E-TREAT: Evaluation of Telemedicine for diabetes care in Latinos

E-TREAT：远程医疗对拉丁裔糖尿病护理的评估

基本信息

批准号：
10733747
负责人：
Miguel Marino
金额：
$ 66.89万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-05 至 2028-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10733747
关键词：
Address Affect COVID-19 pandemic Caring Chronic Care Chronic Disease Communities Community Health Education Community Health Networks Data Data Set Databases Decision Making Diabetes Mellitus Disease Disease Outcome Disparity Drug Prescriptions Economics Education Educational Status Effectiveness Electronic Health Record Ensure Equitable healthcare Equity Evaluation Face Health Insurance Health Services Accessibility Health system Healthcare Healthcare Systems Hypertension Immigration Individual Inequity Internet Knowledge Language Latino Latino Population Link Managed Care Minority Groups Monitor Morbidity - disease rate Neighborhood Health Center Not Hispanic or Latino Outcome Patients Persons Policies Policy Maker Population Prevention Primary Care Quasi-experiment Recommendation Regulation Relaxation Research Design Resources Risk Services Social Distance Technology Telemedicine Telephone Training United States Virus Visit World Health Organization access disparities acronyms care delivery care seeking care systems comorbidity diabetes management disparity reduction health care availability health care delivery health inequalities improved innovation member mortality pandemic disease patient oriented poor communities primary care services primary care visit risk stratification rurality safe patient screening social social factors social health determinants

项目摘要

PROJECT SUMMARY E-TREAT: Evaluation of Telemedicine for diabetes and hypertension care in Latinos Latinos are more likely to have diabetes and hypertension and to face poor outcomes and complications from these diseases. Quality primary care can reduce poor outcomes from these diseases, but primary care services changed drastically in 2020 because of the COVID-19 pandemic. The pandemic shifted many primary care visits from face-to-face visits to telemedicine (telephone and video) visits. It is uncertain how frequently Latino patients with diabetes and hypertension utilized (and continue to utilize) these types of visits, and how this may have affected the services they received for diabetes and hypertension, and how well their diseases were controlled. It is also unknown how various social factors (community economic resources, language barriers, access to broadband internet) might moderate the association of telemedicine on diabetes and hypertension care and control. This study will assess the use of telemedicine (video and telephone visits) vs. in person visits between Latino and non-Hispanic white patients with diabetes and/or hypertension seen at community health centers in the United States over the course of and subsequent to the COVID-19 pandemic. It will also assess the association of telemedicine utilization with the receipt of recommended diabetes and hypertension care services, and assess the potential of social determinants of health to moderate the effectiveness of telemedicine in mitigating disparities in diabetes and hypertension care between Latino populations and non-Hispanic white populations in these patients. Understanding the quality of diabetes and hypertension care delivered via telemedicine among Latinos with diabetes and hypertension and which social determinants of health moderate its effectiveness is critical for healthcare planning and policies around reimbursement and regulations and will have a significant impact on patients, clinicians, policy-makers, and healthcare system leaders and allow for equitable healthcare delivery.

项目摘要电子治疗：拉丁美洲裔糖尿病和高血压护理的远程医疗评估拉丁美洲人更有可能患有糖尿病和高血压，并面临不良的结果和并发症这些疾病。优质的初级保健可以减少这些疾病的不良结果，但初级保健由于1920年的大流行，服务在2020年发生了巨大变化。大流行改变了许多主要的从面对面访问远程医疗（电话和视频）访问。不确定多久利用（并继续利用）这些类型的糖尿病患者和高血压患者，以及如何这可能影响了他们对糖尿病和高血压的服务，以及他们的疾病如何被控制。也未知各种社会因素（社区经济资源，语言）如何障碍，获得宽带互联网）可能会在糖尿病和高血压护理和控制。这项研究将评估远程医疗（视频和电话访问）的使用在拉丁裔和非西班牙裔白人患有糖尿病和/或高血压的人之间的访问在美国199大流行期间，在美国的社区卫生中心。它还将评估远程医疗利用的关联与建议的糖尿病和高血压护理服务，并评估社会决定因素的潜力远程医疗在缓解糖尿病差异和拉丁裔高血压护理中的有效性这些患者的人群和非西班牙裔白人种群。了解糖尿病的质量和通过糖尿病和高血压的拉丁裔通过远程医疗提供的高血压护理以及哪些社会健康的决定因素使其有效性适应医疗计划和围绕政策至关重要报销和法规，将对患者，临床医生，决策者和医疗保健系统领导者，允许公平的医疗保健提供。