Adolescent and caregiver attitudes towards telemedicine use in pediatric nephrology.
Adolescent and caregiver attitudes towards telemedicine use in pediatric nephrology.
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DOI：
10.1186/s12913-021-06506-0
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发表时间：
2021-06-01
影响因子：
2.8
通讯作者：
Filler G
中科院分区：
文献类型：
--
作者：
Qiu Y;Coulson S;McIntyre CW;Wile B;Filler G
远程医疗越来越多地被用作面对面咨询的替代方式。目前的大流行情况为虚拟护理提供了额外的动力。我们比较了青少年和照顾者（父母或监护人）对远程医疗的态度（这里作为三级中心到远程医疗保健位置）作为长期有效性的关键决定因素。这项定性研究分析了11-18岁的儿科肾病患者及其护理人员的转录结构化电话访谈，并对患者人口统计学，疾病因素和距离三级中心与远程医疗中心进行了定量分析。该研究在一个中型三级儿科肾脏病中心进行，该中心拥有超过50万平方公里的大型集水区，有629，000名18岁以下的儿童和青少年。11对青少年和照顾者参加了研究。5名青少年为男性。青少年的平均年龄为14.4 ± 2.5岁（范围11.2-18.0）。我们的第三中心的中位数距离为191公里（范围110-1378公里）。四名青少年住在离我们第三中心500多公里的地方。这11名青少年共接受了334次亲自访问（平均30 ± 25）和86次远程医疗访问（平均8 ± 7）。远程医疗与面对面就诊的比例为2：1;照顾者比青少年更喜欢远程护理。定性分析发现，与远程医疗的经验区分咨询特定的因素和上下文因素。青少年和照顾者重视远程医疗的背景因素（旅行/节省费用）。咨询的具体因素，如能够显示医生的身体症状，更重视在人的咨询，特别是青少年。总体就诊类型偏好与咨询的性质有关。对于定期检查和需求不太复杂的青少年，与会者认为远程医疗提供了与亲自就诊相当的体验。病情较复杂的青少年更喜欢亲自探访。不分青红皂白地转移到长期护理主要是远程医疗方法的前提是不兼容的用户表达的态度（特别是在青少年）。根据这些态度准确地映射护理模式是有效管理和长期参与潜在终身健康挑战的重要决定因素。在线版本包含补充材料，可通过10.1186/s12913-021-06506-0获得。
Telemedicine is increasingly utilized as an alternative to in person consultation. Current pandemic conditions are providing additional impetus to virtual care delivery. We compared both adolescent and caregiver (parent or guardian) attitudes towards telemedicine (here as tertiary center to remote health care location) as a crucial determinant of longer-term effectiveness. This qualitative research study analyzed transcribed structured telephone interviews with both 11–18 year-old pediatric nephrology patients and their caregivers and performed a quantitative analysis of patient demographics, disease factors and distance to tertiary center vs. telemedicine center. The study was conducted in a medium-sized tertiary pediatric nephrology centre with a large catchment area of over 0.5 million square kilometers and 629,000 children and adolescents under 18 years of age. Eleven dyads of adolescents and caregivers were enrolled. Five adolescents were male. The mean age of the adolescents was 14.4 ± 2.5 years (range 11.2–18.0). The median distance to our tertiary center was 191 km (range 110–1378 km). Four adolescents lived more than 500 km from our tertiary center. The 11 adolescents had a total of 334 in person visits (mean 30 ± 25) and 86 telemedicine visits (mean 8 ± 7). A ratio of 2:1 telemedicine to in-person visits was favored; with caregivers more in favor of remote care than adolescents. Qualitative analysis found that experiences with telemedicine were distinguished by consultation-specific factors and contextual factors. Contextual factors (travel/cost savings) were valued for telemedicine by adolescents and caregivers. Consultation-specific factors, such as the ability to show the doctor physical symptoms, were more valued during in-person consultations, especially by adolescents. The overall visit type preference was related to the nature of the consultation. For regular check-ups, and for adolescents with less complex needs, participants felt that telemedicine offered a comparable experience to in-person visits. Adolescents with more complex conditions preferred in-person visits. Indiscriminate transfer to chronic care predicated on mainly telemedicine approach is not compatible with user expressed attitudes (especially among adolescents). Accurately mapping models of care to these attitudes is an essential determinant of effective management and longer-term engagement with potentially life-long health challenges. The online version contains supplementary material available at 10.1186/s12913-021-06506-0.
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影响因子：
1.8
作者：
Shivji, Salma;Metcalfe, Peter;Bratu, Ioana
通讯作者：
Bratu, Ioana
影响因子：
2.4
作者：
Russo L;Campagna I;Ferretti B;Agricola E;Pandolfi E;Carloni E;D'Ambrosio A;Gesualdo F;Tozzi AE
通讯作者：
Tozzi AE
影响因子：
1.2
作者：
Cavanagh, S
通讯作者：
Cavanagh, S
影响因子：
4.7
作者：
O'Gorman, Laurel D.;Hogenbirk, John C.;Warry, Wayne
通讯作者：
Warry, Wayne
DOI：
10.1089/tmj.2008.0080
发表时间：
2008-12-01
期刊：
Telemedicine journal and e-health : the official journal of the American Telemedicine Association
影响因子：
--
作者：
Mashima, Pauline A;Doarn, Charles R
通讯作者：
Doarn, Charles R