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新冠疫情期间儿童全科远程医疗服务使用情况调查

Survey on the use of general practice telehealth services for children during the COVID-19 pandemic.

作者信息

Ramanathan Ashwin, Ramanathan Paddy, Saha Amit

机构信息

Resident Medical Officer, Joondalup Health Campus, Perth, WA, Australia.

Director Wembley Downs Family Practice, Perth, WA, Australia.

出版信息

Aust J Prim Health. 2022 Dec;28(6):529-534. doi: 10.1071/PY21153.

DOI:10.1071/PY21153
PMID:35701034
Abstract

In 2020, the Australian Government introduced temporary Medicare Benefits Schedule item numbers for GP telehealth consultations to combat the spread of the COVID-19 pandemic. Patient satisfaction has been positive; however, the paediatric cohort has not been sufficiently investigated. We aimed to explore the rates of satisfaction of paediatric patients undergoing telehealth compared with standard consultations, as well as looking at any barriers faced. We developed and distributed an online survey to eligible patients (or their guardian) aged 0-17years who underwent a general practice telehealth consultation between March 2020 and May 2020 at 12 participating medical centres in Perth. We received 68 total responses with 35 deemed complete. The mean (s.d.) age of participants was 8.22 (5.34) years. A total of 88.2% of participants indicated that the level of care provided via telehealth was equal to or better than a standard consultation. A total of 70.6% of patients reported no barriers faced, with the most common barrier being lack of examination (20.6%). This study describes high public satisfaction with telehealth GP consultations for paediatric patients, with a good level of patient outcomes and minimal barriers. There may be benefit to widespread and ongoing use of telehealth consultations for the paediatric population and the extension of the temporary Medicare Benefits Schedule items.

摘要

2020年,澳大利亚政府推出了临时医疗保险福利计划项目编号,用于全科医生远程医疗咨询,以应对新冠疫情的传播。患者满意度良好;然而,儿科患者群体尚未得到充分调查。我们旨在探讨与标准咨询相比,接受远程医疗的儿科患者的满意度,以及他们面临的任何障碍。我们开发并向符合条件的患者(或其监护人)发放了一份在线调查问卷,这些患者年龄在0至17岁之间,于2020年3月至5月在珀斯的12家参与医疗中心接受了全科远程医疗咨询。我们共收到68份回复,其中35份被视为完整回复。参与者的平均(标准差)年龄为8.22(5.34)岁。共有88.2%的参与者表示,通过远程医疗提供的护理水平等于或优于标准咨询。共有70.6%的患者报告没有遇到障碍,最常见的障碍是无法进行检查(20.6%)。本研究表明,公众对儿科患者的远程医疗全科咨询满意度较高,患者治疗效果良好,障碍较少。广泛且持续地对儿科人群使用远程医疗咨询以及延长临时医疗保险福利计划项目编号可能会带来益处。

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引用本文的文献

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Translating primary care to telehealth: analysis of in-person paediatric consultations and role of carers.将初级保健转化为远程医疗:面对面儿科会诊分析及照顾者的作用
BJGP Open. 2025 Apr 24;9(1). doi: 10.3399/BJGPO.2024.0030. Print 2025 Apr.
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Tailoring communication practices to support effective delivery of telehealth in general practice.定制沟通实践以支持一般实践中远程医疗的有效传递。
BMC Prim Care. 2024 Jun 27;25(1):232. doi: 10.1186/s12875-024-02441-1.