Parent Preferences for Communicating With Their Adolescent's Provider Using New Technologies.
Parent Preferences for Communicating With Their Adolescent's Provider Using New Technologies.
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家长偏好使用新技术与青少年的提供者进行沟通。
DOI：
10.1016/j.jadohealth.2015.06.006
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Szilagyi,PeterG
中科院分区：
文献类型：
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作者：
Rand,CynthiaM;Blumkin,Aaron;Vincelli,Phyllis;Katsetos,Viki;Szilagyi,PeterG
由于青少年很少进行医疗保健访问，我们评估了青少年父母对与青少年医生沟通疫苗提醒和预约，药物补充和测试结果的各种方式的看法，包括电话，邮件，电子邮件，短信，和个人健康记录（PHRs）。方法我们进行了一项横断面调查的400名家长的青少年提出了四个儿科办公室（两个城市，两个郊区）在罗切斯特，纽约在2011年之前，疫苗提醒发生在这些practice.ResultsRoughly一半的父母（60%的城市，52%郊区，P= .11）接受青少年接受自己的疫苗提醒。城市父母更喜欢通过电话与供应商沟通，而郊区父母则更喜欢通过电子邮件解决大多数问题，并通过PHR接收测试结果。在校正分析中，年龄越小，越喜欢短信提醒接种疫苗（41岁至<51岁：校正相对危险度[aRR] = 0.8，p = 0.02; ≥51岁，aRR = 0.5，p <0.001），作为郊区父母与更喜欢电子邮件提醒相关（aRR = 1.6，p <0.001）。那些更年轻的人（41至<51岁：aRR =.6，p = .007; ≥51岁：aRR =.4，p < .001）和郊区（aRR = 2.4，p <0.001）最有可能对PHR的一般使用感兴趣。（短信、电子邮件、医生促进健康报告）进行沟通，以获得青少年的医疗保健，而且存在父母年龄和社会经济差距。最理想的做法是提供父母与青少年提供者沟通的各种方式。
PurposeBecause adolescents make few health care visits, we assessed the views of parents of adolescents on various means to communicate with their adolescents' physicians about vaccine reminders and appointments, medication refills and test results—including phone, mail, e-mail, text messages, and personal health records (PHRs).MethodsWe performed a cross-sectional survey of 400 parents of adolescents presenting to four pediatric offices (two urban, two suburban) in Rochester, NY in 2011 before vaccine reminders occurring in these practices.ResultsRoughly half of parents (60% urban, 52% suburban,p= .11) were accepting of teens receiving their own vaccine reminders. Urban parents preferred communicating with the provider via telephone, whereas suburban parents preferred e-mail for most issues and a PHR for receipt of test results. In adjusted analyses, being younger was associated with preferring text message vaccine reminders (41 to <51 years: adjusted relative risk [aRR] = .8,p= .02; ≥51 years, aRR = .5,p< .001), and being a suburban parent was associated with preferring e-mail reminders (aRR = 1.6,p< .001). Those who were younger (41 to <51 years: aRR = .6,p= .007; ≥51 years: aRR = .4,p< .001) and suburban (aRR = 2.4,p< .001) were most likely to be interested in general use of a PHR.ConclusionsOur study shows that some, but not all, parents are ready for electronic (text message, e-mail, PHR) communications for their adolescents' health care and that a parent age and socioeconomic divide exists. Providing options in the means in which parents communicate with an adolescent's provider is ideal.