Patient and Family Factors Associated with Use of Telemedicine Visits for Pediatric Acute Respiratory Tract Infections, 2018-2019
Patient and Family Factors Associated with Use of Telemedicine Visits for Pediatric Acute Respiratory Tract Infections, 2018-2019
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DOI：
10.1089/tmj.2022.0097
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发表时间：
2022-05-30
影响因子：
4.7
通讯作者：
Ray, Kristin N.
中科院分区：
文献类型：
--
作者：
Wittman, Samuel R.;Yabes, Jonathan G.;Ray, Kristin N.
背景：在COVID-19大流行之前，儿科急性呼吸道感染（ARTIs）是商业直接面向消费者（DTC）远程医疗使用的常见原因，但与此使用相关的因素尚不清楚。目的：了解2018-2019年ARTIs使用商业化DTC远程医疗的相关儿童和家庭因素。方法：我们对来自Optum Clinformatics (R)数据集市数据库的索赔数据进行了回顾性队列分析。在接受ARTI访问的儿童中，我们拟合logit模型来检验与DTC远程医疗使用相关的儿童和家庭特征。结果：660,725例ARTI就诊患儿中，12944例（2.0%）有>= 1次商业DTC远程医疗就诊。年龄在10 ~ 12岁、父母受教育程度较低、家庭收入较高、非西班牙裔白人和居住在西南中部人口普查区的儿童使用DTC远程医疗的几率较高。结论：2018-2019年，商业DTC远程医疗的使用随儿童年龄、儿童种族/民族、父母教育程度、家庭收入和地理位置的变化而变化。
Background: Pediatric acute respiratory tract infections (ARTIs) were a common reason for commercial direct-to-consumer (DTC) telemedicine use before the COVID-19 pandemic, but the factors associated with this use are unknown. Objective: To identify child and family factors associated with use of commercial DTC telemedicine for ARTIs in 2018-2019.Methods: We performed a retrospective cohort analysis of claims data from the Optum Clinformatics (R) Data Mart Database. Among children with ARTI visits, we fitted logit models to examine child and family characteristics associated with DTC telemedicine use.Results: Of 660,725 children with ARTI visits, 12,944 (2.0%) had >= 1 commercial DTC telemedicine encounter. The odds of DTC telemedicine use were higher for children with age >= 12 years, lower parent educational attainment, higher household income, white non-Hispanic race/ethnicity, and residency in the West South Central census division.Conclusion: In 2018-2019, commercial DTC telemedicine use varied with child age, child race/ethnicity parent educational attainment, household income, and geography.