Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Objective: Examine the associations between rurality and low income with primary care telehealth utilization and hypertension outcomes across multiple years pre- and post-COVID-19 pandemic onset. Methods: We compiled electronic health record data from the mixed rural/urban Dartmouth Health system in New Hampshire, United States, on patients with pre-existing hypertension or diabetes receiving primary care in the period before (January 2018–February 2020) and after the transition period to telehealth during the COVID-19 Pandemic (October 2020–December 2022). Stratifying by rurality and Medicaid enrollment, we examined changes in synchronous (office and telehealth visits, including audio/video use) and asynchronous (patient portal or telephone message) utilization, and control of mean systolic blood pressure (SBP) <140. Results: Analysis included 46,520 patients, of whom 8.2% were Medicaid enrollees, 42.7% urban residents. Telehealth use rates were 12% for rural versus 6.4% for urban, and 15% for Medicaid versus 8.4% non-Medicaid. The overall postpandemic telehealth visit rate was 0.29 per patient per year. Rural patients had a larger increase in telehealth use (additional 0.21 per year, 95% CI, 0.19–0.23) compared with urban, as did Medicaid (0.32, 95% CI 0.29–0.36) compared with non-Medicaid. Among the 38,437 patients with hypertension, SBP control worsened from 83% to 79% of patients across periods. In multivariable analysis, rurality corresponded to worsened control rates compared with urban (additional 2.4% decrease, 95% CI 2.1–2.8%); Medicaid and telehealth use were not associated with worsened control. Conclusions: Telehealth expansion enabled a higher shift to telehealth for rural and low-income patients without impairing hypertension management.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19
- Date Crossref
- 01/06/2024
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Dartmouth College Department of Economics pays non établi dans la noticeUniversité ou école supérieure
-
Dartmouth–Hitchcock Medical Center pays non établi dans la noticeÉtablissement de santé
-
Dartmouth Health pays non établi dans la noticeÉtablissement de santé
-
Family Medicine Residency of Idaho pays non établi dans la noticeÉtablissement de santé
-
Dartmouth Psychiatric Research Center pays non établi dans la noticeStructure de recherche
-
Dartmouth-Hitchcock Medical Center pays non établi dans la noticeÉtablissement de santé
-
Geisel School of Medicine at Dartmouth Department of Community & pays non établi dans la noticeUniversité ou école supérieure
-
Full Circle Health Family Medicine Residency pays non établi dans la noticeInstitution
Department of Economics — Dartmouth College, Dartmouth–Hitchcock Medical Center et Dartmouth Health, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.