Telemedicine as a tool for bridging geographical inequity: insights in geospatial interactions from a study on chronic heart failure patients
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| Titel: | Telemedicine as a tool for bridging geographical inequity: insights in geospatial interactions from a study on chronic heart failure patients |
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| Autoren: | Alexander Arndt Pasgaard Xylander, Simon Lebech Cichosz, Ole Hejlesen, Flemming Witt Udsen |
| Quelle: | BMC Public Health BMC Public Health, Vol 24, Iss 1, Pp 1-10 (2024) Xylander, A A P, Cichosz, S L, Hejlesen, O & Witt Udsen, F 2024, 'Telemedicine as a Tool for Bridging Geographical Inequity : Insights in Geospatial Interactions from a Study on Chronic Heart Failure Patients', B M C Public Health, vol. 24, no. 1, 2953 . https://doi.org/10.1186/s12889-024-20438-4 |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | Chronic Disease/therapy, Heart Failure, Male, Research, Middle Aged, Telemedicine, Health Services Accessibility, Telehealth, Chronic Disease, Heart Failure/therapy, Humans, Geographical distance, Female, Public aspects of medicine, RA1-1270, Healthcare Disparities, Health inequality, Aged |
| Beschreibung: | Chronic heart failure patients experience large disparities in quality of and access to treatment, with rural populations receiving lower levels of care. Telemonitoring of patients is increasingly being used as an important tool for improving patient management and care and might reduce geographical inequities in healthcare.We investigate the presence and magnitude of a geospatial interaction effect on the health benefit of a supplementary telemedicine intervention, by analyzing the relationship between distance to regular place of treatment and the benefit of telemedicine in a secondary analysis of data from a previously conducted RCT. We use change in EQ5D health status, SF-36 Physical component score and SF-36 Mental component score as the outcomes. In the unadjusted analysis, intervention group and distance group and the interaction term are included as the independent variables, in the adjusted analysis, multiple socioeconomic and health related variables are included to account for potential confounders.We find evidence of a significant interaction between the effects of telemedicine and long distance to treatment for change in EQ5D health status (unadjusted: p = 0.016, adjusted p = 0.009) and unadjusted but not adjusted mental component score (unadjusted: p = 0.013, adjusted p = 0.0728), for the change in physical component score the interaction term was not significant (unadjusted: p = 0.118, adjusted p = 0.092).In our study we find that supplementary telemedicine is likely to reduce the health access inequities associated with geographical distance for chronic heart failure patients. However, our sample size was modest and further research is needed to confirm these findings. |
| Publikationsart: | Article Other literature type |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-024-20438-4 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/39448940 https://doaj.org/article/d30ff9ea510c40b3bfa1af47d71e5fb5 https://vbn.aau.dk/da/publications/70be6021-3521-4563-befb-ff01d981d404 https://doi.org/10.1186/s12889-024-20438-4 https://vbn.aau.dk/ws/files/749551581/s12889-024-20438-4.pdf http://www.scopus.com/inward/record.url?scp=85207333878&partnerID=8YFLogxK |
| Rights: | CC BY NC ND |
| Dokumentencode: | edsair.doi.dedup.....268480668e5810e076a9b33f92e080cb |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Chronic heart failure patients experience large disparities in quality of and access to treatment, with rural populations receiving lower levels of care. Telemonitoring of patients is increasingly being used as an important tool for improving patient management and care and might reduce geographical inequities in healthcare.We investigate the presence and magnitude of a geospatial interaction effect on the health benefit of a supplementary telemedicine intervention, by analyzing the relationship between distance to regular place of treatment and the benefit of telemedicine in a secondary analysis of data from a previously conducted RCT. We use change in EQ5D health status, SF-36 Physical component score and SF-36 Mental component score as the outcomes. In the unadjusted analysis, intervention group and distance group and the interaction term are included as the independent variables, in the adjusted analysis, multiple socioeconomic and health related variables are included to account for potential confounders.We find evidence of a significant interaction between the effects of telemedicine and long distance to treatment for change in EQ5D health status (unadjusted: p = 0.016, adjusted p = 0.009) and unadjusted but not adjusted mental component score (unadjusted: p = 0.013, adjusted p = 0.0728), for the change in physical component score the interaction term was not significant (unadjusted: p = 0.118, adjusted p = 0.092).In our study we find that supplementary telemedicine is likely to reduce the health access inequities associated with geographical distance for chronic heart failure patients. However, our sample size was modest and further research is needed to confirm these findings. |
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| ISSN: | 14712458 |
| DOI: | 10.1186/s12889-024-20438-4 |