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远程医疗可及性提升的影响

The Impact of Increased Access to Telemedicine
Journal of the European Economic Association · 2023 · Dan Zeltzer、Liran Einav、Joseph Rashba、Ran D. Balicer

中文摘要

我们估计了远程医疗在2020年3月至4月COVID-19疫情封锁期间被广泛采用后,其可及性提升所产生的影响。我们聚焦于封锁后时期,该时期已近乎完全重新开放。我们采用双重差分框架,根据患者的初级保健医生采用远程医疗的情况,将患者划分为远程医疗可及性高、低两组,并比较两组患者在封锁前后的初级保健就诊事件。结果显示,远程医疗可及性使初级保健就诊次数略有增加,但支出有所降低。就诊过程中开具的处方更少,随访更多,但我们未发现漏诊或不良结局的证据。结果提示,远程医疗并不损害医疗质量,也不增加成本。

Abstract

Abstract We estimate the impact of increased access to telemedicine following widespread adoption during the March–April 2020 COVID-19 lockdown period. We focus on the post-lockdown period, which was characterized by near-complete reopening. Using a difference-in-differences framework, we compare primary care episodes before and after the lockdown between patients with high and low access to telemedicine, as defined by their primary care physician adoption. Our results show that access to telemedicine leads to slightly more primary care visits but lower spending. Visits involve fewer prescriptions and more follow-ups, but we find no evidence of missed diagnoses or adverse outcomes. Results suggest that telemedicine does not compromise care quality or raise costs.
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