Pediatrician Attitudes Toward and Experiences With Telehealth Use: Results From a National Survey
Pediatrician Attitudes Toward and Experiences With Telehealth Use: Results From a National Survey
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DOI：
10.1016/j.acap.2020.05.004
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发表时间：
2020-07-01
影响因子：
3.1
通讯作者：
Perrin, James M.
中科院分区：
文献类型：
--
作者：
Sisk, Blake;Alexander, Joshua;Perrin, James M.
背景技术背景：美国儿科学会2015年关于远程医疗的政策声明提出，远程医疗可以增加获得高质量儿科护理的机会，儿科医生应该努力减少患者远程医疗的障碍。然而，很少有人知道儿科医生的经验和态度对telehealth.METHODS：数据来自美国儿科学会驻院后美国成员儿科医生在2016年的全国代表性调查，仅限于受访者提供直接的病人护理（n = 744;响应率= 48.7%）。调查收集了关于过去12个月远程保健经验的信息，认为纳入远程保健的障碍，以及非用户考虑使用远程保健的条件。除了描述性统计，我们使用多变量逻辑回归来检查与任何远程医疗的经验，在过去的12 months.RESULTS相关的特征：百分之十五的儿科医生报告任何远程医疗的使用在12个月前的调查。据报告，采用远程保健最常见的障碍是支付不足和计费问题。多变量回归模型表明，在农村地区，西部，儿科医生和专科医生最有可能报告远程医疗使用，并确定障碍与远程医疗使用呈负相关。在非用户中，超过一半的人表示，他们会考虑采用远程医疗，如果他们支付visits.CONCLUSION：远程医疗被认为是一个重要的医疗保健提供机制，但只有15%的儿科医生在2016年报告使用远程医疗。减少障碍将有助于促进未来采用远程保健。在应对COVID-19期间，许多障碍已经减少，这些政策变化的影响需要进一步研究。
BACKGROUND: The American Academy of Pediatrics 2015 policy statement on telehealth proposed that telehealth could increase access to high-quality pediatric care and that pediatricians should work to reduce barriers to telehealth for their patients. However, little is known about pediatricians' experiences with and attitudes toward telehealth.METHODS: Data from a nationally representative survey of American Academy of Pediatrics postresidency US member pediatricians in 2016, restricted to respondents providing direct patient care (n = 744; response rate = 48.7%). Survey collected information on experience with telehealth in the previous 12 months, perceived barriers to telehealth incorporation, and conditions under which nonusers would consider using telehealth. In addition to descriptive statistics, we used multivariable logistic regression to examine characteristics associated with any telehealth experience in the past 12 months.RESULTS: Fifteen percent of pediatricians reported any telehealth use in the 12 months prior to the survey. The most commonly reported barriers to telehealth adoption were insufficient payment and billing issues. Multivariable regression models indicated that pediatricians in rural areas, the West, and subspecialists were most likely to report telehealth use, and identifying barriers was negatively associated with telehealth use. Among nonusers, over half indicated they would consider adopting telehealth if they were paid for the visits.CONCLUSION: Telehealth is considered an important health care delivery mechanism, but only 15% of pediatricians in 2016 reported having used telehealth. Reducing barriers will be instrumental in promoting future telehealth adoption. Many barriers have been reduced during the response to COVID-19, and the impact of these policy changes will need further study.