Proulx-Cabana Stephanie, Segal Terry Yvonne, Gregorowski Anna, Hargreaves Dougal, Flannery Halina
Paediatric and Adolescent Division, University College London Hospitals NHS Foundation Trust, London, UK.
Adolesc Health Med Ther. 2021 Apr 28;12:37-43. doi: 10.2147/AHMT.S292977. eCollection 2021.
Evaluate the experience of virtual consultations for young people and their families and assess whether young people are being offered a confidential space as part of these virtual encounters.
An anonymous online survey was sent to young people age 10-18 y.o. who had experienced at least one virtual consultation with an adolescent medicine tertiary service in the United Kingdom between March 13th and June 13th 2020 mostly associated with, but not exclusively, management of chronic fatigue syndrome or medically unexplained symptoms. Responses from the survey were analysed by two authors who independently coded the common themes reported by the participants.
Fifty young people and their families participated in the survey. Eighty-eight percent reported feeling prepared for virtual appointments, 90% found them helpful, 88% felt that they were private and 86% reported they would find further virtual appointments helpful. Positive impacts reported were no need to travel (38%) and the continuity of care (36%). Many of our participants reported no negative impact (39%) and felt that nothing needed to be improved (56%). The most frequent improvement reported was the provision of a quality video call (34%). Only 36% of young people had the opportunity to speak in confidence to the health care provider without their parents' presence.
Virtual appointments are perceived as safe and helpful by the young people and their families. Professionals should offer a confidential remote space for young people to speak without their parents.
评估年轻人及其家庭进行虚拟咨询的体验，并评估在这些虚拟问诊过程中，年轻人是否能获得一个私密空间。
向年龄在10至18岁之间的年轻人发送了一份匿名在线调查问卷，这些年轻人在2020年3月13日至6月13日期间，至少与英国一家青少年医学三级服务机构进行过一次虚拟咨询，咨询内容大多与慢性疲劳综合征或医学上无法解释的症状的管理相关，但不限于此。两位作者对调查问卷的回复进行了分析，他们独立对参与者报告的共同主题进行了编码。
50名年轻人及其家庭参与了调查。88%的人表示为虚拟预约做好了准备，90%的人认为预约很有帮助，88%的人觉得预约是私密的，86%的人表示他们会觉得进一步的虚拟预约很有帮助。报告的积极影响包括无需出行（38%）和护理的连续性（36%）。我们的许多参与者报告没有负面影响（39%），并觉得无需改进（56%）。报告中最常见的改进是提供高质量的视频通话（34%）。只有36%的年轻人有机会在父母不在场的情况下与医疗服务提供者私下交谈。
年轻人及其家庭认为虚拟预约是安全且有帮助的。专业人员应为年轻人提供一个私密的远程空间，以便他们在没有父母在场的情况下交谈。
