自新冠肺炎发病以来，远程医疗正在进行的医疗服务转型的证据:卡塔尔世界杯8强波胆分析回顾性观察研究:A Mandal,Soumik, A Wiesenfeld,Batia M, A Mann,Devin, A Lawrence,Katharine, A Chunara,Rumi, A Testa,Paul, A Nov,Oded，纽约大学格罗斯曼医学院人口健康系，美国纽约麦迪逊大道180号，纽约州，10016，美国，1 6465013442，mandal.soumik@gmail.com %K数字医疗%K远程医疗%K紧急护理%K COVID-19 %K卫生保健服务%D 2022 %7 14.10.2022 %9背景:在COVID-19大流行的早期阶段，远程医疗的使用激增已经得到了充分的记录。然而，很少有证据考虑到在随后的时期使用远程医疗。目的:本研究旨在评估在纽约市(NYC)的一个大型卫生系统中，基于视频的远程医疗访问的门诊护理和紧急护理服务的使用模式，以及这对卫生保健服务的意义。方法:利用2020年1月1日至2022年2月28日患者的回顾性电子健康记录(EHR)数据，纵向跟踪和分析门诊护理专科和急诊的远程医疗和亲自就诊量，并将其与大流行前基线(2019年6月至11月)进行比较。将用于区分疑似COVID-19就诊和非COVID-19就诊的诊断代码，以及评估基于COVID-19的远程医疗使用情况随时间的变化，与同一地理区域(市级)的COVID-19阳性病例总数进行比较。基于变化点分析对时间序列数据进行了分段，并比较了分段之间的访问趋势差异。结果:COVID-19的出现促使急诊和门诊机构的远程医疗就诊次数早期增加。在整个大流行期间，尽管COVID-19病例在整个大流行期间出现波动，并且恢复了面对面的临床服务，但COVID-19和非COVID-19疑似就诊的这种使用水平仍远高于大流行前的基线水平。 The use of telemedicine-based urgent care services for COVID-19 suspected visits showed more variance in response to each pandemic wave, but telemedicine visits for ambulatory care have remained relatively steady after the initial crisis period. During the Omicron wave, the use of all visit types, including in-person activities, decreased. Patients between 25 and 34 years of age were the largest users of telemedicine-based urgent care. Patient satisfaction with telemedicine-based urgent care remained high despite the rapid scaling of services to meet increased demand. Conclusions: The trend of the increased use of telemedicine as a means of health care delivery relative to the pre–COVID-19 baseline has been maintained throughout the later pandemic periods despite fluctuating COVID-19 cases and the resumption of in-person care delivery. Overall satisfaction with telemedicine-based care is also high. The trends in telemedicine use suggest that telemedicine-based health care delivery has become a mainstream and sustained supplement to in-person-based ambulatory care, particularly for younger patients, for both urgent and nonurgent care needs. These findings have implications for the health care delivery system, including practice leaders, insurers, and policymakers. Further investigation is needed to evaluate telemedicine adoption by key demographics, identify ongoing barriers to adoption, and explore the impacts of sustained use of telemedicine on health care outcomes and experience. %M 36103553 %R 10.2196/38661 %U https://formative.www.mybigtv.com/2022/10/e38661 %U https://doi.org/10.2196/38661 %U http://www.ncbi.nlm.nih.gov/pubmed/36103553