COVID-19大流行期间医疗保险受益人中糖尿病状况的远程医疗服务可及性和利用情况

IF 1.1 4区 医学 Q3 NURSING Research in Gerontological Nursing Pub Date : 2023-05-01 DOI:10.3928/19404921-20230301-01
Qing He, Daniel Keith, Dawn O Eckhoff, Chanhyun Park, Boon Peng Ng
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引用次数: 0

摘要

由于远程医疗服务类型(即电话和/或视频)可能对患者护理和结果产生影响,我们试图检查与医疗保险受益人提供和使用的远程医疗服务类型相关的因素。我们分析了医疗保险当前受益人调查COVID-19公共使用文件(N = 1403和N = 2218分别适用于患有和非糖尿病的个体),并使用多项逻辑模型来检查与年龄≥65岁的受益人提供和使用的远程医疗服务类型相关的因素(例如,社会人口统计学、合并症、数字访问/知识)。医疗保险受益人似乎更喜欢通过电话而不是视频进行远程医疗。无论糖尿病状况如何,以前没有参加过视频或语音通话或会议,都可能成为通过视频向受益人提供和使用远程医疗的障碍。对老年糖尿病患者而言,通过视频获得远程医疗服务的机会因收入和非英语语言而存在差异。老年护理研究,16(3),134-146。
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Accessibility and Utilization of Telehealth Services During the COVID-19 Pandemic Among Medicare Beneficiaries by Diabetes Status.

Due to the influence types of telehealth services (i.e., phone and/or video) can have on patient care and outcomes, we sought to examine factors associated with the types of telehealth services offered and used among Medicare beneficiaries. We analyzed the Medicare Current Beneficiary Survey COVID-19 Public Use File (N = 1,403 and N = 2,218 for individuals with and without diabetes, respectively) and performed multinomial logit models to examine factors (e.g., sociodemographics, comorbidities, digital access/knowledge) associated with types of telehealth services offered and used among beneficiaries aged ≥65 years by diabetes status. Medicare beneficiaries seemed to prefer using telehealth via phone than video. Regardless of diabetes status, having not previously participated in video or voice calls or conferencing can be a barrier to telehealth being offered and used via video for beneficiaries. For older adults with diabetes, disparities in accessibility of telehealth via video by income and languages spoken other than English were observed. [Research in Gerontological Nursing, 16(3), 134-146.].

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来源期刊
CiteScore
2.30
自引率
6.20%
发文量
44
审稿时长
>12 weeks
期刊介绍: Research in Gerontological Nursing is a forum for disseminating peer-reviewed, interdisciplinary, cutting-edge gerontological nursing research and theory to investigators, educators, academicians, clinicians, and policymakers involved with older adults in all health care settings. The Journal accepts manuscripts reporting research, theory, integrative and systematic reviews, instrument development, and research methods with the aims of improving the wellness and quality of care of the older adult population. Theory papers should advance gerontological knowledge, and integrative reviews should provide an analysis of the state of the science and provide direction for future research.
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