家长报告的儿科初级保健远程医疗使用情况：调查研究。

Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study.

机构信息

Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, United States.

Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.

出版信息

J Med Internet Res. 2023 Feb 9;25:e42892. doi: 10.2196/42892.

DOI:10.2196/42892

PMID:36757763

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9951070/

Abstract

BACKGROUND

Telemedicine delivered from primary care practices became widely available for children during the COVID-19 pandemic.

OBJECTIVE

Focusing on children with a usual source of care, we aimed to examine factors associated with use of primary care telemedicine.

METHODS

In February 2022, we surveyed parents of children aged ≤17 years on the AmeriSpeak panel, a probability-based panel of representative US households, about their children's telemedicine use. We first compared sociodemographic factors among respondents who did and did not report a usual source of care for their children. Among those reporting a usual source of care, we used Rao-Scott F tests to examine factors associated with parent-reported use versus nonuse of primary care telemedicine for their children.

RESULTS

Of 1206 respondents, 1054 reported a usual source of care for their children. Of these respondents, 301 of 1054 (weighted percentage 28%) reported primary care telemedicine visits for their children. Factors associated with primary care telemedicine use versus nonuse included having a child with a chronic medical condition (87/301, weighted percentage 27% vs 113/753, 15%, respectively; P=.002), metropolitan residence (262/301, weighted percentage 88% vs 598/753, 78%, respectively; P=.004), greater internet connectivity concerns (60/301, weighted percentage 24% vs 116/753, 16%, respectively; P=.05), and greater health literacy (285/301, weighted percentage 96% vs 693/753, 91%, respectively; P=.005).

CONCLUSIONS

In a national sample of respondents with a usual source of care for their children, approximately one-quarter reported use of primary care telemedicine for their children as of 2022. Equitable access to primary care telemedicine may be enhanced by promoting access to primary care, sustaining payment for primary care telemedicine, addressing barriers in nonmetropolitan practices, and designing for lower health-literacy populations.

摘要

背景

在 COVID-19 大流行期间，初级保健诊所提供的远程医疗已广泛用于儿童。

目的

我们专注于有常规医疗服务来源的儿童，旨在研究与使用初级保健远程医疗相关的因素。

方法

在 2022 年 2 月，我们对 AmeriSpeak 小组（一个基于代表性美国家庭的概率小组）中的≤17 岁儿童的父母进行了一项调查，了解他们的孩子使用远程医疗的情况。我们首先比较了报告有和没有孩子常规医疗服务来源的受访者的社会人口统计学因素。在报告有常规医疗服务来源的受访者中，我们使用 Rao-Scott F 检验来研究与父母报告的孩子使用和不使用初级保健远程医疗相关的因素。

结果

在 1206 名受访者中，有 1054 名报告了孩子的常规医疗服务来源。在这些受访者中，有 301 名（占 1054 名的权重百分比为 28%）报告了孩子的初级保健远程医疗就诊。与使用初级保健远程医疗相比，不使用的因素包括孩子患有慢性疾病（87/301，占 27%，而 113/753，占 15%；P=.002）、居住在大都市地区（262/301，占 88%，而 598/753，占 78%；P=.004）、更担心互联网连接问题（60/301，占 24%，而 116/753，占 16%；P=.05）和较低的健康素养（285/301，占 96%，而 693/753，占 91%；P=.005）。