%0期刊文章%@ 2561-326X %I JMIR出版物%V 6% 卡塔尔世界杯8强波胆分析N 9% P e36525% T日本远程医疗的公共利益和可及性:使用谷歌趋势和国家监测的回顾性分析%A木下，Takuya %A松本，Takehiro %A Taura,Naota %A Usui,Tetsuya %A Matsuya,Nemu %A nisiguchi,Mayumi %A Horita,Hozumi %A Nakao,Kazuhiko %+长崎大学医学信息系，1-7-1坂本，长崎，852-8501，日本，81 95 819 7529,takuya_kinoshita@nagasaki-u.ac.jp %K COVID-19 %K远程保健%K远程医疗%K公共兴趣%K移动应用程序%K相关性%K信息流行病学，信息监视%K监视%K谷歌趋势%D 2022 %7 14.9.2022 %9原始论文%J JMIR表单Res %G英文%X背景:最近，在COVID-19大流行期间，使用远程医疗对患者进行治疗引起了世界各地的兴趣。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。 We also examined the regional correlation between telehealth accessibility and the prevalence of COVID-19 cases. 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. %M 36103221 %R 10.2196/36525 %U https://formative.www.mybigtv.com/2022/9/e36525 %U https://doi.org/10.2196/36525 %U http://www.ncbi.nlm.nih.gov/pubmed/36103221