Division of Pediatric Gastroenterology, Hepatology, and Nutrition at Nationwide Children's Hospital.
Division of Clinical Informatics at Nationwide Children's Hospital.
J Pediatr Gastroenterol Nutr. 2021 Jul 1;73(1):42-47. doi: 10.1097/MPG.0000000000003149.
Use of telemedicine in pediatric gastroenterology has increased dramatically in response to the coronavirus disease 2019 (COVID-19) pandemic. The goal of this study was to systematically assess the usability of telemedicine in the field of pediatric gastroenterology.
The previously validated Telehealth Usability Questionnaire was distributed to physician pediatric gastroenterologist members of North American Society for Pediatric Gastroenterology Hepatology and Nutrition. Physician demographic and practice characteristics were collected. Data were analyzed using descriptive, linear mixed-effect, and ordinary least squares regression methods.
One hundred sixty pediatric gastroenterologists completed the survey. The majority were from academic practice (77%) with experience ranging from trainee (11%) to over 20 years of clinical practice (34%). Most (82%) had no experience with telemedicine before the pandemic. The average usability score (scale 1-5) was 3.87 (σ = 0.67) with the highest domain in the usefulness of telemedicine (μ = 4.29, σ = 0.69) and physician satisfaction (μ = 4.13, σ = 0.79) and the lowest domain in reliability (μ = 3.02, σ = 0.87). When comparing trainees to attending physicians, trainees' responses were almost one point lower on satisfaction with telemedicine (trainee effect = -0.97, Bonferroni adjusted 95% confidence interval = -1.71 to -0.23).
Pediatric gastroenterologists who responded to the survey reported that the technology for telemedicine was usable, but trainees indicated lower levels of satisfaction when compared to attending physicians. Future study is needed to better understand user needs and the impacts of telemedicine on providers with different levels are experience to inform efforts to promote implementation and use of telemedicine beyond the pandemic.
为应对 2019 年冠状病毒病（COVID-19）大流行，小儿胃肠病学中远程医疗的使用急剧增加。本研究的目的是系统评估远程医疗在小儿胃肠病学领域的可用性。
先前经过验证的远程医疗可用性问卷分发给北美小儿胃肠病学、肝脏病学和营养学学会的医师儿科胃肠病学家成员。收集了医师的人口统计学和实践特征。使用描述性、线性混合效应和普通最小二乘回归方法进行数据分析。
160 名儿科胃肠病学家完成了调查。他们大多数来自学术实践（77%），经验从学员（11%）到超过 20 年的临床实践（34%）不等。大多数（82%）在大流行前没有远程医疗经验。平均可用性评分（1-5 分制）为 3.87（σ=0.67），最高域为远程医疗的有用性（μ=4.29，σ=0.69）和医生满意度（μ=4.13，σ=0.79），最低域为可靠性（μ=3.02，σ=0.87）。与主治医生相比，学员对远程医疗的满意度低近 1 分（学员效应=-0.97，经 Bonferroni 调整 95%置信区间=-1.71 至-0.23）。
对调查做出回应的儿科胃肠病学家报告称，远程医疗技术是可用的，但与主治医生相比，学员的满意度较低。需要进一步研究以更好地了解用户需求，以及远程医疗对不同经验水平的提供者的影响，以推动在大流行后推广和使用远程医疗。
