What drives attitude towards telemedicine among families of pediatric patients? A survey.
What drives attitude towards telemedicine among families of pediatric patients? A survey.
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DOI：
10.1186/s12887-016-0756-x
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发表时间：
2017-01-17
期刊：
影响因子：
2.4
通讯作者：
Tozzi AE
中科院分区：
文献类型：
--
作者：
Russo L;Campagna I;Ferretti B;Agricola E;Pandolfi E;Carloni E;D'Ambrosio A;Gesualdo F;Tozzi AE
远程医疗已被公认为是一种提高护理的可及性、质量和效率的方法。鉴于新的远程医疗服务的引入，我们通过自填式问卷对班比诺儿童医院IRCCS的儿童家庭进行了调查，IRCCS是一家位于意大利罗马的三级保健儿童医院。我们调查了社会人口数据、临床信息、技术概况、对远程医疗的态度、对远程医疗的感知优势、对远程医疗的恐惧、是否愿意使用提供远程医疗服务的智能手机应用程序以及是否愿意使用远程访问服务。通过Logistic回归，我们探索了社会人口学和临床变量以及技术概况对使用远程医疗应用程序和远程访问服务的意愿的影响。我们总共招收了751个家庭。大多数患者都有很高的技术背景，81%的患者在社交网络上至少有一个账户。WhatsApp是最受欢迎的消息服务(76%)。72%的患者会使用APP提供远程医疗服务，65%的患者会进行远程访问。拥有平板电脑与这两个结果变量相关-分别是：OR 2.216，95%CI 1.358-3.616(APP)和OR 2.117，95%CI 1.415-3.168(远程访问)。住院种类、慢性病诊断、疾病严重程度和离医疗中心的距离与结果变量无关。有不同临床问题的儿科患者的家庭热衷于参与远程医疗计划，不受疾病的严重程度或慢性病的影响，也不受距离医院的影响。本文的在线版本(doi：10.1186/s12887-0160756-x)包含补充材料，授权用户可以使用。
Telemedicine has been recognized as a way to improve accessibility, quality, and efficiency of care. In view of the introduction of new telemedicine services, we conducted a survey through a self-administered questionnaire among families of children attending the Bambino Gesù Children’s Hospital IRCCS, a tertiary care children’s hospital located in Rome, Italy. We investigated sociodemographic data, clinical information, technological profile, attitude towards telemedicine, perceived advantages of telemedicine, fears regarding telemedicine, willingness to use a smartphone app providing telemedicine services and willingness to use a televisit service. Through logistic regression, we explored the effect of sociodemographic and clinical variables and technological profile on willingness of using a telemedicine app and a televisit service. We enrolled a total of 751 families. Most patients had a high technological profile, 81% had at least one account on a social network. Whatsapp was the most popular messaging service (76%). Seventy-two percent of patients would use an app for telemedicine services and 65% would perform a televisit. Owning a tablet was associated with both outcome variables - respectively: OR 2.216, 95% CI 1.358–3.616 (app) and OR 2.117, 95% CI 1.415–3.168 (televisit). Kind of hospitalization, diagnosis of a chronic disease, disease severity and distance from the health care center were not associated with the outcome variables. Families of pediatric patients with different clinical problems are keen to embark in telemedicine programs, independently from severity of disease or chronicity, and of distance from the hospital. The online version of this article (doi:10.1186/s12887-016-0756-x) contains supplementary material, which is available to authorized users.