Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study.
Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study.
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DOI：
10.2196/42892
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发表时间：
2023-02-09
影响因子：
7.4
通讯作者：
Krishnamurti, Tamar
中科院分区：
文献类型：
--
作者：
Ray, Kristin N.;Wittman, Samuel R.;Burns, Sarah;Doan, Tran;Schweiberger, Kelsey A.;Yabes, Jonathan G.;Hanmer, Janel;Krishnamurti, Tamar
2019冠状病毒病大流行期间，儿童可广泛使用初级保健实践提供的远程医疗。关注儿童与通常的护理来源，我们的目的是研究与使用初级保健远程医疗相关的因素。2022年2月，我们在AmeriSpeak小组（一个由代表性美国家庭组成的基于概率的小组）上调查了17岁以下儿童的父母，了解他们孩子的远程医疗使用情况。我们首先比较了社会人口因素的受访者谁没有和没有报告一个通常的照顾他们的孩子的来源。在那些报告通常的护理来源，我们使用Rao-Scott F检验来检查与父母报告的使用与不使用初级保健远程医疗的儿童相关的因素。在1206名受访者中，有1054人报告说他们的孩子有一个通常的照顾来源。在这些受访者中，1054人中有301人（加权百分比为28%）报告了其子女的初级保健远程医疗就诊。与初级保健远程医疗使用与不使用相关的因素包括有一个患有慢性疾病的孩子（87/301，加权百分比27% vs 113/753，分别为15%; P= 0.002），大都市居住（262/301，加权百分比88% vs 598/753，分别为78%; P=.004），更大的互联网连接问题（60/301，加权百分比分别为24%和116/753，16%; P=.05），以及更高的健康素养（285/301，加权百分比分别为96%和693/753，91%; P=.005）。在一项对儿童有常规护理来源的受访者进行的全国抽样调查中，截至2022年，约有四分之一的受访者报告称其儿童使用了初级保健远程医疗。公平获得初级保健远程医疗的机会可通过促进获得初级保健、维持初级保健远程医疗的支付、解决非大城市做法中的障碍以及为健康知识水平较低的人口设计来加强。
Telemedicine delivered from primary care practices became widely available for children during the COVID-19 pandemic. Focusing on children with a usual source of care, we aimed to examine factors associated with use of primary care telemedicine. In February 2022, we surveyed parents of children aged ≤17 years on the AmeriSpeak panel, a probability-based panel of representative US households, about their children’s telemedicine use. We first compared sociodemographic factors among respondents who did and did not report a usual source of care for their children. Among those reporting a usual source of care, we used Rao-Scott F tests to examine factors associated with parent-reported use versus nonuse of primary care telemedicine for their children. Of 1206 respondents, 1054 reported a usual source of care for their children. Of these respondents, 301 of 1054 (weighted percentage 28%) reported primary care telemedicine visits for their children. Factors associated with primary care telemedicine use versus nonuse included having a child with a chronic medical condition (87/301, weighted percentage 27% vs 113/753, 15%, respectively; P=.002), metropolitan residence (262/301, weighted percentage 88% vs 598/753, 78%, respectively; P=.004), greater internet connectivity concerns (60/301, weighted percentage 24% vs 116/753, 16%, respectively; P=.05), and greater health literacy (285/301, weighted percentage 96% vs 693/753, 91%, respectively; P=.005). In a national sample of respondents with a usual source of care for their children, approximately one-quarter reported use of primary care telemedicine for their children as of 2022. Equitable access to primary care telemedicine may be enhanced by promoting access to primary care, sustaining payment for primary care telemedicine, addressing barriers in nonmetropolitan practices, and designing for lower health-literacy populations.
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DOI：
10.3205/psm000091
发表时间：
2013
期刊：
Psycho-social medicine
影响因子：
--
作者：
Romppel M;Herrmann-Lingen C;Wachter R;Edelmann F;Düngen HD;Pieske B;Grande G
通讯作者：
Grande G
影响因子：
3.1
作者：
Diao, Kristen;Tripodis, Yorghos;Garg, Arvin
通讯作者：
Garg, Arvin
影响因子：
3
作者：
Jolles, Monica Perez;Thomas, Kathleen C.
通讯作者：
Thomas, Kathleen C.
影响因子：
3.1
作者：
Leventer-Roberts, Maya;Shimoni, Nadav;Waisman, Yehezkel
通讯作者：
Waisman, Yehezkel
影响因子：
8
作者：
Lichstein, Jesse C.;Ghandour, Reem M.;Mann, Marie Y.
通讯作者：
Mann, Marie Y.