Saidinejad Mohsen, Teach Stephen J, Chamberlain James M
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Pediatr Emerg Care. 2012 Jun;28(6):553-7. doi: 10.1097/PEC.0b013e318258ad76.
The Internet may represent an opportunity for health care providers in the emergency department (ED) to deliver discharge instructions and after-care educational materials electronically to patients and their caregivers.
The objectives of this study were to determine the prevalence of Internet access and use among caregivers of children who visit the ED and to evaluate their interest in receiving after-care communication and educational material electronically.
We distributed a self-administered survey to a convenience sample of English-speaking caregivers of children who presented to the ED of an urban, academic, pediatric hospital during November and December 2009.
The survey was distributed to and completed by 509 English-speaking respondents. Of the participants, 423 (83.1%) of 509 identified themselves as black/African American, and 397 (77.9%) of 509 were publicly insured. Of the participants, 503 of 509 (98.9%; 95% confidence interval [CI], 97.9%-99.8%) reported that they have access to the Internet. Of the participants with Internet access, 312 of 503 (62.0%; 95% CI, 57.8%-66.3%) have access at home, 166 of 503 (33.0%; 95% CI, 28.9%-33.1%) have access at work, and 112 of 503 (22.3%; 95% CI, 18.6%-25.9%) have access by mobile phone. When asked about electronic communication and social networking, 483 of 503 (96.0%; 95% CI, 94.3%-97.7%) have an e-mail account, and 304 of 503 (60.4%; 95% CI, 56.2%-64.7%) have a Facebook account. Furthermore, 353 of 503 (70.1%; 95% CI, 66.2%-74.2%) reported accessing the Internet daily, whereas 128 of 503 (25.4%; 95% CI, 21.6%-29.3%) access the Internet at least 2 to 6 times per week. Among all respondents, interest in receiving communication from the ED only electronically was expressed by 259 of 509 participants (50.9%; 95% CI, 46.5%-55.2%). Approximately one third of the participants (173/509 [34%; 95% CI, 29.9%-38.1%]) expressed interest in an electronic channel for communication between the ED and their child's patient primary care provider.
In this predominantly minority and economically disadvantaged population of caregivers presenting to an urban pediatric ED, a large majority reported regular access to the Internet and willingness and ability to receive communication from the ED via electronic means.
互联网可能为急诊科医护人员提供了一个机会，可通过电子方式向患者及其护理人员提供出院指导和后续护理教育材料。
本研究的目的是确定就诊于急诊科的儿童护理人员的互联网接入和使用情况，并评估他们对通过电子方式接收后续护理沟通和教育材料的兴趣。
我们向2009年11月和12月期间前往一家城市学术儿童医院急诊科就诊的儿童的英语护理人员便利样本发放了一份自填式调查问卷。
共向509名英语受访者发放并完成了调查问卷。在参与者中，509人中有423人（83.1%）自认为是黑人/非裔美国人，509人中有397人（77.9%）享有公共保险。在参与者中，509人中有503人（98.9%；95%置信区间[CI]，97.9%-99.8%）报告称他们可以访问互联网。在有互联网接入的参与者中，503人中有312人（62.0%；95%CI，57.8%-66.3%）在家中可以访问，503人中有166人（33.0%；95%CI，28.9%-33.1%）在工作场所可以访问，503人中有112人（22.3%；95%CI，18.6%-25.9%）通过手机可以访问。当被问及电子通信和社交网络时，503人中有483人（96.0%；95%CI，94.3%-97.7%）有电子邮件账户，503人中有304人（60.4%；95%CI，56.2%-64.7%）有脸书账户。此外，503人中有353人（70.1%；95%CI，66.2%-74.2%）报告每天访问互联网，而503人中有128人（25.4%；95%CI，21.6%-29.3%）每周至少访问互联网2至6次。在所有受访者中，509名参与者中有259人（50.9%；95%CI，46.5%-55.2%）表示只对通过电子方式接收急诊科的沟通感兴趣。约三分之一的参与者（173/509[34%；95%CI，29.9%-38.1%]）表示对急诊科与其孩子的初级护理提供者之间的电子沟通渠道感兴趣。
在这个主要为少数族裔且经济上处于不利地位的就诊于城市儿科急诊科的护理人员群体中，绝大多数人报告经常访问互联网，并且愿意并有能力通过电子方式接收急诊科的沟通信息。
