Department of Pediatrics, University of California Davis School of Medicine, Sacramento, California 95817, USA.
J Rural Health. 2011 Summer;27(3):263-9. doi: 10.1111/j.1748-0361.2010.00335.x. Epub 2010 Oct 1.
To determine health care provider needs related to pediatric obesity management in rural California and to explore strategies to improve care through telehealth.
Cross-sectional survey of health care providers who treated children and adolescents at 41 rural clinics with existing telehealth connectivity.
Most of the 135 respondents were family physicians at designated rural health clinics serving low-income families. Respondents had practiced in rural areas for an average of 10 years. Most providers rated their self-efficacy in managing pediatric obesity as 2 or 3 on a 5-point scale. The barriers most frequently reported by health care providers were lack of local weight management programs, lack of patient motivation, and lack of family involvement in treatment. Providers reported that the resources they would find most helpful were readily accessible patient education materials, strategies to link patients with community treatment programs and training in brief, focused counseling skills. Three-quarters of providers already used telehealth for distance learning. Providers reported very high interest in participating in continuing education on pediatric obesity delivered by telehealth, specifically Internet communication with specialists, web-based education, and interactive video case-conferencing.
Rural health care providers face several barriers related to pediatric obesity management. Targeted interventions provided via telehealth to rural health care providers may enhance the care of obese children and adolescents. The results of this study provide directions and priorities for the design of appropriate interventions.
确定加利福尼亚州农村地区与儿科肥胖症管理相关的医疗服务提供者的需求，并探索通过远程医疗改善医疗服务的策略。
对 41 家具有现有远程医疗连接的农村诊所治疗儿童和青少年的医疗保健提供者进行横断面调查。
135 名受访者中的大多数是为服务低收入家庭的指定农村卫生诊所的家庭医生。受访者在农村地区平均行医 10 年。大多数提供者在管理儿科肥胖症方面的自我效能感评分为 2 或 3（满分 5 分）。医疗服务提供者报告的最常见障碍是缺乏当地的体重管理计划、患者缺乏动力以及缺乏家庭参与治疗。提供者表示，他们认为最有帮助的资源是易于获取的患者教育材料、将患者与社区治疗计划联系起来的策略以及简短、重点突出的咨询技巧培训。四分之三的提供者已经将远程医疗用于远程学习。提供者报告说，他们对通过远程医疗提供的儿科肥胖症继续教育非常感兴趣，特别是与专家进行互联网交流、基于网络的教育和互动视频案例会议。
农村医疗保健提供者在儿科肥胖症管理方面面临一些障碍。通过远程医疗向农村医疗保健提供者提供有针对性的干预措施可能会改善肥胖儿童和青少年的护理。本研究的结果为设计适当的干预措施提供了方向和优先事项。
