Martín-Masot Rafael, Diaz-Martin Juan J, Santamaría-Orleans Alicia, Navas-López Víctor Manuel
Pediatric Gastroenterology and Nutrition Unit, Hospital Regional Universitario de Malaga, Málaga, Spain.
Pediatric Gastroenterology and Nutrition Unit, Hospital Universitario Central de Asturias, Oviedo, Spain.
Front Pediatr. 2023 Feb 14;11:1106488. doi: 10.3389/fped.2023.1106488. eCollection 2023.
The COVID-19 pandemic forced a change in the working dynamics of all healthcare professionals, leading to the sudden introduction of telemedicine. Although until that moment telemedicine applications had been described in the paediatric age, their use was anecdotal.
To analyse the experience of Spanish paediatricians after the forced digitization of consultations due to the pandemic.
A cross-sectional survey-type study was designed to obtain information from Spanish paediatricians about the changes that took place in the usual clinical practice.
306 health professionals participated in the study Most of them agreed on the use of the internet and social networks during the pandemic, referring to mail or WhatsApp® as usual channels of communication with their patients' families. There was a great agreement among paediatricians that the evaluation of newborns after hospital discharge and establishing methodologies that allow childhood vaccination and the identification of subsidiary patients for face-to-face evaluation were necessary although the limitations of the lockdown. The idea that telephone and digital consultations have optimized the consultation time and that they will probably continue after the end of the pandemic was generally accepted. No changes in adherence to breastfeeding or the start of complementary feeding were referred to, but an increase in the duration of breastfeeding and the appearance of frequent hoaxes in social networks concerning infant feeding were found.
It is necessary to analyse the impact of telemedicine in paediatric consultations during the pandemic to evaluate its effectiveness and quality to maintain it in routine paediatric practice.
新冠疫情迫使所有医疗保健专业人员的工作模式发生改变，远程医疗因此突然兴起。尽管在此之前远程医疗应用已在儿科领域有所描述，但使用并不普遍。
分析西班牙儿科医生在疫情导致会诊被迫数字化后的经历。
设计了一项横断面调查式研究，以获取西班牙儿科医生关于日常临床实践中所发生变化的信息。
306名医疗专业人员参与了该研究。他们中的大多数人认同在疫情期间使用互联网和社交网络，将邮件或WhatsApp®作为与患者家属沟通的常用渠道。儿科医生们普遍认为，尽管处于封锁限制之中，但出院后对新生儿进行评估以及建立允许儿童接种疫苗和确定需面对面评估的辅助患者的方法是必要的。电话和数字会诊优化了会诊时间且疫情结束后可能仍会继续，这一观点得到了普遍认可。未提及母乳喂养坚持情况或辅食添加开始时间有变化，但发现母乳喂养时长有所增加，且社交网络上出现了许多关于婴儿喂养的频繁骗局。
有必要分析疫情期间远程医疗在儿科会诊中的影响，以评估其有效性和质量，以便在儿科常规实践中维持应用。
