衡量新冠肺炎大流行期间慢性阻塞性肺病患者在虚拟医疗保健和结果方面的差异。

IF 3.2 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-09-27 DOI:10.1177/1357633X231202283
Medha R Cherabuddi, Al Muthanna Shadid, Liyan Obeidat, Michelle Jesse, Patrick Bradley
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引用次数: 0

摘要

简介:随着新冠肺炎的流行,虚拟医疗的使用也在增加,甚至在慢性阻塞性肺病(COPD)患者中也是如此。我们测量了疫情期间COPD患者在虚拟医疗与传统医疗保健以及结果方面的差异。方法:本研究回顾性地确定了2020年3月1日至2020年6月30日期间在中西部一家大型医院系统进行虚拟或面对面初级保健的成年患者。收集以下12个月内的年龄、性别、种族、吸烟、区域剥夺指数(ADI)、COPD诊断、就诊类型(办公室、电话、视频、电子就诊、虚拟或办公室和虚拟的混合)以及入院时间等数据。使用卡方、方差分析、Kruskal-Wallis秩和和和Cox比例模型进行分析。结果:本研究确定了86715名患者。其中,4702人患有慢性阻塞性肺病,更可能是65岁或65岁以上的白人,与其他研究人群相比,ADI更高,使用电话或混合访问,大多数人有吸烟史。办公室、电话和混合访问频繁使用,在性别、种族、ADI和吸烟类别中始终可见。年龄的增长与办公室和电话访问的使用增加以及视频访问的使用减少有关。ADI较高与电话访问相关,ADI较低与视频访问相关。不同就诊类型的总体、COPD或新冠肺炎住院率没有显著差异。讨论:COPD患者在利用传统医疗保健方面的复杂差异也反映在虚拟医疗保健中,对入院没有显著影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring disparities in virtual healthcare and outcomes in chronic obstructive pulmonary disease patients during the COVID-19 pandemic.

IntroductionThe use of virtual healthcare increased with the COVID-19 pandemic, even among chronic obstructive pulmonary disease (COPD) patients. We measured disparities in virtual compared to traditional healthcare and outcomes in COPD patients during the pandemic.MethodsThis study retrospectively identified adult patients with virtual or in-person primary care encounters at a large, Midwestern hospital system between March 1, 2020, and June 30, 2020. Data regarding age, sex, race, smoking, area deprivation index (ADI), COPD diagnosis, visit type (office, telephone, video, E-visit, virtual, or hybrid of office and virtual), and time to hospital admission in the following 12 months were collected. Analysis was performed using chi-square, analysis of variance, Kruskal-Wallis rank sum, and Cox proportional modeling.ResultsThis study identified 86,715 patients. Of those, 4702 had COPD and were more likely to be 65 years or older, White, have higher ADI, use telephone or hybrid visits compared to the rest of the study population and majority had smoking history. Office, telephone, and hybrid visits were used frequently, consistently seen across sex, race, ADI, and smoking categories. Increasing age was associated with increased use of office and telephone visits, and decreased use of video visits. Higher ADI was associated with telephone visits, and lower ADI was associated with video visits. There were no significant differences in overall, COPD, or COVID-19 hospital admission rates across visit types.DiscussionComplex disparities in utilizing traditional healthcare are also reflected in virtual healthcare in COPD patients, and do not significantly affect hospital admissions.

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来源期刊
CiteScore
14.10
自引率
10.60%
发文量
174
审稿时长
6-12 weeks
期刊介绍: Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.
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