Siegel Robert, Stackpole Kristin, Kirk Shelley, Kharofa Roohi
The Center for Better Health and Nutrition of the Heart Institute, Cincinnati Children's Hospital, Cincinnati, OH, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Child Obes. 2022 Dec;18(8):572-575. doi: 10.1089/chi.2022.0005. Epub 2022 Apr 6.
With the onset of the coronavirus disease 2019 (COVID-19) pandemic, telehealth was implemented as a method of care delivery in many pediatric weight management programs (PWMPs). To compare patient/family preference of telehealth vs. in-person visits, we analyzed patient visits during a period when families were given the option of scheduling in-person or telehealth visits for both new and follow-up visits during the pandemic. A retrospective review was done of our center's electronic medical record of patient visits from July 1, 2020 to December 31, 2020. There were 1356 completed PWMP visits, with 977 (72.1%) done in-person and 379 (27.9%) done by telehealth. Telehealth was selected more often for follow-up visits (31.4%) compared with new visits (18.8%) [odds ratio (OR) = 2.052, = 0.008]. Black patients (30.5%) selected telehealth more often than White patients (26.1%, OR = 1.371; = 0.03). Although telehealth increases flexibility and increases options to families, in-person clinic visits seem to be preferred especially for an initial visit.
随着2019冠状病毒病（COVID-19）大流行的爆发，远程医疗在许多儿科体重管理项目（PWMPs）中被用作一种护理提供方式。为了比较患者/家庭对远程医疗与面对面就诊的偏好，我们分析了在大流行期间家庭可以选择为新就诊和随访就诊安排面对面或远程医疗就诊的时间段内的患者就诊情况。对我们中心2020年7月1日至2020年12月31日患者就诊的电子病历进行了回顾性审查。共有1356次完成的PWMP就诊，其中977次（72.1%）为面对面就诊，379次（27.9%）为远程医疗就诊。与新就诊（18.8%）相比，随访就诊（31.4%）更常选择远程医疗[优势比（OR）=2.052，P=0.008]。黑人患者（30.5%）比白人患者（26.1%，OR=1.371；P=0.03）更常选择远程医疗。虽然远程医疗增加了灵活性并为家庭增加了选择，但面对面的门诊就诊似乎更受青睐，尤其是初次就诊。
