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Accessibility and Utilization of Telehealth Services During the COVID-19 Pandemic Among Medicare Beneficiaries by Diabetes Status.
Research in Gerontological Nursing ( IF 1.6 ) Pub Date : 2023-03-08 , DOI: 10.3928/19404921-20230301-01
Qing He , Daniel Keith , Dawn O. Eckhoff , Chanhyun Park , Boon Peng Ng

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.].

中文翻译:

COVID-19 大流行期间远程医疗服务的可及性和利用在 Medicare 受益人中的糖尿病状况。

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,我们试图研究与 Medicare 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 Medicare Current Beneficiary Survey COVID-19 公共使用文件(N = 1,403 和 N = 2,218,分别针对患有和未患有糖尿病的个体)并执行多项式 Logit 模型来检查因素(例如,社会人口统计学、合并症、数字访问/知识)与年龄≥65 岁糖尿病患者提供和使用的远程医疗服务类型相关。医疗保险受益人似乎更喜欢通过电话而不是视频使用远程医疗。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可能会成为通过视频为受益人提供和使用远程医疗的障碍。对于患有糖尿病的老年人,观察到收入和非英语语言在通过视频获得远程医疗方面存在差异。[老年护理研究, 16(3), 134-146.]。
更新日期:2023-03-08
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