@文章{info:doi/10.2196/36525,作者=“木下、拓哉和松本、武弘和陶拉、直田和臼井、哲哉和松哉、内木和西口、真umi和堀田、细umi和中尾和彦”,标题=“日本远程卫生的公共利益和可及性:利用谷歌趋势和国家监测的回顾性分析”,期刊=“JMIR形式Res”,年=“2022”,月=“9”,日=“14”,卷=“6”,数=“9”,页=“e36525”,关键词=“COVID-19;远程医疗;远程医疗;公共利益;手机应用程序;相关性;infodemiology infoveillance;监测;背景:最近,在COVID-19大流行情况下,使用远程医疗对患者进行治疗引起了全世界的兴趣。因此,报告了许多使用谷歌趋势等基于网络的来源的信息流行病学和信息监测研究,重点关注COVID-19大流行的第一波。 Although public interest in telehealth has increased in many countries during this time, the long-term interest has remained unknown among people living in Japan. Moreover, various mobile telehealth apps have become available for remote areas in the COVID-19 era, but the accessibility of these apps in epidemic versus nonepidemic regions is unknown. Objective: We aimed to investigate the public interest in telehealth during the first pandemic wave and after the wave in the first part of this study, and the accessibility of medical institutions using telehealth in the epidemic and nonepidemic regions, in the second part. Methods: We examined and compared the first wave and after the wave with regards to severe cases, number of deaths, relative search volume (RSV) of telehealth and COVID-19, and the correlation between RSV and COVID-19 cases, using open sources such as Google Trends and the Japanese Ministry of Health, Labour and Welfare (JMHLW) data. The weekly mean and the week-over-week change rates of RSV and COVID-19 cases were used to examine the correlation coefficients. In the second part, the prevalence of COVID-19 cases, severe cases, number of deaths, and the telehealth accessibility rate were compared between epidemic regions and nonepidemic regions, using the JMHLW data. We also examined the regional correlation between telehealth accessibility and the prevalence of COVID-19 cases. Results: Among the 83 weeks with 5 pandemic waves, the overall mean for the RSV of telehealth and COVID-19 was 11.3 (95{\%} CI 8.0-14.6) and 30.7 (95{\%} CI 27.2-34.2), respectively. The proportion of severe cases (26.54{\%} vs 18.16{\%}; P<.001), deaths (5.33{\%} vs 0.99{\%}; P<.001), RSV of telehealth (mean 33.1, 95{\%} CI 16.2-50.0 vs mean 7.3, 95{\%} CI 6.7-8.0; P<.001), and RSV of COVID-19 (mean 52.1, 95{\%} CI 38.3-65.9 vs mean 26.3, 95{\%} CI 24.4-29.2; P<.001) was significantly higher in the first wave compared to after the wave. In the correlation analysis, the public interest in telehealth was 0.899 in the first wave and --0.300 overall. In Japan, the accessibility of telehealth using mobile apps was significantly higher in epidemic regions compared to nonepidemic regions in both hospitals (3.8{\%} vs 2.0{\%}; P=.004) and general clinics (5.2{\%} vs 3.1{\%}; P<.001). In the regional correlation analysis, telehealth accessibility using mobile apps was 0.497 in hospitals and 0.629 in general clinics. Conclusions: Although there was no long-term correlation between the public interest in telehealth and COVID-19, there was a regional correlation between mobile telehealth app accessibility in Japan, especially for general clinics. We also revealed that epidemic regions had higher mobile telehealth app accessibility. Further studies about the actual use of telehealth and its effect after the COVID-19 pandemic are necessary. ", issn="2561-326X", doi="10.2196/36525", url="https://formative.www.mybigtv.com/2022/9/e36525", url="https://doi.org/10.2196/36525", url="http://www.ncbi.nlm.nih.gov/pubmed/36103221" }
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