利用数据分析促进远程保健的使用:阿肯色州案例研究。

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Telemedicine and Telecare Pub Date : 2024-12-01 Epub Date: 2023-03-07 DOI:10.1177/1357633X231160039
Aysenur Betul Cengil, Burak Eksioglu, Sandra Eksioglu, Hari Eswaran, Corey J Hayes, Cari A Bogulski
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引用次数: 0

摘要

简介在 COVID-19 大流行期间,许多患者使用了远程保健服务。在本研究中,我们评估了近年来不同因素对远程医疗利用率的影响。联邦和州一级的决策者可以利用本研究的结果为他们的医疗保健相关政策决策提供参考:我们采用数据分析技术,利用阿肯色州的数据开展案例研究,以确定解释远程医疗使用情况的因素。具体来说,我们建立了一个随机森林回归模型,帮助我们确定远程医疗使用中的重要因素。我们评估了每个因素对阿肯色州各县远程医疗患者数量的影响:在评估的 11 个因素中,5 个是人口因素,6 个是社会经济因素。社会经济因素在短期内相对更容易受到影响。根据我们的结果,宽带用户是最重要的社会经济因素,人口密度是最重要的人口因素。这两个因素与远程保健使用的重要性依次为教育水平、计算机使用和残疾:根据文献研究,远程医疗有可能通过提高医生利用率、减少直接和间接等待时间以及降低成本来改善医疗服务。因此,联邦和各州的决策者可以通过关注重要因素来影响远程医疗在特定地区的使用。例如,可以投资增加目标地点的宽带用户、教育水平和计算机使用率。
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Using data analytics for telehealth utilization: A case study in Arkansas.

Introduction: Many patients used telehealth services during the COVID-19 pandemic. In this study, we evaluate how different factors have affected telehealth utilization in recent years. Decision makers at the federal and state levels can use the results of this study to inform their healthcare-related policy decisions.

Methods: We implemented data analytics techniques to determine the factors that explain the use of telehealth by developing a case study using data from Arkansas. Specifically, we built a random forest regression model which helps us identify the important factors in telehealth utilization. We evaluated how each factor impacts the number of telehealth patients in Arkansas counties.

Results: Of the 11 factors evaluated, five are demographic, and six are socioeconomic factors. Socioeconomic factors are relatively easier to influence in the short term. Based on our results, broadband subscription is the most important socioeconomic factor and population density is the most important demographic factor. These two factors were followed by education level, computer use, and disability in terms of their importance as it relates to telehealth use.

Discussion: Based on studies in the literature, telehealth has the potential to improve healthcare services by improving doctor utilization, reducing direct and indirect waiting times, and reducing costs. Thus, federal and state decision makers can influence the utilization of telehealth in specific locations by focusing on important factors. For example, investments can be made to increase broadband subscriptions, education levels, and computer use in targeted locations.

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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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