引用次数: 0

摘要

目的本研究的目的是量化患者在疫情前(2019年)和疫情初期(2020年)完成重新安排的初级保健预约所需的时间。在这样做的过程中,该研究评估了远程医疗在帮助初级保健患者——特别是慢性病患者——抵御新冠肺炎对护理的重大干扰方面的作用。方法从新冠疫情开始(2020年3月1日至7月31日)和新冠疫情前的类似时期(2019年3月31日至7日31日)提取已取消和已完成的成年患者初级保健预约。检查了取消后(至2021年6月30日)后续完成就诊的天数和预约方式(面对面、电话、视频)。进行统计检验以确定统计显著性,并进行线性回归以控制其他研究变量的影响。结果疫情前慢性病患者平均需要52.3天才能重新安排他们取消的面对面预约。在疫情早期,慢性病患者亲自去看医生平均需要78.8天。在疫情前的同一时期,慢性病患者在通过远程医疗重新安排时,平均等待时间减少到51.5天。这些差异在没有慢性病的患者中是相似的。结论该分析表明,远程医疗创造了与疫情前相当的恢复护理时间表,这对慢性病患者尤为重要。公共利益总结远程健康访问(即通过电话或视频通话与医生交谈)帮助患者继续获得所需的医疗护理,尤其是在新冠肺炎疫情等破坏性时期。远程医疗是决定患者多久完成重新安排的初级保健预约的最有力的预测因素。由于远程医疗非常重要,医疗保健提供者和系统需要继续为患者提供通过电话或视频通话与医生交谈的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The impact of COVID-19 on primary care accessibility and the role of telehealth for patients with chronic conditions

The impact of COVID-19 on primary care accessibility and the role of telehealth for patients with chronic conditions

Objectives

The objective of this study is to quantify how long patients took to complete their rescheduled primary care appointment pre-pandemic (2019) and during an initial pandemic period (2020). In doing so, the study evaluates telehealth's role in helping primary care patients – particularly in patients with chronic conditions – withstand COVID's significant disruption in care.

Methods

Cancelled and completed primary care appointments for adult patients were extracted from the beginning of the pandemic (March 1 to July 31, 2020) and a similar period pre-pandemic (March 1 to July 31, 2019). Days to the subsequent completed visit after cancellation (through June 30, 2021) and appointment modality (in-person, phone, video) were examined. Statistical testing was done to determine statistical significance, and a linear regression was run to control for effects of other study variables.

Results

Pre-pandemic patients with chronic conditions needed 52.3 days on average to reschedule their cancelled in-person appointment. During the early pandemic period, chronic condition patients who saw their provider in-person took on average 78.8 days. During the same pre-pandemic period, patients with chronic conditions had their average wait time decrease to 51.5 days when rescheduling via telehealth. These differences were similar for patients without chronic conditions.

Conclusions

This analysis shows that telehealth created return to care timelines comparable to the pre-pandemic period which is especially important for patients with chronic conditions.

Public interest summary

Telehealth visits (i.e., talking with a physician via phone or video call) help patients continue to receive the medical care they need – especially during disruptive periods such as the COVID pandemic. Access to telehealth is the strongest predictor in determining how soon a patient will complete their reschedule primary care appointment. Because telehealth is so important, health care providers and systems need to continue to offer patients the ability to talk with their physician via phone or video call.

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来源期刊
Health Policy and Technology
Health Policy and Technology Medicine-Health Policy
CiteScore
9.20
自引率
3.30%
发文量
78
审稿时长
88 days
期刊介绍: Health Policy and Technology (HPT), is the official journal of the Fellowship of Postgraduate Medicine (FPM), a cross-disciplinary journal, which focuses on past, present and future health policy and the role of technology in clinical and non-clinical national and international health environments. HPT provides a further excellent way for the FPM to continue to make important national and international contributions to development of policy and practice within medicine and related disciplines. The aim of HPT is to publish relevant, timely and accessible articles and commentaries to support policy-makers, health professionals, health technology providers, patient groups and academia interested in health policy and technology. Topics covered by HPT will include: - Health technology, including drug discovery, diagnostics, medicines, devices, therapeutic delivery and eHealth systems - Cross-national comparisons on health policy using evidence-based approaches - National studies on health policy to determine the outcomes of technology-driven initiatives - Cross-border eHealth including health tourism - The digital divide in mobility, access and affordability of healthcare - Health technology assessment (HTA) methods and tools for evaluating the effectiveness of clinical and non-clinical health technologies - Health and eHealth indicators and benchmarks (measure/metrics) for understanding the adoption and diffusion of health technologies - Health and eHealth models and frameworks to support policy-makers and other stakeholders in decision-making - Stakeholder engagement with health technologies (clinical and patient/citizen buy-in) - Regulation and health economics
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