TY - JOUR AU -木下，松本拓也AU -松本拓也AU - Taura，直田au -臼井直田au，松屋哲也AU -松屋，Nemu AU -西口，堀田真由美AU, Hozumi AU - Nakao, Kazuhiko PY - 2022 DA - 2022/9/14 TI -日本远程医疗的公共利益和可达性:使用谷歌趋势和国家监测JO - JMIR Form Res SP - e36525 VL - 6 IS - 9 KW - COVID-19 KW -远程医疗KW -远程医疗KW -公共利益KW -移动应用KW -相关性KW -信息流行病学，信息监测KW -监测KW -谷歌趋势AB -背景:最近，在COVID-19大流行期间，远程医疗用于患者治疗已引起世界各地的兴趣。因此，报告了许多利用谷歌趋势等基于网络的资源进行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。尽管在此期间，许多国家的公众对远程医疗的兴趣有所增加，但生活在日本的人们对远程医疗的长期兴趣仍然未知。此外，在COVID-19时代，偏远地区已经可以使用各种移动远程医疗应用程序，但这些应用程序在流行地区和非流行地区的可访问性尚不清楚。目的:本研究的第一部分旨在调查第一次大流行期间和大流行之后公众对远程医疗的兴趣，第二部分旨在调查流行地区和非流行地区医疗机构使用远程医疗的可及性。方法:我们使用谷歌Trends等开放资源和日本厚生劳动省(JMHLW)数据，对第一波和之后的远程医疗严重病例、死亡人数、相对搜索量(RSV)以及RSV与COVID-19病例之间的相关性进行了检查和比较。采用RSV与COVID-19病例的周平均值和周变化率检验相关系数。第二部分，利用JMHLW数据，比较疫区和非疫区新冠肺炎病例患病率、重症病例数、死亡人数和远程医疗可及性。我们还研究了远程医疗可及性与COVID-19病例流行率之间的区域相关性。 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. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/9/e36525 UR - https://doi.org/10.2196/36525 UR - http://www.ncbi.nlm.nih.gov/pubmed/36103221 DO - 10.2196/36525 ID - info:doi/10.2196/36525 ER -