患有复杂疾病儿童出院后远程医疗视频问诊的可行性
Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity.
作者信息
Ming David Y, Li Tingxuan, Ross Melissa H, Frush Jennifer, He Jingyi, Goldstein Benjamin A, Jarrett Valerie, Krohl Natalie, Docherty Sharron L, Turley Christine B, Bosworth Hayden B
出版信息
J Pediatr Health Care. 2022 Mar-Apr;36(2):e22-e35. doi: 10.1016/j.pedhc.2021.10.001. Epub 2021 Dec 5.
OBJECTIVES
To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM).
METHOD
This non-randomized pilot study assigned CMC (n=28) to weekly TMVV for four weeks post-hospitalization; control CMC (n=20) received usual care without telemedicine. Feasibility was measured by time to connection and proportion of TMVV completed; acceptability was measured by parent-reported surveys. Pre/post-discharge changes in CSE, FSM, and hospital utilization were assessed.
RESULTS
64 TMVV were completed; 82 % of patients completed 1 TMVV; 54 % completed four TMVV. Median time to TMVV connection was 1 minute (IQR=2.5). Parents reported high acceptability of TMVV (mean 6.42; 1 -7 scale). CSE and FSM pre/post-discharge were similar for both groups; utilization declined in both groups post-discharge.
DISCUSSION
Post-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions.
目的
评估医疗复杂性儿童（CMC）在从医院过渡到家庭期间进行出院后远程医疗视频问诊（TMVV）的可行性和可接受性；并探讨其与医院利用率、照顾者自我效能感（CSE）和家庭自我管理（FSM）之间的关联。
方法
这项非随机试点研究将CMC（n = 28）分配为在出院后四周内每周进行一次TMVV；对照CMC（n = 20）接受无远程医疗的常规护理。通过连接时间和完成的TMVV比例来衡量可行性；通过家长报告的调查来衡量可接受性。评估出院前/后CSE、FSM和医院利用率的变化。
结果
完成了64次TMVV；82%的患者完成了1次TMVV；54%的患者完成了4次TMVV。TMVV连接的中位时间为1分钟（IQR = 2.5）。家长报告TMVV的可接受性较高（平均6.42；1 - 7分制）。两组出院前/后CSE和FSM相似；两组出院后利用率均下降。
讨论
对于CMC，出院后TMVV在从医院过渡到家庭期间是可行且可接受的。
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