Role of Telemedicine in Follow-up Care of Children with Respiratory Illnesses at a Tertiary Care Hospital - An Ambispective Observational Study.

Role of Telemedicine in Follow-up Care of Children with Respiratory Illnesses at a Tertiary Care Hospital - An Ambispective Observational Study.
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DOI:
10.1007/s12098-020-03590-8
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发表时间:
2021-10
影响因子:
4.3
通讯作者:
Kabra SK
Kabra SK
中科院分区:
医学4区
文献类型:
--
作者:
Kumari J;Jat KR;Kabra SK

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评估远程医疗能否成功地用于呼吸道疾病儿童的后续护理。作者还评估了医生面临的问题以及这些患者的照顾者对远程医疗的满意度。作者进行了一项双目观察研究。回顾了2020年4月2日至2020年5月15日期间接受远程医疗会诊(远程会诊)预约的患者的人口统计学细节和诊断数据。他们记录了成功开出处方的患者比例。为了评估医生面临的问题和远程会诊患者照顾者的满意度,在初始预约日期后6-10周通过Google Forms发送了一份前瞻性问卷。那些没有回复谷歌表格的人被电话叫来评估同样的情况。在研究期间,共有188名患者接受了远程会诊。团队能够通过远程会诊为181名患者开出治疗处方(96.3%),其他7名患者(3.7%)需要体检评估。患者年龄3个月~18岁,平均9.7岁(4.9岁),男117例(62.2%),女71例(37.8%)。大多数患者(58%)是哮喘患者。该团队建议83%的患者在症状得到控制时再开处方。五分之三的居民在提供远程会诊时遇到了一些小问题。在满意度评估中,78%的照顾者对远程会诊的评分为8分或更高,满分为10分,这表明他们中的大多数人对远程医疗感到满意。在大多数患有呼吸系统疾病的儿童中,远程医疗可以提供成功的后续护理。网上版载有补充材料,可在10.1007/s12098020-03590-8查阅。
To assess if telemedicine can be used successfully for follow-up care of children with respiratory illnesses. The authors also assessed problems faced by the doctors and satisfaction of caregivers of these patients with telemedicine. The authors conducted an ambispective observational study. Data related to demographic details and diagnoses of patients who had telemedicine consultation (teleconsultation) appointments between 2nd April 2020 to 15th May 2020 were reviewed retrospectively. They noted proportion of patients having successful prescription. To assess problems faced by doctors and satisfaction of caregiver of patients with teleconsultation, a prospective questionnaire was sent via Google Forms 6–10 wk after the initial appointment date. Those who did not respond to Google Forms were called by phone to assess the same. A total of 188 patients received teleconsultation during the study period. Team was able to prescribe treatment in 181 (96.3%) patients via teleconsultation and other seven (3.7%) required physical evaluation. Mean (SD) age of patients was 9.7 (4.9) y, range 3 mo to 18 y. There were 117 (62.2%) boys and 71 (37.8%) girls. Majority (58%) of the patients were asthmatics. The team advised refill prescription in 83% patients as symptoms were controlled. Three out of five residents faced minor problems while providing teleconsultation. In satisfaction assessment, 78% of caregivers rated teleconsultation 8 or more, out of 10 points, suggesting that most of them were satisfied with telemedicine. In majority of children with respiratory illnesses, successful follow-up care can be provided by telemedicine. The online version contains supplementary material available at 10.1007/s12098-020-03590-8.
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