Abstract：
Objective: Investigate the association between Telemental Health (TMH) uptake and sociodemographic characteristics, and how TMH uptake relates to health care resource utilization and Medicaid expenditures among Mississippi Medicaid enrollees with major depression. Methods: A retrospective cohort study was conducted (2019-2020), comparing those who utilized TMH and those who did not. Results: Among the 21,239 identified enrollees, 806 (3.79%) utilized TMH. The TMH cohort was more likely to be of older age, non-Hispanic White, comprehensive managed care organization enrollees, rural residents, and from areas with a higher area deprivation index, and have higher Charlson comorbidity index scores. The TMH cohort also exhibited higher mental health-related and all-cause outpatient and emergency department utilization, along with higher Medicaid expenditures. Conclusion: As the first study investigating telehealth utilization among Mississippi Medicaid enrollees, this study highlights sociodemographic disparities in telehealth adoption. Addressing barriers hindering telehealth adoption among vulnerable populations and ensuring the availability of quality data are vital for future research.
摘要：
目的：研究心电健康（TMH）摄取与社会人口统计学特征之间的关系，以及TMH吸收与严重抑郁症的密西西比州医疗补助参保人的医疗保健资源利用和医疗补助支出有关。方法：采用回顾性队列研究（2019-2020年），比较使用TMH的人和没有使用TMH的人。结果：在21,239名确定的参与者中，806（3.79%）使用TMH。TMH队列更有可能年龄较大，非西班牙裔白人,综合管理式护理组织注册人员，农村居民,从面积剥夺指数较高的地区，Charlson合并症指数得分较高。TMH队列还表现出更高的心理健康相关和全因门诊和急诊科的利用率，以及更高的医疗补助支出。结论：作为第一项调查密西西比州医疗补助参保人员远程医疗利用的研究，这项研究强调了远程医疗采用方面的社会人口统计学差异.解决阻碍弱势群体采用远程医疗的障碍，并确保高质量数据的可用性对于未来的研究至关重要。
