居住在美国的马绍尔人首次利用远程医疗的相关因素。

Telemedicine reports Pub Date : 2021-10-07 eCollection Date: 2021-01-01 DOI:10.1089/tmr.2021.0023
Jennifer A Andersen, Holly C Felix, Hari Eswaran, Nalin Payakachat, Don E Willis, Cari Bogulski, Pearl A McElfish
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引用次数: 4

摘要

背景:预防COVID-19传播的缓解努力包括大力利用远程医疗。然而,过去少数种族/族裔人口的远程保健使用率较低。本研究的目的是利用2020年7月至11月期间从109名马绍尔受访者那里收集的在线调查数据,研究2019冠状病毒病疫情期间马绍尔成年人首次使用远程医疗的情况。方法:为了评估社会人口学特征、医疗服务可及性、身心健康和covid -19特定措施与使用远程医疗决策之间的关系,我们使用双变量分析,包括t检验和卡方分析。结果:18名答复者(16.5%)表示,他们在大流行期间首次使用远程医疗。报告的慢性病数量与首次使用远程医疗呈正相关(p = 0.013)。虽然统计上不显著,但较高比例的马绍尔群岛首次远程保健用户报告英语熟练程度有限、健康状况发生变化以及健康保险发生变化。讨论:虽然远程保健已被证明可以缩小少数民族人口健康差距的绝对差距,但马绍尔社区对远程保健的利用有限。结论:在2019冠状病毒病大流行期间,马绍尔群岛人利用远程医疗的情况仍有重要研究,未来应提高利用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with First-Time Telehealth Utilization for Marshallese Living in the United States.

Background: Mitigation efforts to prevent the spread of COVID-19 included the robust utilization of telehealth. However, racial/ethnic minority populations have demonstrated low telehealth utilization in the past. The aim of this study was to examine the first-time use of telehealth by Marshallese adults during the COVID-19 pandemic, using online survey data collected from 109 Marshallese respondents between July and November of 2020. Methods: To evaluate the relationships between sociodemographic characteristics, health care access, physical/mental health, and COVID-19-specific measures and the decision to use telehealth, we use bivariate analyses, including t-tests and chi-square analysis. Results: Eighteen respondents (16.5%) indicated they utilized telehealth for the first time during the pandemic. The number of chronic conditions reported was positively associated with the first-time use of telehealth (p = 0.013). Although not statistically significant, a higher proportion of Marshallese first-time telehealth users reported limited English proficiency, changes in health status, and changes in health insurance. Discussion: Although telehealth has been shown to reduce the absolute gaps in health disparities for minority populations, there is limited utilization by Marshallese communities. Conclusions: Significant research remains on the utilization of telehealth by Marshallese during the COVID-19 pandemic and to increase utilization in the future.

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