Department of Pediatrics, University of Pittsburgh School of Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Telemed J E Health. 2022 Sep;28(9):1367-1373. doi: 10.1089/tmj.2021.0583. Epub 2022 Feb 10.
Although many studies have explored the perceived ease-of-use of telemedicine, the perceived usefulness of telemedicine for pediatric subspecialty care is less clear. We invited a national sample of 840 general pediatricians and 840 pediatric subspecialists to participate in a survey fielded in May-June 2020. Respondents ranked perceptions of usefulness of telemedicine for pediatric subspecialty care on a 5-point Likert scale and prioritization of potential strategies to support telemedicine use on a 4-point scale. Of 285 respondents (18% response rate), physicians perceived that increased telemedicine use by pediatric subspecialists would modestly improve child health (mean = 3.5, standard deviation [SD] = 0.7), and access to care (mean = 3.9, SD = 0.6), but would slightly worsen the clinician experience (mean = 2.8, SD = 0.8). Most respondents highly prioritized payment-related strategies to support use of telemedicine. Pediatric clinicians anticipated that increased telemedicine use by pediatric subspecialists would improve child health and health care access but would worsen clinician experience.
尽管许多研究都探讨了远程医疗的易用性感知,但远程医疗对儿科专科护理的有用性感知却不太清楚。我们邀请了全国 840 名普通儿科医生和 840 名儿科专家参与了 2020 年 5 月至 6 月进行的一项调查。受访者对远程医疗在儿科专科护理中的有用性的感知进行了 5 级李克特量表评估,并对支持远程医疗使用的潜在策略的优先级进行了 4 级量表评估。在 285 名受访者(18%的回复率)中,医生认为儿科专家增加远程医疗的使用将适度改善儿童健康(均值=3.5,标准差[SD]=0.7)和获得医疗服务的机会(均值=3.9,SD=0.6),但会略微恶化临床医生的体验(均值=2.8,SD=0.8)。大多数受访者高度重视支持远程医疗使用的支付相关策略。儿科临床医生预计,儿科专家增加远程医疗的使用将改善儿童健康和医疗保健的可及性,但会恶化临床医生的体验。