Facing the digital divide into a dementia clinic during COVID-19 pandemic: caregiver age matters.
Facing the digital divide into a dementia clinic during COVID-19 pandemic: caregiver age matters.
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DOI：
10.1007/s10072-020-05009-w
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Scarpini E
中科院分区：
文献类型：
--
作者：
Arighi A;Fumagalli GG;Carandini T;Pietroboni AM;De Riz MA;Galimberti D;Scarpini E
2019冠状病毒病（COVID-19）大流行给医疗保健系统带来了巨大压力，并引发了数字技术人口使用的变化。数字鸿沟是指信息和通信技术在人与人之间的不均衡分布。这项工作的目的是描述在意大利封锁COVID-19大流行期间通过远程医疗接触的痴呆症患者人群的数字鸿沟。通过视频通话联系了108名认知障碍患者，以进行远程医疗神经系统评估。记录了参加远程访问的患者和护理人员的信息。74例患者与神经科医生联系（成功远程访视，68.5%），34例患者无法进行远程访视，通过电话联系（失败远程访视，31.5%）。在年龄、性别和教育方面，两组之间没有观察到显著差异，但在年轻照顾者在场的情况下，成功远程访问的流行率更高：在年轻一代受试者在场的情况下进行的远程访问（儿子和孙子）的成功率更高（86%成功，14%失败）比没有年轻一代照顾者的组（49%成功，51%失败）。这种差异主要是由于年轻人使用技术的能力。对我们人口中的数字鸿沟影响最大的因素是社会支持网络和技术经验：数字原生照顾者的存在。2019冠状病毒病大流行正在揭露一种新出现的与技术相关的社会不平等：需要政治和社区干预措施来支持最弱势的社会群体，并防止社会健康不平等。
The coronavirus disease 2019 (COVID-19) pandemic has dramatically stressed the health care system and has provoked changes in population use of digital technologies. Digital divide is any uneven distribution in Information and Communications Technologies between people. The purpose of this work was to describe the digital divide of a population of patients with dementia contacted by telemedicine during Italian lockdown for COVID-19 pandemic. One hundred eight patients with cognitive impairment were contacted by video call to perform a telemedicine neurological evaluation. Information on patients and caregivers attending the televisit were recorded. Seventy-four patients connected with neurologist (successful televisit, 68.5%) and 34 patients were not able to perform televisit and were contacted by phone (failed televisit, 31.5%). No significant differences were observed among the two groups concerning age, gender, and education, but the prevalence of successful televisit was higher in the presence of younger caregivers: televisits performed in the presence of subjects of younger generation (sons and grandsons) had a successful rate higher (86% successful, 14% failed) than the group without younger generation caregiver (49% successful, 51% failed). This difference is mainly due to the ability of technological use among younger people. The most impacting factors on digital divide in our population are the social support networks and the experience with the technology: the presence of a digital native caregiver. The COVID-19 pandemic is unmasking an emerging form of technology-related social inequalities: political and community interventions are needed to support the most socially vulnerable population and prevent social health inequalities.
影响因子：
9.9
作者：
Beaunoyer, Elisabeth;Dupere, Sophie;Guitton, Matthieu J.
通讯作者：
Guitton, Matthieu J.
DOI：
10.1089/153056203763317620
发表时间：
2003-03-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Edwards, MA;Patel, AC
通讯作者：
Patel, AC
影响因子：
3
作者：
Abdolahi, Amir;Bull, Michael T.;Biglan, Kevin M.
通讯作者：
Biglan, Kevin M.